Preprint / Version 1

Resistance Exercise for Lower Limb Tendinopathy

Protocol for a Systematic Review of Systematic Reviews Evaluating Effectiveness


  • Ian Burton NHS



Tendon, Tendinopathy, Heavy slow resistance training, Resistance Training


Review Objective: Perform a systematic review of systematic reviews to synthesize the best available evidence on the effectiveness of resistance exercise interventions for treating lower limb tendinopathies.

Introduction: Recent evidence suggests various forms of resistance exercise such as heavy slow resistance training, eccentric and isometric training are effective for treating lower limb tendinopathies. However, it is unclear which type of resistance training is most effective, with no systematic reviews of systematic reviews existing on the topic, and optimal treatment protocols and clinical recommendations are lacking.

Inclusion criteria: Systematic reviews of systematic reviews of randomised controlled trials evaluating the effectiveness of resistance exercise interventions any lower limb tendinopathy in adults will be included.

Methods: The authors will search for a wide range of sources to find published studies via EBSCOhost, including, but not limited to, MEDLINE, SPORTDiscus, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and Allied and Complementary Medicine Database (AMED). Studies published in a language other than English will only be considered if a translation is available. The AMSTAR tool will be used to assess methodological quality and internal validity of included systematic reviews, with a corrected cover area analysis to determine overlap of primary studies. Data synthesis will be conducted using a narrative synthesis.


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