Welcome to my newest blog post where we delve into a crucial aspect that has captured the attention of researchers and exercise enthusiasts alike: the impact of exercise dose on clinical outcomes. I have summarised the below review discussing key findings, methodologies used, and the valuable insights this review provides.
Rationale for the review:
Whether exercise dose influences clinical outcomes for people suffering with pain is an open question. In this review, the authors evaluated whether exercise dose makes a difference for outcomes specifically for people suffering with tendinopathy, both in the upper and lower limbs. Being interested in exercise adherence and dose, I found this review fascinating (please read the full text here!).
What they did:
This was a huge review. They included 110 studies among almost 4000 participants. Most had rotator cuff, Achilles, patellar, or lateral elbow tendinopathy, and just a few had gluteal tendinopathies. It was difficult to determine exercise intensity because it was poorly reported, but authors were able to classify studies as adding external load or not. Studies were also classified based on frequency, sets and repetitions.
What they found:
The main findings were:
What this review adds:
Unfortunately, whether exercise dose influences clinical outcomes is still an open question, even after this review. What it adds though, is arguably the best (and definitely the broadest) evidence that it is a question worth pursuing. Clinical take home is to consider adding load and using lower frequency exercise interventions.
Clinical gems and awesome management models. Your patients will love you for it!