Eccentric training in the treatment of tendinopathy

7 Abbreviations 8 Original papers 9 Introduction/Background 10 The normal tendon 11 Anatomy 11 Collagen fibre orientation 12 Internal architecture 12 General innervation 13 General biomechanical forces in tendons 14 Metabolism 15 Disuse/immobilisation 15 Exercise/remobilisation 15 The Achilles tendon 17 Anatomy 17 The myotendinous junction (MTJ) 18 The osteotendinous junction (OTJ) 18 Tendon structure 19 Circulation 19 Innervation 19 Biomechanics 20 Achilles tendinopathy 20 Definitions 20 Epidemiology 21 Aetiology 21 Intrinsic risk factors 21 Extrinsic risk factors 22 Pathogenesis 23 Histology 24 Pain mechanisms 24 Clinical symptoms 25 Clinical examination 25 Differential diagnoses 25 Treatment 26 The patellar tendon 28 Anatomy 28 Tendon structure 29 Circulation 29 Innervation 29 Biomechanics 29 Eccentric training in the treatment of tendinopathy 5 Patellar tendinopathy 30 Definitions 30 Epidemiology 30 Aetiology 30 Intrinsic risk factors 31 Extrinsic risk factors 31 Pathogenesis 32 Histology 32 Pain mechanisms 32 Clinical symptoms 33 Clinical examination 33 Differential diagnoses 34 Treatment 34 The supraspinatus tendon 36 Anatomy 36 Tendon structure 37 Circulation 38 Innervation 38 Biomechanics 38 Supraspinatus tendinopathy 39 Definitions 39 Epidemiology 39 Aetiology 39 Intrinsic risk factors 39 Extrinsic risk factors 40 Pathogenesis 40 Histology 41 Pain mechanisms 41 Clinical symptoms 42 Clinical examination 42 Differential diagnoses 42 Treatment 43 General aims 45 Material and methods 46 Subjects 46 General inclusion and exclusion criteria 47 Inclusion criteria 47 Exclusion criteria 47 Ultrasound and magnetic resonance imaging 48 Treatment methods 48 Coaching 48 Eccentric training program 49 Study I 50 Study II 51