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A key goal in rehabilitation is improving capacity to manage load and this has been discussed in the literature in relation to tendinopathy (Goom, 2013 provides a good summary) and cartilage repair. There is also good evidence for load management to prevent illness and overtraining in althetes
During rehbailitation processes, initially we might consider reducing load to allow pain to settle and allow gentle specific exercise prescription. Later we will gradually increase load by progressing the exercise prescription appropriate for restoring normal function specific for an individual and their disorder as symptoms allow.
Great summary - Goom T. Balancing training load and tissue capacity. Running Physio, Aug 2015
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Recent Related Research (from Pubmed)
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- Malliaras P, Cook J, Purdam C, Rio E. Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations. journal of orthopaedic & sports physical therapy. 2015 Nov;45(11):887-98.
- Hambly, K. The Role of Loading in Cartilage Repair Rehabilitation. Conference Paper, May 2015, International Cartilage Repair Congress, At Chicago.
- Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ. How much is too much?(Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. British Journal of Sports Medicine. 2016 Sep 1;50(17):1030-41.
- Schwellnus M, Soligard T, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett TJ, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ. How much is too much?(Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. British Journal of Sports Medicine. 2016 Sep 1;50(17):1043-52.