Effects of Isometric, Eccentric, or Heavy Slow Resistance Exercises on Pain and Function - Health Assignment Help

Assignment Task:

Task:

Abstract
Background and Purpose: The purpose of this study is to evaluate current evidence and provide a review on the effects of isometric, eccentric, or heavy slow resistance (HSR) exercises on pain and function in individuals with patellar tendinopathy (PT).
Methods:

Academic journals from CINAHL, Embase, MEDLINE, Scopus, SPORTDiscusTM, and The Cochrane Library were searched from inception to August 2017. Screening of reference lists was also performed. Human interventional studies investigating outcomes of pain and function in PT using either isometric, eccentric, or HSR training exercises were included. The McMaster Critical Review Form?Quantita- tive Studies was used to assess for risk of bias. Levels of evidence were obtained using the National Health and Medical Research Council (NHMRC) evidence hierarchy. The NHMRC Body of Evidence Framework was utilized to formulate recommen- dations for clinical practice. Extraction of data was performed by two independent reviewers according to predefined data criterion, data were then tabulated, and a descriptive, qualitative data synthesis was performed.
Results: Fifteen studies (3 isometric, 2 HSR, and 10 eccentric) were included for this review. Mean quality score across all studies was 81.6% (range 70% to 93%). Nine studies were of high quality, whereas six studies were of moderate quality. Nine studies were randomized controlled trials, which provided good Level II evidence; four studies were of satisfactory Level III evidence; and two studies were case series (Level IV evidence).

METHODS
2.1 | Protocol and registration

The systematic review was undertaken in accordance with the proto- col guidelines outlined in the Preferred Reporting Items for Systematic

Reviews and Meta?Analyses statement and was registered on August 12, 2017, with the International Prospective Register of Systematic Reviews (PROSPERO# CRD42017074286).

2.2 | Eligibility criteria
Articles reporting at least one of the outcomes of pain and/or function in PT were included. Human interventional studies investigating iso- metric, eccentric, or HSR training exercises in PT were also included. Studies that were not written in English language, did not have full text available, or did not include any participants with tendinopathy were excluded. Any studies that had invasive interventions (for exam- ple, injections or surgery) were also excluded. Other exclusion criteria included non?peer?reviewed studies, clinical commentaries, and reviews.

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