Jill Cook

Physiotherapist, tendon clinician-scientist

[Jill Cook @ProfJillCook]

@IWillLearnHowTo @ScottEpsley Isometrics for muscle strength without movement

[Jill Cook @ProfJillCook]

@IWillLearnHowTo @ScottEpsley Likely peritendon, avoid through range movement

[Jill Cook @ProfJillCook]

@IWillLearnHowTo Less movement important

[Jill Cook @ProfJillCook]

@JosephDeGeorge1 Have messaged someone who will get in contact

[Jill Cook @ProfJillCook]

Interesting thread
Every tendon is different in each person
Subtleties in load prescription is the key skill of the clinician

[Jill Cook @ProfJillCook]

@ryleyphysiothe1 @hjluks You cannot predict rupture, and if they are asymptomatic they will not be seeking management.
Rupture is much more likely to happen in daily life when weight-bearing than during exercise

[Jill Cook @ProfJillCook]

@ryleyphysiothe1 @hjluks These tendons are profoundly degenerative because of load accumulation through life
Jozsa and Kannus 91 reported 66% of these tendons are asymptomatic before rupture

[Jill Cook @ProfJillCook]

@LorneGoldenberg @pattiber1 @hjluks The literature is really mixed and confusing, there are a lot of treatments that have little evidence
Have a look at Jason Rogers work

[Jill Cook @ProfJillCook]

@hjluks @CamSwick @brian__healy Agree and the load is variable through range and often not sufficient. Load can vary day to day depending on band placement, tendons like consistent load

[Jill Cook @ProfJillCook]

@pattiber1 @hjluks Too hard to do in a tweet

[Jill Cook @ProfJillCook]

@MattR22933259 @GregLehman @hjluks Groin pain is very complex and requires differential diagnosis and management of all contributing structures
Simple single tendon issues are not common

[Jill Cook @ProfJillCook]

@RobinLarssonRPT @Dee_Wrecks @hjluks This more about compression between the restraining connective tissue and the tendon
Primary response is in the connective tissue, tendon affected secondarily
Reduce this load

[Jill Cook @ProfJillCook]

@poyzalenko @hjluks Many of the groin rehab exercises are sufficient load

[Jill Cook @ProfJillCook]

@brian__healy @hjluks Energy storage and release is the highest tendon load, this is during weight-bearing athletic activity eg jumping, agility.
Loads during isometrics will not be nearly as high

[Jill Cook @ProfJillCook]

@c_jimenez31 @PhysioDMSilvan Wonderful idea!

[Dr. Gerard McMahon @MuscleMechsLab]

Latest from myself & @ProfJillCook in @SportsMedicineJ where we discuss sex differences in patella & achilles tendons & what it may, or may not, mean for tendon health. #tendon #mechanicalproperties #morphology #injury

@UlsterSchSport

https://t.co/zZEHidU7sX

[Jill Cook @ProfJillCook]

@IWillLearnHowTo @gregthephysio Amongst others signs, yes

[Jill Cook @ProfJillCook]

AND stretching a tendon injury will usually make it worse

[James Alexander @JamesA_15]

Following some great feedback here is the revised infographic for the myth..

'Not stretching enough causes injury'

Watch out later in the week for release of myth #3 covering running shoe prescription and injury risk.

#runningphysio #educaterunners

[Jill Cook @ProfJillCook]

@IWillLearnHowTo @gregthephysio No stretching for any tendinopathies