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The EdUReP Model for Nonsurgical Management of Tendinopathy

TE Davenport, DPT, OCS, is Adjunct Instructor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California, Health Sciences Campus, 1540 Alcazar St, CHP-155, Los Angeles, CA 90089 (USA) (tdavenpo{at}usc.edu)
K Kulig, PT, PhD, is Associate Professor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California
Y Matharu, PT, DPT, OCS, is Assistant Professor of Clinical Physical Therapy, Department of Biokinesiology and Physical Therapy, University of Southern California
CE Blanco, PhD, is Project Manager, Alfred E Mann Institute for Biomedical Engineering, University of Southern California

Address all correspondence to Dr Davenport

Tendinopathy is a common and substantial source of morbidity worldwide. Various anatomical and functional predispositions combine with abrupt changes in mechanical loading to cause characteristic histological maladaptations in tendons. The nature and latency of cellular changes in tendinopathy makes many common treatments lessthan-optimal options. This Perspective presents the EdUReP model for nonsurgical management of tendinopathy, a model that considers sources of pathology at the cellular, anatomical, and functional levels. The EdUReP model addresses possible sources of symptoms at the levels of pathology, impairment, functional limitation, and disability through Educational interventions, periods of tendon Unloading and controlled Reloading, and implementation of Prevention strategies. The EdUReP model is an evidence-based treatment construct that aims to reduce functional limitation and disability through amelioration of tissue pathology.

Key Words: Clinical decision making • Evidence-based practice • Patient care • Tendinitis • Tendon injuries • Tendons