Revisión bibliográfica sobre la eficacia del ejercicio excéntrico como tratamiento para la tendinopatía del tendón de Aquiles
- Anna Arnal-Gómez 1
- Gemma Victoria Espí-López 1
- Diego Cano Heras 1
- Elena Muñoz-Gómez 1
- Isabel Balbastre Tejedor 2
- Mª Victoria Ramírez Iñiguez-de la Torrez 3
- Mª Teófila Vicente- Herrero 4
-
1
Universitat de València
info
- 2 Especialista en Medicina Física y Rehabilitación, Umivale
- 3 Especialista en Medicina del Trabajo, Grupo Correos, Albacete
- 4 Especialista en Medicina del Trabajo, Grupo Correos, Valencia
ISSN: 1138-9672, 1578-2549
Año de publicación: 2020
Volumen: 23
Número: 2
Páginas: 211-233
Tipo: Artículo
Otras publicaciones en: Archivos de prevención de riesgos laborales
Resumen
Introducción: las tendinopatías son consecuencia de cargas excesivas en el tendón, por lo que son frecuentes en el ámbito laboral debido a movimientos repetitivos y posturas forzadas. La tendinopatía de Aquiles se caracteriza por una respuesta de curación desorga-nizada, asociada a cierto grado de neovascularización, siendo el tratamiento conservador la estrategia inicial. Objetivos realizar una revisión bibliográfica para analizar la efectividad de los tratamientos utilizados en la tendinopatía aquilea a partir de los estudios incluidos. Material y métodos: revisión bibliográfica de artículos científicos consultando las bases de datos PubMed y The Cochrane Library utilizando las palabras clave “((tendinopathy) AND (Achilles Tendon) AND (exercise OR exercise therapy OR Muscle Stretching Exercises OR physical therapy modalities OR rehabilitation))”. Resultados: Se obtuvieron 635 refrencias en Pubmed y 134 en Cochrane Library, de los cua-les 14 cumplieron los criterios de inclusión. Los estudios seleccionados mostraron que, en general, los ejercicios excéntricos son una terapia efectiva aplicada entre 6 y 12 semanas en la tendinopatía de Aquiles, sin combinar o combinada con la plataforma de vibración, complementos nutricionales, tratamiento de tejidos blandos, terapia de láser o terapia de ondas de choque. Conclusión: la revisión muestra que el ejercicio excéntrico presenta los mejores resultados en el tratamiento de la tendinopatía aquilea.
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