PDF icon Download PDF
Sportphysio 2025; 13(03): 154-164
DOI: 10.1055/a-2569-6259
On the field

„Progressive Tendon Loading Exercises“ bei Tendinopathien

Lukas Weisskopf
,
Jeanne Frey-Burgdorfer
› Further Information
Also available ateRefphysioLink
   Permissions and Reprints
Preview

Corrected by:

ErratumSportphysio 2025; 13(03): E1-E1
DOI: 10.1055/a-2678-4510

Zusammenfassung

Der Artikel gibt eine Übersicht über die Ursachen und die Risikofaktoren einer Tendopathie sowie die aktuellen Möglichkeiten von Physiotherapie und Training.



Publication History

Article published online:
01 July 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Amberger R. Triggerpunkttherapie. In: Amberger R. (Hrsg.) Integrative Manuelle Therapie. 3., aktualisierte Auflage. Stuttgart: Thieme; 2025
    Search in Google Scholar
  • 2 Baxter JR, Corrigan P, Hullfish TJ. et al. Exercise progression to incrementally load the Achilles tendon. Med Sci Sports Exerc 2021; 53 (1) 124-13
    Search in Google Scholar
  • 3 Buchanan CI, Marsh RL. Auswirkungen des Trainings auf die biomechanischen, biochemischen und strukturellen Eigenschaften von Sehnen. Comp Biochem Physiol A Mol Integr Physiol 2002; 133 (4) 1101-7
    Search in Google Scholar
  • 4 Cormier S. Return to Sport nach Achillessehnenruptur. Medbase, Sporttagung Winterthur. 2024 Im Internet:/ Accessed April 21, 2025 at: https://www.ksw.ch/fachabteilungen/orthopaedie-und-traumatologie/downloads/ (geschützt)
    Search in Google Scholar
  • 5 Diemer F, Sutor V. (Hrsg.) Praxis der medizinischen Trainingstherapie I. 4., unveränd. Aufl.. Stuttgart: Thieme Verlag; 2023
    Search in Google Scholar
  • 6 Duijn A, Overberg JA. Rehabilitation von Sportverletzungen: Sportreha-Fälle aus der evidenzbasierten Praxis. Stuttgart: Thieme; 2021
    Search in Google Scholar
  • 7 Gaehwiler R, Weisskopf L, Hirschmüller A. Konservative Therapie von Tendinopathien der Achillessehne. Hogrefe Praxis 2019; 108 (13) 851-858
    Search in Google Scholar
  • 8 Gasser M. Knieschmerzen bei Kindern und Jugendlichen. Institut für Bewegungsapparat und Schmerz Winterthur (ibsw). 2023 Im Internet Accessed January 31, 2024 at: https://ibsw.ch/news/knieschmerzen-bei-kindern-und-jugendlichen
    Search in Google Scholar
  • 9 Haas H, Steinmann Ch. Progression in den Methoden von „Low Load“ zu „High Load“. Sportphysio 2020; 08 (01) 16-28
    Search in Google Scholar
  • 10 Hartmann P. In der Statik liegt die Kraft – Isometrisches Training in Prävention und Rehabilitation. physiopraxis 2021; 19 (06) 42-45
    Search in Google Scholar
  • 11 Hasani F, Haines T, Munteanu SE. et al. LOAD-intensity and time-under-tension of exercises for men who have Achilles tendinopathy (the LOADIT trial): A randomised feasibility trial. BMC Sports Sci Med Rehabil 2012
    Search in Google Scholar
  • 12 Heinemeier KM, Kjaer M. In vivo investigation of tendon responses to mechanical loading. J Musculoskelet Neuronal Interact 2011; 11 (2) 115-23
    Search in Google Scholar
  • 13 Ishihara H, McNally DS, Urban JP, Hall AC. Effects of hydrostatic pressure on matrix synthesis in different regions of the intervertebral disk. J Appl Physiol 1996; 80 (3) 839-46
    Search in Google Scholar
  • 14 Kadlec D, Groeger D. Progressive Belastungssteigerung in der Rehabilitation. In: Kadlec D, Groeger D. (Hrsg.) Athletiktraining in der Physiotherapie. Stuttgart: Thieme; 2021
    Search in Google Scholar
  • 15 Kadlec D, Groeger D. (Hrsg.) Athletiktraining in der Physiotherapie. Stuttgart: Thieme; 2021
    Search in Google Scholar
  • 16 Kjaer M, Langberg H, Heinemeier K. et al. From mechanical loading to collagen synthesis, structural changes and function in human tendon. Scand J Med Sci Sports 2009; 19 (4) 500-10
    Search in Google Scholar
  • 17 Knobloch K, Schreibmueller L, Kraemer R. et al. Gender and eccentric training in Achilles mid-portion tendinopathy. Knee Surg Sports Traumatol Arthrosc 2010; 18 (5) 648-55
    Search in Google Scholar
  • 18 Leadbetter WB. Cell-matrix response in tendon injury. Clin Sports Med 1992; 11 (3) 53378
    Search in Google Scholar
  • 19 Lohrer H, Nauck T. Cross-cultural adaptation and validation of the VISA-A questionnaire for German-speaking Achilles tendinopathy patients. BMC Musculoskelet Disord 2009; 10:134. Erratum in: BMC Musculoskelet Disord 2010; 11: 37
