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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)
Potential risk factors leading to tendinopathy
Factores potenciales de riesgo que conducen a la tendinopatía
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Peter Malliarasa, Seth O??Neillb
a Monash University, Department of Physiotherapy, Melbourne, Australia.
b University of Leicester, Department of Medical and Social Care Education, Leicester, UK.
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La tendinopatía tiene una etiología multifactorial que no es bien conocida. Los factores de riesgo a menudo se dividen en extrínsecos (los que actúan sobre el cuerpo) e intrínsecos (los que actúan desde dentro del cuerpo). En esta revisión descriptiva clasificamos los factores de riesgo potenciales en: 1) factores relacionados con la carga (extrínsecos); 2) factores biomecánicos (intrínsecos), y 3) otros factores individuales, como los factores sistémicos (intrínsecos). Una carga excesiva está claramente relacionada con la tendinopatía, pero parece que existe una gran diferencia en la cantidad de carga que los individuos pueden soportar antes de desarrollar una tendinopatía. Las personas menos activas también sufren tendinopatía, lo que sugiere que es probable que el efecto de la carga esté mediado por factores intrínsecos. Es probable que estos factores intrínsecos individuales reduzcan la tolerancia o la capacidad de soportar la carga. Esta revisión descriptiva ofrece un breve resumen de los principales factores de riesgo y mecanismos, así como las limitaciones en la literatura actual.

Palabras clave:
Tendinopatía; Etiología; Factores de riesgo; Carga; Biomecánica; Prevención

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 1) load-related (extrinsic); 2) biomechanical factors (intrinsic); and 3) 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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