Stretching Can Be Part of a Warm-Up, but Injury Prevention Is a Different Question
Stretching can increase range of motion, but evidence does not establish that a stretch before one workout protects against injury in that session.
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Tendon Injury
Tendon injury can describe different problems, so a structural tear should be distinguished from persistent pain and loss of function with loading.
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Tendon injury is an umbrella term that can cover clinically different tendon problems, so precise terminology is important. Consensus terminology distinguishes a tendon tear from tendinopathy rather than treating the two as interchangeable conditions .1
A tendon tear, partial or complete, is defined as a macroscopic discontinuity of a load-bearing tendon. Tendinopathy is the preferred term for persistent tendon pain and loss of function related to mechanical loading. The term tendinopathy describes a clinical presentation and does not by itself imply a particular microscopic or biochemical process .1
The same consensus did not recommend using “tendinosis” as a clinical label without a clearer agreed definition, and it notes that imaging is not always necessary to diagnose tendinopathy. In sports injury surveillance, tendon conditions should also be defined and classified explicitly so that data can be compared consistently across studies .1,2
References
- Scott A, Squier K, Alfredson H, Bahr R, Cook JL, Coombes B, de Vos RJ, Fu SN, Grimaldi A, Lewis JS, Maffulli N, Magnusson SP, Malliaras P, Mc Auliffe S, Oei EHG, Purdam CR, Rees JD, Rio EK, Gravare Silbernagel K, Speed C, Weir A, Wolf JM, Akker-Scheek IVD, Vicenzino BT, Zwerver J ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. British Journal of Sports Medicine. 2020. About this source DOI
- Bahr R, Clarsen B, Derman W, Dvorak J, Emery CA, Finch CF, Hägglund M, Junge A, Kemp S, Khan KM, Marshall SW, Meeuwisse W, Mountjoy M, Orchard JW, Pluim B, Quarrie KL, Reider B, Schwellnus M, Soligard T, Stokes KA, Timpka T, Verhagen E, Bindra A, Budgett R, Engebretsen L, Erdener U, Chamari K International Olympic Committee Consensus Statement: Methods for Recording and Reporting of Epidemiological Data on Injury and Illness in Sports 2020 (Including the STROBE Extension for Sports Injury and Illness Surveillance (STROBE-SIIS)). Orthopaedic Journal of Sports Medicine. 2020. About this source DOI
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