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Rev Assoc Med Bras (1992). 2019 Mar;65(3):384-387. doi: 10.1590/1806-9282.65.3.384. Epub 2019 Apr 11.

Effects of eccentric exercise in pressure pain threshold in subjects with functional ankle equinus condition.

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Universidad Europea de Madrid. Faculty of Sport Sciences. Madrid, Villaviciosa de Odón, Madrid, Spain.
Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Ferrol, Spain.
Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain. Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.
Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain.
Nursing and Physical Therapy Department, Faculty of Health Sciences, University of León. Ponferrada, Spain.
School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain.


Stretching exercises are widely used by the population before sporting activities. One of the most common technique is eccentric exercise. Here, we made a clinical examination of 98 subjects with equinus condition before activity and after 30 min of running (49 participants with previous eccentric exercise and 49 with no previously eccentric exercise). The clinical assessment of the Achilles tendon was based on the pressure pain threshold (PPT). We identified significant PPT changes between the previous eccentric stretching and the non-previous eccentric stretching group in the Achilles tendon evaluations. Based on our findings, we propose that subjects with equinus condition could use eccentric stretching in order to improve the Achilles tendon status.

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