Ejercicio excéntrico como protocolo de intervención para la profilaxis y rehabilitación de lesiones en deportistas. Una revisión sistemática
DOI:
https://doi.org/10.47197/retos.v63.109368Palabras clave:
Deportistas, entrenamiento excéntrico, lesiones deportivas, prevención, rehabilitaciónResumen
Introducción: En la actualidad, el estrés físico generado durante la práctica deportiva ha desencadenado una serie de lesiones agudas y crónicas impidiendo al deportista su funcionalidad. El ejercicio excéntrico es un protocolo que se ha implementado para la prevención y rehabilitación de estas lesiones en diversas disciplinas deportivas.
Objetivo: Determinar los efectos del entrenamiento excéntrico como protocolo en la profilaxis y rehabilitación de lesiones en deportistas.
Metodología: Se llevó a cabo una revisión sistemática de artículos con el tema de interés entre marzo y abril del 2024. Para cumplir con el objetivo se realizó una búsqueda en las bases de datos Scopus, Pubmed y Google Scholar con las palabras clave “eccentric training” AND “injury prevention” OR “eccentric exercise” AND “injury rehabilitation”.
Resultados: Un total de 370 estudios fueron identificados, seleccionando 11 para esta revisión. En todos los estudios se aplicó un entrenamiento excéntrico para prevención o rehabilitación de lesiones.
Conclusión: El entrenamiento excéntrico es una metodología que parece tener efectos benéficos para la prevención y rehabilitación de lesiones en deportistas cuando se aplican protocolos isoinerciales, isocinético excéntrico, sobrecarga excéntrica e incluso con el propio peso corporal.
Citas
Alonso‐Fernández, D., Docampo‐Blanco, P., & Martínez‐Fernández, J. (2018). Changes in muscle archi-tecture of biceps femoris induced by eccentric strength training with nordic hamstring exer-cise. Scandinavian journal of medicine & science in sports, 28(1), 88-94. https://doi.org/10.1111/sms.12877
An, N., & Chuo, J. (2023). Effects of jump training on the repair of bone injuries. Revista Brasileira de Medicina do Esporte, 29. https://doi.org/10.1590/1517-8692202329012022_0635
Beato, M., Bigby, A. E., De Keijzer, K. L., Nakamura, F. Y., Coratella, G., & McErlain-Naylor, S. A. (2019). Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes. PloS one, 14(9), e0222466. https://doi.org/10.1371/journal.pone.0222466
Bogdanis, G. C., Tsoukos, A., Veligekas, P., Tsolakis, C., & Terzis, G. (2014). Effects of muscle action type with equal impulse of conditioning activity on postactivation potentiation. The Journal of Strength & Conditioning Research, 28(9), 2521-2528. https://doi.org/10.1519/JSC.0000000000000444
Breda, S. J., Oei, E. H., Zwerver, J., Visser, E., Waarsing, E., Krestin, G. P., & de Vos, R. J. (2021). Effective-ness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial. British journal of sports medicine, 55(9), 501-509. http://dx.doi.org/10.1136/bjsports-2020-103403
Cadu, J. P., Goreau, V., & Lacourpaille, L. (2022). A very low volume of Nordic hamstring exercise in-creases maximal eccentric strength and reduces hamstring injury rate in professional soccer players. Journal of Sport Rehabilitation, 31(8), 1061-1066. https://doi.org/10.1123/jsr.2021-0445
Chebbi, S., Chamari, K., Van Dyk, N., Gabbett, T., & Tabben, M. (2022). Hamstring injury prevention for elite soccer players: a real-world prevention program showing the effect of players' compli-ance on the outcome. The Journal of Strength & Conditioning Research, 36(5), 1383-1388.
