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首页> 外文期刊>The Journal of Musculoskeletal and Neuronal Interactions >How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review
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How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review

机译:肌腱如何适应?超越组织反应来了解积极的适应和病理发展:叙事回顾

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Understanding how tendons adapt to load is crucial to understanding how training can improve performance, minimisethe risk of injury and aid rehabilitation. Adaptation is the positive response of an organism or tissue to benefit its function.In tendons, numerous tissue responses to load have been identified in vivo. Changes in tendon dimensions, structure onimaging, mechanical properties, and blood flow have been reported in response to mechanical stimuli. However, researchhas focused on tissue level changes with little understanding of how changes at the tissue level affect the person, theirathletic performance or injury risk. Tendons can have a paradoxical response to load, load can induce positive adaptation,however it is also a major factor in the development of tendon pathology and pain. Tendon pathology is a risk factor fordeveloping symptoms, yet the high rate of asymptomatic pathology suggests that the pathological tendon must adapt tobe able to tolerate load. Similarly, there is mounting evidence to suggest that tendon remodelling or repair is not necessaryfor a positive clinical outcome following rehabilitation, suggesting that the tendon must adapt via other mechanisms. Thisnarrative review synthesises evidence of how normal and pathological tendons adapts to load, and how this relates toadaptation of load capacity and function of the individual.
机译:了解肌腱如何适应负荷对于理解训练如何改善运动表现,最大程度降低受伤风险和帮助康复至关重要。适应是生物体或组织受益于其功能的积极反应。在肌腱中,体内已发现许多组织对负荷的反应。据报道,响应于机械刺激,肌腱尺寸,影像学结构,机械性能和血流的变化。然而,研究集中在组织水平的变化,而很少了解组织水平的变化如何影响人,其运动表现或受伤风险。肌腱对负荷有反常的反应,负荷可以诱导正向适应,但它也是肌腱病理和疼痛发展的主要因素。肌腱病理是出现症状的危险因素,但是无症状病理的高发生率表明,病理肌腱必须适应以能够承受负荷。同样,越来越多的证据表明,对于康复后的阳性临床结果而言,肌腱重塑或修复不是必需的,这表明肌腱必须通过其他机制进行适应。叙述性综述总结了正常和病理性肌腱如何适应负荷以及与适应负荷能力和个体功能之间的关系的证据。

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