    Search in Google Scholar
  • 20 Maffulli N, Via AG, Oliva F. Chronic achilles tendon disorders: Tendinopathy and chronic rupture. Clin Sports Med. 2015; Oct 34 (4) 607-24 Epub 2015 Jul 31
    Search in Google Scholar
  • 21 Malliaras P, Cook J, Purdam C, Rio E. Patellar tendinopathy: Clinical diagnosis, load management, and advice for challenging case presentations. J Orthop Sports Phys Ther 2015; 45 (11) 887-98
    Search in Google Scholar
  • 22 Mersmann F. Sehnen und Tendinopathien. PhysioBib Podcast Folge 76. Im Internet: Accessed April 21, 2025 at: https://podcasts.apple.com/de/podcast/76-dr-falk-mersmann-sehnen-und-tendinopathien/id1571806012?i=1000662861379
  • 23 Miller BF, Hansen M, Olesen JL. et al. Tendon collagen synthesis at rest and after exercise in women. J Appl Physiol (1985) 2007; 102 (2) 541-6
    Search in Google Scholar
  • 24 Murphy MC, McCleary F, Hince D. et al. TENDINopathy Severity assessment-Achilles (TENDINS-A): Evaluation of reliability and validity in accordance with COSMIN recommendations. Br J Sports Med 2024; 58 (12) 665-673
    Search in Google Scholar
  • 25 Oranchuk DJ, Storey AG, Nelson AR, Cronin JB. Isometric training and long-term adaptations: Effects of muscle length, intensity, and intent: A systematic review. Scand J Med Sci Sports 2019; 29 (4) 484-503
    Search in Google Scholar
  • 26 Plaass C, Weisskopf L. Die Sehne. Berlin/Bosten: De Gruyter; 2017
    Search in Google Scholar
  • 27 Riley G. The pathogenesis of tendinopathy. A molecular perspective. Rheumatology (Oxford) 2004; 43 (2) 131-42
    Search in Google Scholar
  • 28 Rio E, Kidgell D, Moseley GL, Cook J. Elevated corticospinal excitability in patellar tendinopathy compared with other anterior knee pain or no pain. Scand J Med Sci Sports 2016; 26 (9) 1072-9
    Search in Google Scholar
  • 29 Rio E, Kidgell D, Moseley GL. et al. Tendon neuroplastic training: Changing the way we think about tendon rehabilitation: A narrative review. Br J Sports Med 2016; 50 (4) 209-15
    Search in Google Scholar
  • 30 Robinson JM, Cook JL, Purdam C. et al. ; Victorian Institute of Sport Tendon Study Group. VISA-A questionnaire: A valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med 2001; 35 (5) 335-41
    Search in Google Scholar
  • 31 Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: A randomized controlled study. Am J Sports Med 2007; 35 (6) 897-906
    Search in Google Scholar
  • 32 Silbernagel KG, Hanlon S, Sprague A. Current clinical concepts: Conservative management of achilles tendinopathy. J Athl Train 2020; 55 (5) 438-447
    Search in Google Scholar
  • 33 Skovgaard D, Kjaer A, Heinemeier KM. et al. Use of cis-[18 F]fluoro-proline for assessment of exercise-related collagen synthesis in musculoskeletal connective tissue. PLoS One 2011; 6 (2) e16678
    Search in Google Scholar
  • 34 Sprague AL, Couppé C, Pohlig RT. et al. Pain-guided activity modification during treatment for patellar tendinopathy: A feasibility and pilot randomized clinical trial. Pilot Feasibility Stud 2021; 7 (1) 58
    Search in Google Scholar
  • 35 Tedeschi R, Platano D, Donati D. et al. Functional approaches in tendinopathy rehabilitation: exploring the role of tendon neuroplastic training. Manuelle Medizin 2024;
    Search in Google Scholar
  • 36 Thomeé R. A comprehensive treatment approach for patellofemoral pain syndrome in young women. Phys Ther 1997; 77 (12) 1690-703
    Search in Google Scholar
  • 37 de Vries A, Zwerver J, Diercks R. et al. Effect of patellar strap and sports tape on pain in patellar tendinopathy: A randomized controlled trial. Scand J Med Sci Sports 2016; 26 (10) 1217-24
    Search in Google Scholar
  • 38 Weisskopf L. Sehnenpathologien. Vortrag beim 36. GOTS Sportmedizin Kongress Basel. 2021
    Search in Google Scholar
  • 39 Zimmermann F. Exzentrisches Training und neue Belastungsmodelle. In: Plaass C, Weisskopf L. (Hrsg.) Die Sehne. Die Sehne. Berlin/Boston: De Gruyter; 2017: 47-55
    Search in Google Scholar
  • 40 Zumstein F. Stosswellentherapie. In: van Duijn A, Overberg J. (Hrsg) Rehabilitation von Sportverletzungen. 1. Auflage. Stuttgart: Thieme; 2021
    Search in Google Scholar