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Learning objectives:
1. Describe the mechanics of a tendon/ligament.
2. Define stress shielding and stress relaxation.
3. Define the minimal effective dose of loading for tendon/ligament/bone health.
4. Describe the effects of immobilization on tendon function.
5. Draw the relationship between early loading and return to play.
6. State a type of isometric that can be performed immediately after injury.
How a tendon's stiffness changes along its length from muscle to bone, how collagen and cross-links set that stiffness, and why muscles get pulled when the tendon is stiffer than the muscle is strong.
What engineered human ligaments reveal about tendon adaptation: why about 10 minutes of load gives the full signal, why six hours of rest matters, and why isometric holds outperform dynamic loading.
How stress shielding creates scar tissue in injured tendons, why immobilization slows recovery, and how early low-jerk isometric holds load the injured region to treat patellar tendinopathy and other tendon injuries.
Learning objectives:
1. Describe the mechanics of a tendon/ligament.
2. Define stress shielding and stress relaxation.
3. Define the minimal effective dose of loading for tendon/ligament/bone health.
4. Describe the effects of immobilization on tendon function.
5. Draw the relationship between early loading and return to play.
6. State a type of isometric that can be performed immediately after injury.
We usually answer within a minute.
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