Proceedings of the 12th International Conference on Kinanthropology. Sport and Quality of Life. 7. – 9. 11. 2019



Lateral elbow tendinopathy (LT) is the most common chronic painful condition affecting the elbow in general population. Research has shown that an eccentric exercise program can be effective modality for treating tendinopathies. The purpose of this review was to deter-mine the effects of eccentric contractions (EC) in comparison to other types of contractions and other therapeutic approaches. Searches were performed using the electronic databases Medline, Scopus and Web of Science. The basic selection criterion was a research meth-odology in which at least one group of subjects used eccentric contractions in comparison to other methods of contractions or therapy. In conclusion, eccentric contractions are useful method of treating LT in 12 weak period. However, it cannot be stated with certainty whether EC exercises are more or less effective than other forms of therapeutic exercises or specific physiotherapeutic techniques.

Klíčová slova

lateral epicondylitis; lateral epicondyalgia; tennis elbow; elbow tendinopathy; eccentric contractions; physical therapy; exercise


Bordachar, D. (2019). Lateral epicondylalgia: A primary nervous system disorder. Med Hypotheses, 123, 101–109.

Croisier, J. L., Foidart-Dessalle, M., Tinant, F., Crielaard, J. M., & Forthomme, B. (2007). An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med, 41(4), 269–275.

Coombes, B.K., Bisset, L., Vicenzino, B. (2015). Management of lateral elbow tendinopathy: one size does not fit all. J Orthop Sports Phys Ther, 45(11): 938–49.

Cullinane, F. L., Boocock, M. G., & Trevelyan, F. C. (2014). Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil, 28(1), 3–19.

Dimitrios, S. (2016). Lateral elbow tendinopathy: Evidence of physiotherapy management. World J Orthop, 7(8), 463-466.

Gruchow, H. W., & Pelletier, D. (1979). An epidemiologic study of tennis elbow. Incidence, recurrence, and effectiveness of prevention strategies. Am J Sports Med, 7(4), 234–238.

Harrington, J. M., Carter, J. T., Birrell, L., & Gompertz, D. (1998). Surveillance case definitions for work related upper limb pain syndromes. Occup Environ Med, 55(4), 264–271. Retrieved from

Labelle, H., Guibert, R., Joncas, J., Newman, N., Fallaha, M., & Rivard, C. H. (1992). Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Joint Surg Br, 74(5), 646–651. Retrieved from pubmed/1388172.

Lee, J. H., Kim, T. H., & Lim, K. B. (2018). Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J Phys Ther Sci, 30(4), 590–594.

Malliaras, P., Maffulli, N., & Garau, G. (2008). Eccentric training programmes in the management of lateral elbow tendinopathy. Disabil Rehabil, 30 (20–22), 1590–1596.

Marcolino, A. M., das Neves, L. M., Oliveira, B. G., Alexandre, A. A., Corsatto, G., Barbosa, R. I., & de Cássia Registro Fonseca, M. (2016). Multimodal approach to rehabilitation of the patients with lateral epicondylosis: a case series. Springerplus, 5(1), 1718.

Martinez-Silvestrini, J. A., Newcomer, K. L., Gay, R. E., Schaefer, M. P., Kortebein, P., & Arendt, K. W. (2005). Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. J Hand Ther, 18(4), 411–9, quiz 420.

Menta, R., Randhawa, K., Côté, P., Wong, J. J., Yu, H., Sutton, D., Taylor-Vaisey, A. (2015). The effectiveness of exercise for the management of musculoskeletal disorders and injuries of the elbow, forearm, wrist, and hand: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration. J Manipulative Physiol Ther, 38(7), 507–520.

Murtaugh, B., & Ihm, J. M. (2013). Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep, 12(3), 175–182.

Nagrale, A. V., Herd, C. R., Ganvir, S., & Ramteke, G. (2009). Cyriax physiotherapy versus phonophoresis with supervised exercise in subjects with lateral epicondylalgia: a randomized clinical trial. J Man Manip Ther, 17(3), 171–178.

Nirschl, R. P. (1992). Elbow tendinosis/tennis elbow. Clin Sports Med, 11(4), 851–870. Retrieved from

Noteboom, T., Cruver, R., Keller, J., Kellogg, B., & Nitz, A. J. (1994). Tennis elbow: a review. J Orthop Sports Phys Ther, 19(6), 357-366.

Peterson, M., Butler, S., Eriksson, M., & Svärdsudd, K. (2014). A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy). Clin Rehabil, 28(9), 862–872.

Pienimaki, T.T., Tarvainen, T.K., Siira, P.T., Vanharanta, H. (1996). Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis. Physiotherapy, 82(9), 522– 530.

Raman, J., MacDermid, J. C., & Grewal, R. (2012). Effectiveness of different methods of resistence exercises in lateral epicondylosis--a systematic review. J Hand Ther, 25(1), 5–25; quiz 26.

Sevier, T. L., & Stegink-Jansen, C. W. (2015). Astym treatment vs. eccentric exercise for lateral elbow tendinopathy: a randomized controlled clinical trial. PeerJ, 3, e967.

Shiri, R., Viikari-Juntura, E., Varonen, H., & Heliövaara, M. (2006). Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol, 164(11), 1065-1074.

Stasinopoulos, D., & Stasinopoulos, I. (2006). Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis. Clin Rehabil, 20 (1), 12–23.

Stasinopoulos, D., & Stasinopoulos, I. (2017). Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther, 30(1), 13–19.

Svernlöv, B., & Adolfsson, L. (2001). Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia. Scand J Med Sci Sports, 11(6), 328–334. Retrieved from https://

Söderberg, J., Grooten, W. J., & Ang, B. O. (2012). Effects of eccentric training on hand strength in subjects with lateral epicondylalgia: a randomized-controlled trial. Scand J Med Sci Sports, 22(6), 797–803.

Trudel, D., Duley, J., Zastrow, I., Kerr, E. W., Davidson, R., & MacDermid, J. C. (2004). Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther, 17(2), 243–266.

Viswas, R., Ramachandran, R., & Korde Anantkumar, P. (2012). Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. ScientificWorldJournal, 2012, 939645.

Wen, D. Y., Schultz, B. J., Schaal, B., Graham, S. T., & Kim, B. S. (2011). Eccentric strengthening for chronic lateral epicondylosis: a prospective randomized study. Sports Health, 3(6), 500–503.

Woodley, B. L., Newsham-West, R. J., & Baxter, G. D. (2007). Chronic tendinopathy: effectiveness of eccentric exercise. Br J Sports Med, 41(4), 188–98; discussion 199.