Chen, J., Tian, X., & Zhang, J. (2023). The Effects of Isokinetic Eccentric Training on Strength Ratio and Neuromuscular Control of Internal and External Rotators of the Shoulder. Chinese General Practice, 26(12), 1485. https://doi.org/10.12114/j.issn.1007-9572.2022.0724
Contreras-Hernández, I., Falla, D., & Martinez-Valdes, E. (2022). Neuromuscular and structural tendon adaptations after 6 weeks of either concentric or eccentric exercise in individuals with non-insertional Achilles tendinopathy: protocol for a randomised controlled trial. BMJ open, 12(7), e058683. https://doi.org/10.1136/bmjopen-2021-058683
Coratella, G., & Schena, F. (2016). Eccentric resistance training increases and retains maximal strength, muscle endurance, and hypertrophy in trained men. Applied Physiology, Nutrition, and Metabo-lism, 41(11), 1184-1189. https://doi.org/10.1139/apnm-2016-0321
de Hoyo, M., Pozzo, M., Sañudo, B., Carrasco, L., Gonzalo-Skok, O., Domínguez-Cobo, S., & Morán-Camacho, E. (2015). Effects of a 10-week in-season eccentric-overload training program on muscle-injury prevention and performance in junior elite soccer players. International journal of sports physiology and performance, 10(1), 46-52. https://doi.org/10.1123/ijspp.2013-0547
de Oliveira, N. T., Medeiros, T. M., Vianna, K. B., dos Santos Oliveira, G., de Araujo Ribeiro-Alvares, J. B., & Baroni, B. M. (2020). A four-week training program with the Nordic hamstring exercise during preseason increases eccentric strength of male soccer players. International journal of sports physical therapy, 15(4), 571. https://doi.org/10.26603/ijspt20200571
del Ama Espinosa, G., Pöyhönen, T., Aramendi, J. F., Samaniego, J. C., Knörr, J. I. E., & Kyröläinen, H. (2015). Effects of an eccentric training programme on hamstring strain injuries in women football players. Biomedical Human Kinetics, 7(1). https://doi.org/10.1515/bhk-2015-0019
Ekstrand, J., Hägglund, M., & Waldén, M. (2011). Epidemiology of muscle injuries in professional foot-ball (soccer). The American journal of sports medicine, 39(6), 1226-1232. https://doi.org/10.1177/0363546510395879
Elerian, A. E., El-Sayyad, M. M., & Dorgham, H. A. A. (2019). Effect of pre-training and post-training Nor-dic exercise on hamstring injury prevention, recurrence, and severity in soccer players. Annals of rehabilitation medicine, 43(4), 465. https://doi.org/10.5535%2Farm.2019.43.4.465
Faller, B., Bonneau, D., Wooten, L., & Jayaseelan, D. J. (2021). Eccentric exercise in the prevention of patellofemoral pain in high-volume runners: A rationale for integration. Sports Medicine and Health Science, 3(2), 119-124. https://doi.org/10.1016/j.smhs.2021.04.003
Frohm, A., Saartok, T., Halvorsen, K., & Renström, P. (2007). Eccentric treatment for patellar tendinopa-thy: a prospective randomised short-term pilot study of two rehabilitation protocols. British journal of sports medicine, 41(7), e7-e7. https://doi.org/10.1136%2Fbjsm.2006.032599
Genç, A. S., Güzel, N., Yılmaz, A. K., Ermiş, E., Pekesen Kurtça, M., Agar, A., & Kehribar, L. (2023). Post-Operative Modified All-Inside ACL Reconstruction Technique’s Clinical Outcomes and Isokinetic Strength Assessments. Diagnostics, 13(17), 2787. https://doi.org/10.3390/diagnostics13172787
Gonzalo-Skok, O., Tous-Fajardo, J., Valero-Campo, C., Berzosa, C., Bataller, A. V., Arjol-Serrano, J. L., & Méndez-Villanueva, A. (2017). Eccentric-overload trainingin team sports functional perfor-mance: constant bilateral vertical versus variable unilateral multidireccional movements. In-ternational journal of sports physiology and performace. 12(7), 951-958. https://doi.org/10.1123/ijspp.2016-0251
Hammami, R., Duncan, M. J., Nebigh, A., Werfelli, H., & Rebai, H. (2022). The effects of 6 weeks eccentric training on speed, dynamic balance, muscle strength, power, and lower limb asymmetry in pre-pubescent weightlifters. The Journal of Strength & Conditioning Research, 36(4), 955-962. https://dx.doi.org/10.1519/JSC.0000000000003598
Harris-Love, M. O., Gollie, J. M., & Keogh, J. W. (2021). Eccentric exercise: adaptations and applications for health and performance. Journal of Functional Morphology and Kinesiology, 6(4), 96. https://doi.org/10.3390/jfmk6040096
Higbie, E. J., Cureton, K.j., Warren lll, G. L., &Prior, B. M. (1996). Effects of concentric and eccentric training on muscle strength, cross-sectional area, and neural activation. Journal of applied phys-iology.
