Eccentric exercise as an intervention protocol for injury prophylaxis and rehabilitation in athletes. A systematic review
DOI:
https://doi.org/10.47197/retos.v63.109368Keywords:
Athletes, eccentric training, prevention, rehabilitation, sports injuriesAbstract
Introduction: At present, physical stress during sport practice has triggered a series of acute and chronic injuries banned the athlete from its functionality. Eccentric exercise it’s a protocol that has been implemented for the prevention and rehabilitation of these injuries in various sports disciplines.
Objective: To determine the effects of eccentric training as a protocol in the prophylaxis and rehabilitation of injuries in athletes.
Methodology: A systematic review of articles with the topic of interest was carried out between march and april of 2024. To achieve de objective a quest was carried out in databases Scopus, Pubmed & Google Scholar utilizing the keywords “eccentric training” AND “injury prevention” OR “eccentric exercise” AND “injury rehabilitation”.
Results: A total of 370 studies were identified, selecting 11 for this review. In all of studies, an eccentric training was applied to prevention or rehabilitation of injuries.
Conclusion: The eccentric training it is a methodology that seems to have beneficial effects for the prevention and rehabilitation of injuries in athletes when isoinertial, eccentric isokinetic, eccentric overload and even with body weight protocols are applied.
References
Alonso‐Fernández, D., Docampo‐Blanco, P., & Martínez‐Fernández, J. (2018). Changes in muscle archi-tecture of biceps femoris induced by eccentric strength training with nordic hamstring exer-cise. Scandinavian journal of medicine & science in sports, 28(1), 88-94. https://doi.org/10.1111/sms.12877
An, N., & Chuo, J. (2023). Effects of jump training on the repair of bone injuries. Revista Brasileira de Medicina do Esporte, 29. https://doi.org/10.1590/1517-8692202329012022_0635
Beato, M., Bigby, A. E., De Keijzer, K. L., Nakamura, F. Y., Coratella, G., & McErlain-Naylor, S. A. (2019). Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes. PloS one, 14(9), e0222466. https://doi.org/10.1371/journal.pone.0222466
Bogdanis, G. C., Tsoukos, A., Veligekas, P., Tsolakis, C., & Terzis, G. (2014). Effects of muscle action type with equal impulse of conditioning activity on postactivation potentiation. The Journal of Strength & Conditioning Research, 28(9), 2521-2528. https://doi.org/10.1519/JSC.0000000000000444
Breda, S. J., Oei, E. H., Zwerver, J., Visser, E., Waarsing, E., Krestin, G. P., & de Vos, R. J. (2021). Effective-ness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial. British journal of sports medicine, 55(9), 501-509. http://dx.doi.org/10.1136/bjsports-2020-103403
Cadu, J. P., Goreau, V., & Lacourpaille, L. (2022). A very low volume of Nordic hamstring exercise in-creases maximal eccentric strength and reduces hamstring injury rate in professional soccer players. Journal of Sport Rehabilitation, 31(8), 1061-1066. https://doi.org/10.1123/jsr.2021-0445
Chebbi, S., Chamari, K., Van Dyk, N., Gabbett, T., & Tabben, M. (2022). Hamstring injury prevention for elite soccer players: a real-world prevention program showing the effect of players' compli-ance on the outcome. The Journal of Strength & Conditioning Research, 36(5), 1383-1388.
