Is there an advantage to isometrics in tendinopathy rehab?

A brand new paper online first at the British Journal of Sports Medicine shines some light to clarify whether there is a clear advantage to using isometric exercises in tendon rehabilitation.

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the key quote for me is:

"adopting new management approaches without adequate evidence is problematic, especially when this is inconsistent with prevailing evidence that tendons require time to adapt to adequate and appropriate loading"

Some big names on the paper including first author Karin Silbernagel.

The paper is open access and may be read here.

The bottom line?

"Until further evidence arises, clinicians should feel comfortable and confident to prescribe progressive strengthening that fits the individual athlete and progress following current evidence-based principles of load and exercise progression"

Simon Bartold
Director of Bartold Clinical

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