P. Kannus et al., EFFECTS OF TRAINING, IMMOBILIZATION AND REMOBILIZATION ON TENDONS, Scandinavian journal of medicine & science in sports, 7(2), 1997, pp. 67-71
Since a tendon is a living tissue, it is not a surprise that tendon sh
ows the capacity to adapt its structure and mechanical properties to t
he functional demands of the entire muscle-tendon unit. However, compa
red with muscle, the experimental knowledge of the effects of strength
or endurance-type training on tendon tissue is scarce and clinical hu
man experiments are completely lacking (1). Research should, however,
be able to improve the true understanding of the biomechanical, functi
onal, morphological and biochemical changes that occur in tendons due
to training and physical activity, since understanding of the basic ph
ysiology of a tissue is the key to understanding its pathological proc
esses (1, 2). Compared with muscle tissue, the metabolic turnover of t
endon tissue is many times slower due to poorer vascularity and circul
ation (1, 3). The adaptive responses of tendons to training are theref
ore also slower than those in muscles, but they may finally be conside
rable if the time frame is long enough (3, 4).