Hoppeler, H. (2016). Moderate load eccentric exercise; a distinct novel training modality. Frontiers in physiology, 7, 483. https://doi.org/10.3389/fphys.2016.00483
Kaur, S., Maurya, U. K., & Shenoy, S. (2023). Recovery of two elite footballers from adductor strain with dry needling and eccentric strengthening: Two case studies. Journal of Bodywork and Move-ment Therapies, 35, 332-336. https://doi.org/10.1016/j.jbmt.2023.04.043
Kozin, S., Kozina, Z., Cretu, M., Boychuk, Y., Safronov, D., Korobeinik, V., & Chernozub, A. (2022). Use of closed chain exercises, eccentric exercises, and proprioceptive muscle facilitation to prevent el-bow injuries in climbers: a randomized control trial. Physiotherapy Quarterly, 30(2), 90-99. https://doi.org/10.5114/pq.2023.112871
Kuibida, V., Kokhanets, P., & Lopatynska, V. (2021). Mechanism of strengthening the skeleton using plyometrics. Journal of Physical Education and Sport, 21(3), 1309-1316. https://doi.org/10.7752/jpes.2021.03166
Lee, W. C., Ng, G. Y. F., Zhang, Z. J., Malliaras, P., Masci, L., & Fu, S. N. (2020). Changes on tendon stiffness and clinical outcomes in athletes are associated with patellar tendinopathy after eccentric exer-cise. Clinical Journal of Sport Medicine, 30(1), 25-32. http://dx.doi.org/10.1097/JSM.0000000000000562
Lepley, L. K., Stoneback, L., Macpherson, P. C., & Butterfield, T. A. (2023). Eccentric Exercise as a Potent Prescription for Muscle Weakness After Joint Injury. Exercise and Sport Sciences Re-views, 51(3), 109-116. https://doi.org/0.1249/JES.0000000000000319
Lepley, L. K., & Palmieri-Smith, R. M. (2013). Effect of eccentric strengthening after anterior cruciate ligament reconstruction on quadriceps strength. Journal of sport rehabilitation, 22(2), 150-156. https://doi.org/10.1123/jsr.22.2.150
McHugh, M. P. (2003). Recent advances in the understanding of the repeated bout effect: the protective effect against muscle damage from a single bout of eccentric exercise. Scandinavian journal of medicine & science in sports, 13(2), 88-97. https://doi.org/10.1034/j.1600-0838.2003.02477.x
McHugh, N., McAuliffe, S., & O'Sullivan, K. (2014). Eccentric training for hamstring injury, and its rela-tionship to strength and flexibility: A case-series. Physiotherapy practice and Research, 35(2), 111-122. https://doi.org/10.3233/PPR-140042
Mosteiro-Muñoz, F., & Domínguez, R. (2017). Efectos del entrenamiento con sobrecargas isoinerciales sobre la función muscular. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte/International Journal of Medicine and Science of Physical Activity and Sport, 17(68), 757-773.
