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Vol. 52. Issue 194.
Pages 71-77 (April - June 2017)
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Vol. 52. Issue 194.
Pages 71-77 (April - June 2017)
Factors potencials de risc que condueixen a la tendinopatia
Potential risk factors leading to tendinopathy
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Peter Malliarasa, Seth O??Neillb
a Monash University, Department of Physiotherapy, Melbourne, Austràlia.
b Department of Medical and Social Care Education, University of Leicester, Leicester, Regne Unit.
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La tendinopatia té una etiologia multifactorial que no és ben coneguda. Sovint es divideixen els factors de risc en extrínsecs (els que actuen sobre el cos) i intrínsecs (els que actuen des de dins del cos). En aquesta revisió descriptiva classifiquem els factors potencials de risc en: 1) factors relacionats amb la càrrega (extrínsecs); 2) factors biomecànics (intrínsecs), i 3) altres factors individuals, com els factors sistèmics (intrínsecs). Una càrrega excessiva està relacionada clarament amb la tendinopatia, però sembla que hi ha una gran diferència en la quantitat de càrrega que els individus poden suportar abans de desenvolupar una tendinopatia. Les persones menys actives també sofreixen tendinopatia, la qual cosa suggereix que és probable que l’efecte de la càrrega estigui mediat per factors intrínsecs. És probable que aquests factors intrínsecs individuals redueixin la tolerància o la capacitat de suportar la càrrega. Aquesta revisió descriptiva ofereix un resum breu dels principals factors de risc i mecanismes, així com les limitacions de la biblio grafiaactual.

Palabras clave:
Tendinopatia; Etiologia; Factors de risc; Càrrega; Biomecànica; Prevenció

Tendinopathy has a multifactorial etiology that is not well understood. Risk factors are often separated into extrinsic (those acting on the body) and intrinsic groups (those acting from within the body). In this narrative review, we will separate potential risk factors into (i) load­related (extrinsic); (ii) biomechanical factors (intrinsic), and (iii) other individual factors such as systemic factors (intrinsic). Too much load is clearly linked to tendinopathy, but there appears to be large variation in how much load individuals can endure before developing tendinopathy. Less active people also suffer tendinopathy, suggesting that the effect of load is likely to be moderated by intrinsic factors. These individual intrinsic factors are likely to reduce tolerance or capacity to withstand load. This narrative review will provide a brief overview of key potential risk factors and mechanisms, as well as limitations in the current literature.

Keywords:
Tendinopathy; Etiology; Risk factors; Load; Biomechanics; Prevention

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