{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:00:29Z","timestamp":1791255629567,"version":"4.1.0"},"reference-count":61,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>Lateral epicondylitis represents a frequent overuse injury. In spite of many conservative treatment procedures, prolonged symptoms and relapse are frequently observed.<\/jats:p><jats:p><jats:bold>Objective:<\/jats:bold>To compare the outcome of patients performing an isokinetic eccentric training with that of age-, gender-, activity-matched patients receiving a non-strengthening classical rehabilitation.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold>Ninety-two patients with unilateral chronic lateral epicondylar tendinopathy (mean duration of symptoms 8\u00b13 months) were assigned either to a control group (n\u200a=\u200a46) or to an eccentrically trained group (n\u200a=\u200a46). The control group underwent a passive standardised rehabilitation programme that excluded strengthening exercises. In addition to this programme, the trained group also performed eccentric exercises based on the repetitive lengthening of the active musculo-tendinous unit. The latter exercises started with submaximal contraction intensity and slow speed movement. Modalities were progressively intensified (increase in intensity contraction and speed movement) over a long priod of treatment. Programme effectiveness was assessed through pain score evaluation, a disability questionnaire, muscle strength measurement and ultrasonographic examination.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>Compared to the non-strengthening control group, the following observations were made in the eccentrically trained group: (1) a significantly more marked reduction of pain intensity, mainly after one month of treatment; (2) an absence of strength deficit on the involved side through bilateral comparison for the forearm supinator and wrist extensor muscles; (3) an improvement of the tendon image as demonstrated by decreasing thickness and a recovered homogenous tendon structure; and (4) a more marked improvement in disability status during occupational, spare time and sports activities.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold>These results highlight the relevance of implementing isokinetic adapted eccentric training in the management of chronic lateral epicondylar tendinopathy.<\/jats:p>","DOI":"10.1136\/bjsm.2006.033324","type":"journal-article","created":{"date-parts":[[2007,1,16]],"date-time":"2007-01-16T15:31:52Z","timestamp":1168961512000},"page":"269-275","source":"Crossref","is-referenced-by-count":152,"title":["An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy"],"prefix":"10.1136","volume":"41","author":[{"given":"Jean-Louis","family":"Croisier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marguerite","family":"Foidart-Dessalle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Tinant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Crielaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9n\u00e9dicte","family":"Forthomme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2007,1,15]]},"reference":[{"key":"2024051313012209000_41.4.269.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2003.05.002"},{"key":"2024051313012209000_41.4.269.2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20535"},{"key":"2024051313012209000_41.4.269.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70248-9"},{"key":"2024051313012209000_41.4.269.4","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/S0278-5919(20)30504-4","volume":"11","year":"1992","journal-title":"Clin Sports Med"},{"key":"2024051313012209000_41.4.269.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90133-7"},{"key":"2024051313012209000_41.4.269.6","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/S0278-5919(20)30133-2","volume":"15","year":"1996","journal-title":"Clin Sports Med"},{"key":"2024051313012209000_41.4.269.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)90097-3"},{"key":"2024051313012209000_41.4.269.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00067-X"},{"key":"2024051313012209000_41.4.269.9","doi-asserted-by":"crossref","first-page":"133","DOI":"10.2165\/00007256-199622020-00006","volume":"22","year":"1996","journal-title":"Sports Med"},{"key":"2024051313012209000_41.4.269.10","doi-asserted-by":"publisher","DOI":"10.1080\/07853890310004138"},{"key":"2024051313012209000_41.4.269.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.11.029"},{"key":"2024051313012209000_41.4.269.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2003.05.002"},{"key":"2024051313012209000_41.4.269.13","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2004.02.011"},{"key":"2024051313012209000_41.4.269.14","first-page":"1351","volume":"33","year":"2006","journal-title":"J Rheumatol"},{"key":"2024051313012209000_41.4.269.15","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200636020-00005"},{"key":"2024051313012209000_41.4.269.16","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.35.5.291"},{"key":"2024051313012209000_41.4.269.17","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199928050-00006"},{"key":"2024051313012209000_41.4.269.18","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg360"},{"key":"2024051313012209000_41.4.269.19","doi-asserted-by":"crossref","first-page":"109","DOI":"10.5271\/sjweh.654","volume":"28","year":"2002","journal-title":"Scand J Work Environ Health"},{"key":"2024051313012209000_41.4.269.20","doi-asserted-by":"crossref","first-page":"347","DOI":"10.2165\/00007256-199724050-00006","volume":"24","year":"1997","journal-title":"Sports Med"},{"key":"2024051313012209000_41.4.269.21","unstructured":"Curwin S. 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