Naclerio, F., Larumbe-Zabala, E., Monajati, A., & Goss-Sampson, M. (2015). Effects of two different inju-ry prevention resistance exercise protocols on the hamstring torque-angle relationship: a ran-domized controlled trial. Research in Sports Medicine, 23(4), 379-393. http://dx.doi.org/10.1080/15438627.2015.1076418
Nuzzo, J. L., Pinto, M. D., & Nosaka, K. (2023). Connective adaptive resistance exercise (CARE) machines for accentuated eccentric and eccentric-only exercise: introduction to an emerging con-cept. Sports Medicine, 53(7), 1287-1300. https://doi.org/10.1007/s40279-023-01842-z
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sis-temá¬ticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Osorio Ciro, J. A., Clavijo Rodríguez, M. P., Arango, E., Patiño Giraldo, S., & Gallego Ching, I. C. (2007). Lesiones deportivas. Iatreia, 20(2), 167-177.
Raya-González, J., Castillo, D., Domínguez-Díez, M., & Hernández-Davó, J. L. (2020). Eccentric-overload production during the flywheel squat exercise in young soccer players: Implications for injury prevention. International journal of environmental research and public health, 17(10), 3671. https://doi.org/10.3390/ijerph17103671
Rio, E., Kidgell, D., Purdam, C., Gaida, J., Moseley, G. L., Pearce, A. J., & Cook, J. (2015). Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. British journal of sports med-icine, 49(19), 1277-1283. https://doi.org/10.1136/bjsports-2014-094386
Ruas, C. V., Pinto, R. S., Haff, G. G., Lima, C. D., & Brown, L. E. (2019). Effects of different combinations of concentric and eccentric resistance training programs on traditional and alternative ham-strings-to-quadriceps ratios. Sports, 7(10), 221. https://doi.org/10.3390/sports7100221
Ryan, D., Rio, E., O’Donoghue, G., & O’Sullivan, C. (2022). The effect of combined action observation therapy and eccentric exercises in the treatment of mid-portion Achilles tendinopathy: study protocol for a feasibility pilot randomised controlled trial. Pilot and Feasibility Studies, 8(1), 1-11. https://doi.org/10.1186/s40814-022-00981-w
Stojanović, M. D., Andrić, N., Mikić, M., Vukosav, N., Vukosav, B., Zolog-Șchiopea, D. N., & Melinte, R. M. (2023). Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players. Medicina, 59(6), 1111.
Vega, M. Á. P., Delgado, A. O., & Meirinhos, A. R. (2019). Revisión sistemática del panorama de la investi-gación sobre redes sociales: taxonomía sobre experiencias de uso. Comunicar: Revista científica iberoamericana de comunicación y educación, (60), 81-91. https://doi.org/10.3916/C60-2019-08
Vidmar, M. F., Baroni, B. M., Michelin, A. F., Mezzomo, M., Lugokenski, R., Pimentel, G. L., & Silva, M. F. (2020). Isokinetic eccentric training is more effective than constant load eccentric training for quadriceps rehabilitation following anterior cruciate ligament reconstruction: a randomized controlled trial. Brazilian journal of physical therapy, 24(5), 424-432. https://doi.org/10.1016/j.bjpt.2019.07.003
Vogt, M., & Hoppeler, H. H. (2014). Eccentric exercise: mechanisms and effects when used as training regime or training adjunct. Journal of applied Physiology. https://doi.org/10.1152/japplphysiol.00146.2013
Wille, C. M., Stiffler-Joachim, M. R., Kliethermes, S. A., Sanfilippo, J. L., Tanaka, C. S., & Heiderscheit, B. C. (2022). Preseason eccentric strength is not associated with hamstring strain injury: a prospec-tive study in collegiate athletes. Medicine and science in sports and exercise, 54(8), 1271. https://doi.org/10.1249%2FMSS.0000000000002913
Zein, M. I., Reurink, G., Verhagen, E., Kerkhoffs, G. M., van der Horst, N., Goedhart, E., & Tol, J. L. (2022). Study on Hamstring Re-injury Prevention (SHARP): protocol for an international multicentre, randomised controlled trial. BMJ open, 12(11), e065816. https://doi.org/10.1136/bmjopen-2022-065816
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Nayro Isaac Domínguez-Gavia, Ramón Candia-Luján, Kevin Fernando Candia-Sosa, Raúl Eduardo Acosta-Carreño, Claudia Ivette Herrera-Covarrubias

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess