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% Most of the following are not required for the majority
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% Document Info
\author{Jenna Ingola (jennaingola)}
\pdfinfo{
  /Title (tendinopathy.pdf)
  /Creator (Cheatography)
  /Author (Jenna Ingola (jennaingola))
  /Subject (Tendinopathy Cheat Sheet)
}

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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Tendinopathy Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Jenna Ingola (jennaingola)} via \textcolor{DarkBackground}{\uline{cheatography.com/165615/cs/34903/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Jenna Ingola (jennaingola) \\
  \uline{cheatography.com/jennaingola} \\
  \end{tabulary}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 25th October, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
\raggedright
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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{1.54287 cm} x{3.43413 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Tendon Pathology}}  \tn
% Row 0
\SetRowColor{LightBackground}
Visoelastic tissue & Loading tendon slowly makes more it more compliant, loading tendon fast engages all fascicles \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\seqsplit{Iso-volumetric} & Loading and changing shape of tendon does not change volume as tendons are dense \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Cross-linking} & Slow loading breaks more links than fast loading, therefore tendon stiffer with fast loading \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
Tendon stiffness & Greater compliance or greater stiffness both increase injury risk, muscle should be stronger than tendon is stiff \tn 
% Row Count 16 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Prognosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{True tendinopathy can take months to years to heal} \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Types of Load on Tendon}}  \tn
% Row 0
\SetRowColor{LightBackground}
Energy storage and release loads & Store and release energy, making movements faster and more metabolically efficient \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Compressive loads & Compressive against bone or bursa, altering range may ease symptoms \tn 
% Row Count 8 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Friction & Rubbing against the peritendon, may also be affected by an acute blow \tn 
% Row Count 12 (+ 4)
% Row 3
\SetRowColor{white}
Shear & Depending on the muscles involved \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Tendon Continuum (Jill Cook)}}  \tn
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\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Subjective Markers}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Warm up effect} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Localized pain with 1-2 fingers} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Often increase in activity} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Increased pain after a period of rest and is worse the next morning when first getting out of bed} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{"Severe" or "sharp" during the early stages and sometimes as a "dull ache" once it has been present for some weeks} \tn 
% Row Count 8 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Isometrics act as an analgesic} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.44333 cm} x{3.53367 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Objective Assessment}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Observation} & Muscle atrophy, swelling, asymmetry \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Palpation & Tender to palpate, but we should try not to palpate too much \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
AROM/PROM & May be limited due to pain \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
Strength & May be decreased due to muscle atrophy or pain \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Functional Tests & Tests that load the tendon to reproduce pain, and other loading tests that load alternative structures \tn 
% Row Count 12 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Rehabilitation}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Patient education = load modification} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Isometric, isotonic and HSR loading {\bf{in comp}} to target tissue structure change and muscle strength} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Slow stretch-shortening cycle {\bf{out of comp}} to load as spring} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Fast stretch-shortening cycle {\bf{out of comp}} to load as spring} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Sports specific exercises {\bf{out of comp}}} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Management}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Do not rest the tendons. Could cause more damage.} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Address the strength deficit. Heavy load 2-3 times per week. Compare with normative values not the contralateral limb.} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Tendons respond to heavy load, 70\% 1RM. For approx. 5 mins then again in 6 hours.} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Type of muscle contraction does not affect collagen synthesis, other evidence points to eccentrics} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Allow enough time following high load for tissue recovery (every 2nd day)} \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Adjuncts to exercise}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Corticosteroid injection} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Shockwave therapy} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Platelet rich plasma} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Surgical management} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}