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The role of the brain in tendon pain

Written by FXNL Staff
July 22, 2018

“If you use a metronome to pace your strength training activity, what you get are the changes that you want at a muscle and tendon level, but you also get the changes to your motor cortex.”

 We speak with Dr. Ebonie Rio [Ba. App Sci, Ba Phys (hons), Masters Sports Phys, PhD] about tendon neuroplastic training, how the brain is involved in tendon pain and what the future holds for tendon rehabilitation.

To learn more about Dr. Ebonie Rio visit LaTrobe University

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00:25 Can you introduce yourself?

00:39 What are your main areas of research?

01:05 Can you describe how the brain is involved in tendon pain and rehab?

03:12 As physiotherapist, how can we address this brain involvement?

04:36 Why use auditory cues? Why not visual cues?

05:52 How can you use a metronome clinically with patients?

06:52 With patients are you starting with slower speed and increasing speed as they are able to load their tendon more?

08:17 What rehab phases do you feel are necessary to restore a tendon to full function?

11:08 Why are isometrics so effective in reducing pain?

14:11 Does the exercise you are using to do an isomeric matter?

15:33 If someone has pain with heavy isometrics, does that mean they don’t have a tendon pathology?

17:23 What protocol works best? (Isometric vs. eccentric vs. heavy loading)

18:43 Is strength training important in rehab for someone returning to a sport like running where they don’t usually do strength training?

20:11 How do you monitor tendon load clinically?

21:32 How much pain are you are okay with patients experiencing with their exercises?

25:00 How often do you suggest people do quick loading during rehab?

26:05 What outcome measures do you use clinically?

27:23 Are there general time frames for recovery?

28:39 Why is there more research with tendons in lower extremity vs. upper extremity?

29:40 Are the major principles of treating tendon injuries the same across different tendons?

31:38 What are your thoughts on bracing for tendon injury

32:46 Do you think that virtual reality can have any use in tendon rehab?

36:11 What is still unknown in the treatment of tendinopathies? Do you think these unknowns can all be answered?

38:15 Where can people find out more about you?

 

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