Chen, J., Tian, X., & Zhang, J. (2023). The Effects of Isokinetic Eccentric Training on Strength Ratio and Neuromuscular Control of Internal and External Rotators of the Shoulder. Chinese General Practice, 26(12), 1485. https://doi.org/10.12114/j.issn.1007-9572.2022.0724
Contreras-Hernández, I., Falla, D., & Martinez-Valdes, E. (2022). Neuromuscular and structural tendon adaptations after 6 weeks of either concentric or eccentric exercise in individuals with non-insertional Achilles tendinopathy: protocol for a randomised controlled trial. BMJ open, 12(7), e058683. https://doi.org/10.1136/bmjopen-2021-058683
Coratella, G., & Schena, F. (2016). Eccentric resistance training increases and retains maximal strength, muscle endurance, and hypertrophy in trained men. Applied Physiology, Nutrition, and Metabo-lism, 41(11), 1184-1189. https://doi.org/10.1139/apnm-2016-0321
de Hoyo, M., Pozzo, M., Sañudo, B., Carrasco, L., Gonzalo-Skok, O., Domínguez-Cobo, S., & Morán-Camacho, E. (2015). Effects of a 10-week in-season eccentric-overload training program on muscle-injury prevention and performance in junior elite soccer players. International journal of sports physiology and performance, 10(1), 46-52. https://doi.org/10.1123/ijspp.2013-0547
de Oliveira, N. T., Medeiros, T. M., Vianna, K. B., dos Santos Oliveira, G., de Araujo Ribeiro-Alvares, J. B., & Baroni, B. M. (2020). A four-week training program with the Nordic hamstring exercise during preseason increases eccentric strength of male soccer players. International journal of sports physical therapy, 15(4), 571. https://doi.org/10.26603/ijspt20200571
del Ama Espinosa, G., Pöyhönen, T., Aramendi, J. F., Samaniego, J. C., Knörr, J. I. E., & Kyröläinen, H. (2015). Effects of an eccentric training programme on hamstring strain injuries in women football players. Biomedical Human Kinetics, 7(1). https://doi.org/10.1515/bhk-2015-0019
Ekstrand, J., Hägglund, M., & Waldén, M. (2011). Epidemiology of muscle injuries in professional foot-ball (soccer). The American journal of sports medicine, 39(6), 1226-1232. https://doi.org/10.1177/0363546510395879
Elerian, A. E., El-Sayyad, M. M., & Dorgham, H. A. A. (2019). Effect of pre-training and post-training Nor-dic exercise on hamstring injury prevention, recurrence, and severity in soccer players. Annals of rehabilitation medicine, 43(4), 465. https://doi.org/10.5535%2Farm.2019.43.4.465
Faller, B., Bonneau, D., Wooten, L., & Jayaseelan, D. J. (2021). Eccentric exercise in the prevention of patellofemoral pain in high-volume runners: A rationale for integration. Sports Medicine and Health Science, 3(2), 119-124. https://doi.org/10.1016/j.smhs.2021.04.003
Frohm, A., Saartok, T., Halvorsen, K., & Renström, P. (2007). Eccentric treatment for patellar tendinopa-thy: a prospective randomised short-term pilot study of two rehabilitation protocols. British journal of sports medicine, 41(7), e7-e7. https://doi.org/10.1136%2Fbjsm.2006.032599
Genç, A. S., Güzel, N., Yılmaz, A. K., Ermiş, E., Pekesen Kurtça, M., Agar, A., & Kehribar, L. (2023). Post-Operative Modified All-Inside ACL Reconstruction Technique’s Clinical Outcomes and Isokinetic Strength Assessments. Diagnostics, 13(17), 2787. https://doi.org/10.3390/diagnostics13172787
Gonzalo-Skok, O., Tous-Fajardo, J., Valero-Campo, C., Berzosa, C., Bataller, A. V., Arjol-Serrano, J. L., & Méndez-Villanueva, A. (2017). Eccentric-overload trainingin team sports functional perfor-mance: constant bilateral vertical versus variable unilateral multidireccional movements. In-ternational journal of sports physiology and performace. 12(7), 951-958. https://doi.org/10.1123/ijspp.2016-0251
Hammami, R., Duncan, M. J., Nebigh, A., Werfelli, H., & Rebai, H. (2022). The effects of 6 weeks eccentric training on speed, dynamic balance, muscle strength, power, and lower limb asymmetry in pre-pubescent weightlifters. The Journal of Strength & Conditioning Research, 36(4), 955-962. https://dx.doi.org/10.1519/JSC.0000000000003598
Harris-Love, M. O., Gollie, J. M., & Keogh, J. W. (2021). Eccentric exercise: adaptations and applications for health and performance. Journal of Functional Morphology and Kinesiology, 6(4), 96. https://doi.org/10.3390/jfmk6040096
Higbie, E. J., Cureton, K.j., Warren lll, G. L., &Prior, B. M. (1996). Effects of concentric and eccentric training on muscle strength, cross-sectional area, and neural activation. Journal of applied phys-iology.
