Metabolism

Tendons transmit the forces produced by the muscles to the skeleton and, therefore, contribute to performance during various movements. However, increases in muscle forces e.g. due to training need to go in line with adaptations of the tendinous tissue to avoid impairments of tissue integrity and pr...

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Autores principales: Bohm S, Mersmann F, Arampatzis A
Formato: article
Lenguaje:DE
EN
Publicado: Dynamic Media Sales Verlag 2019
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Acceso en línea:https://doaj.org/article/4cd6444aa4564bcf8df09b3201d8eb58
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Sumario:Tendons transmit the forces produced by the muscles to the skeleton and, therefore, contribute to performance during various movements. However, increases in muscle forces e.g. due to training need to go in line with adaptations of the tendinous tissue to avoid impairments of tissue integrity and prevent injury. Tendons can adapt by changes in the material and morphological properties, leading to increased resilience of the tendon (stiffness) beginning in childhood to old age, but effective mechanical stimuli and temporal dynamics of adaptation are different compared to the muscle. Consequently, periods of imbalanced muscle and tendon capacities can occur throughout a training period and may compromise optimal functioning of the muscle-tendon unit or affect tendon health. Using an appropriate diagnostic setup of muscle strength and tendon stiffness or tendon maximum strain, it might be possible to monitor the adaptation of muscle and tendon and provide individualized training recommendations promoting either muscle or tendon adaptation. We provide an evidenced-based effective training paradigm for tendon adaptation, characterized by five sets of four repetitive contractions with an intensity of ~90% of the isometric voluntary maximum maintained over 3 seconds, providing high magnitude tendon strain over an effective duration. This tendon-specific training programm can be applied to achieve performance increases, to prevent injuries and for rehabilitation purposes in the context of sports and daily life. KEY WORDS: Tendon Adaptation, Locomotor Function, Tendinopathy, Injury Prevention