Computational protocol: Imbalances in the Development of Muscle and Tendon as Risk Factor for Tendinopathies in Youth Athletes: A Review of Current Evidence and Concepts of Prevention

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Protocol publication

[…] The assumption that an imbalanced adaptation of the muscle-tendon unit could contribute to the development of overuse injuries with increasing risk during adolescence also finds support from several epidemiological observations. First, it is interesting to note that the probability of non-contact soft-tissue injury rises when training loads are increased rapidly (Gabbett, ). Though this increase clearly could also have different origins, it still indicates that the differing time course of muscle and tendon adaption (i.e., delayed tendon adaptation compared to the increase of muscle strength) might potentially be of clinical relevance. Second, the prevalence of tendinopathy in both elite and recreational athletes is particularly high in sports with predominantly plyometric loading (Lian et al., ; Zwerver et al., ). In adolescent volleyball players, it was found that jumping ability and the weekly hours of volleyball training (and not strength training) increase the risk of tendinopathy (Visnes et al., ). It seems that especially the frequency of jumps during training and competition could be a major determinant of the risk of tendon overload (Bahr and Bahr, ). These observations could well be related to the different responsiveness of muscle and tendon to plyometric loading and increased risk of tendon fatigue damage upon repetitive loading with high magnitude strains. Third, a recent epidemiological meta-analysis on tendinopathy in children and adolescents regularly participating in sports indicated an increasing risk with age (Simpson et al., ), which corresponds to the incidence of general soft-tissue overuse injuries reported earlier (Stracciolini et al., ). These findings underline the potential influence of maturation on the balance of muscle and tendon adaptation and the necessity to deepen our understanding of the interaction of maturation and loading. […]

Pipeline specifications

Software tools MUSCLE, LIAN
Application Nucleotide sequence alignment
Diseases Sprains and Strains, Tendon Injuries, Tendinopathy