Hoppeler, H. (2016). Moderate load eccentric exercise; a distinct novel training modality. Frontiers in physiology, 7, 483. https://doi.org/10.3389/fphys.2016.00483
Kaur, S., Maurya, U. K., & Shenoy, S. (2023). Recovery of two elite footballers from adductor strain with dry needling and eccentric strengthening: Two case studies. Journal of Bodywork and Move-ment Therapies, 35, 332-336. https://doi.org/10.1016/j.jbmt.2023.04.043
Kozin, S., Kozina, Z., Cretu, M., Boychuk, Y., Safronov, D., Korobeinik, V., & Chernozub, A. (2022). Use of closed chain exercises, eccentric exercises, and proprioceptive muscle facilitation to prevent el-bow injuries in climbers: a randomized control trial. Physiotherapy Quarterly, 30(2), 90-99. https://doi.org/10.5114/pq.2023.112871
Kuibida, V., Kokhanets, P., & Lopatynska, V. (2021). Mechanism of strengthening the skeleton using plyometrics. Journal of Physical Education and Sport, 21(3), 1309-1316. https://doi.org/10.7752/jpes.2021.03166
Lee, W. C., Ng, G. Y. F., Zhang, Z. J., Malliaras, P., Masci, L., & Fu, S. N. (2020). Changes on tendon stiffness and clinical outcomes in athletes are associated with patellar tendinopathy after eccentric exer-cise. Clinical Journal of Sport Medicine, 30(1), 25-32. http://dx.doi.org/10.1097/JSM.0000000000000562
Lepley, L. K., Stoneback, L., Macpherson, P. C., & Butterfield, T. A. (2023). Eccentric Exercise as a Potent Prescription for Muscle Weakness After Joint Injury. Exercise and Sport Sciences Re-views, 51(3), 109-116. https://doi.org/0.1249/JES.0000000000000319
Lepley, L. K., & Palmieri-Smith, R. M. (2013). Effect of eccentric strengthening after anterior cruciate ligament reconstruction on quadriceps strength. Journal of sport rehabilitation, 22(2), 150-156. https://doi.org/10.1123/jsr.22.2.150
McHugh, M. P. (2003). Recent advances in the understanding of the repeated bout effect: the protective effect against muscle damage from a single bout of eccentric exercise. Scandinavian journal of medicine & science in sports, 13(2), 88-97. https://doi.org/10.1034/j.1600-0838.2003.02477.x
McHugh, N., McAuliffe, S., & O'Sullivan, K. (2014). Eccentric training for hamstring injury, and its rela-tionship to strength and flexibility: A case-series. Physiotherapy practice and Research, 35(2), 111-122. https://doi.org/10.3233/PPR-140042
Mosteiro-Muñoz, F., & Domínguez, R. (2017). Efectos del entrenamiento con sobrecargas isoinerciales sobre la función muscular. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte/International Journal of Medicine and Science of Physical Activity and Sport, 17(68), 757-773.
Naclerio, F., Larumbe-Zabala, E., Monajati, A., & Goss-Sampson, M. (2015). Effects of two different inju-ry prevention resistance exercise protocols on the hamstring torque-angle relationship: a ran-domized controlled trial. Research in Sports Medicine, 23(4), 379-393. http://dx.doi.org/10.1080/15438627.2015.1076418
Nuzzo, J. L., Pinto, M. D., & Nosaka, K. (2023). Connective adaptive resistance exercise (CARE) machines for accentuated eccentric and eccentric-only exercise: introduction to an emerging con-cept. Sports Medicine, 53(7), 1287-1300. https://doi.org/10.1007/s40279-023-01842-z
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sis-temá¬ticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Osorio Ciro, J. A., Clavijo Rodríguez, M. P., Arango, E., Patiño Giraldo, S., & Gallego Ching, I. C. (2007). Lesiones deportivas. Iatreia, 20(2), 167-177.
Raya-González, J., Castillo, D., Domínguez-Díez, M., & Hernández-Davó, J. L. (2020). Eccentric-overload production during the flywheel squat exercise in young soccer players: Implications for injury prevention. International journal of environmental research and public health, 17(10), 3671. https://doi.org/10.3390/ijerph17103671
Rio, E., Kidgell, D., Purdam, C., Gaida, J., Moseley, G. L., Pearce, A. J., & Cook, J. (2015). Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. British journal of sports med-icine, 49(19), 1277-1283. https://doi.org/10.1136/bjsports-2014-094386
Ruas, C. V., Pinto, R. S., Haff, G. G., Lima, C. D., & Brown, L. E. (2019). Effects of different combinations of concentric and eccentric resistance training programs on traditional and alternative ham-strings-to-quadriceps ratios. Sports, 7(10), 221. https://doi.org/10.3390/sports7100221
Ryan, D., Rio, E., O’Donoghue, G., & O’Sullivan, C. (2022). The effect of combined action observation therapy and eccentric exercises in the treatment of mid-portion Achilles tendinopathy: study protocol for a feasibility pilot randomised controlled trial. Pilot and Feasibility Studies, 8(1), 1-11. https://doi.org/10.1186/s40814-022-00981-w
Stojanović, M. D., Andrić, N., Mikić, M., Vukosav, N., Vukosav, B., Zolog-Șchiopea, D. N., & Melinte, R. M. (2023). Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players. Medicina, 59(6), 1111.
Vega, M. Á. P., Delgado, A. O., & Meirinhos, A. R. (2019). Revisión sistemática del panorama de la investi-gación sobre redes sociales: taxonomía sobre experiencias de uso. Comunicar: Revista científica iberoamericana de comunicación y educación, (60), 81-91. https://doi.org/10.3916/C60-2019-08
Vidmar, M. F., Baroni, B. M., Michelin, A. F., Mezzomo, M., Lugokenski, R., Pimentel, G. L., & Silva, M. F. (2020). Isokinetic eccentric training is more effective than constant load eccentric training for quadriceps rehabilitation following anterior cruciate ligament reconstruction: a randomized controlled trial. Brazilian journal of physical therapy, 24(5), 424-432. https://doi.org/10.1016/j.bjpt.2019.07.003
Vogt, M., & Hoppeler, H. H. (2014). Eccentric exercise: mechanisms and effects when used as training regime or training adjunct. Journal of applied Physiology. https://doi.org/10.1152/japplphysiol.00146.2013
Wille, C. M., Stiffler-Joachim, M. R., Kliethermes, S. A., Sanfilippo, J. L., Tanaka, C. S., & Heiderscheit, B. C. (2022). Preseason eccentric strength is not associated with hamstring strain injury: a prospec-tive study in collegiate athletes. Medicine and science in sports and exercise, 54(8), 1271. https://doi.org/10.1249%2FMSS.0000000000002913
Zein, M. I., Reurink, G., Verhagen, E., Kerkhoffs, G. M., van der Horst, N., Goedhart, E., & Tol, J. L. (2022). Study on Hamstring Re-injury Prevention (SHARP): protocol for an international multicentre, randomised controlled trial. BMJ open, 12(11), e065816. https://doi.org/10.1136/bmjopen-2022-065816
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