32 BISp Jahrbuch Forschungsförderung 2020 21 Prävention von Dysbalancen der Muskel und Sehnenadaptation 6 5 hervorrufen und über mindestens 3 Sekunden pro Wiederholung gehalten werden dauern etwa 15 20 Minuten und sollten dem nach wöchentlich in Trainingspläne von Spitzensportlerinnen und sportlern integriert werden können Insbesondere in Sportarten mit einer hohen plyometrischen Belastung durch Sprünge und Richtungswechselbewegungen empfiehlt es sich spezifische Sehnentrainings programme fest in Modelle zum langfristigen Leistungsaufbau zu etablieren 5 Literatur Arampatzis A Karamanidis K Albracht K 2007 Adaptational responses of the hu man Achilles tendon by modulation of the applied cyclic strain magnitude Journal of Experimental Biology 210 Pt 15 2743 2753 http doi org 10 1242 jeb 003814 Arampatzis A Mersmann F Bohm S 2020 Individualized Muscle Tendon Assess ment and Training Frontiers in Physiolo gy 11 723 http doi org 10 3389 fphys 2020 00723 Arampatzis A Peper A Bierbaum S Al bracht K 2010 Plasticity of human Achilles tendon mechanical and morpho logical properties in response to cyclic strain Journal of Biomechanics 43 16 3073 3079 http doi org 10 1016 j jbio mech 2010 08 014 Bohm S Mersmann F Tettke M Kraft M Arampatzis A 2014 Human Achilles tendon plasticity in response to cyclic strain effect of rate and duration Journal of Experimental Biology 217 22 4010 4017 http doi org 10 1242 jeb 112268 Magnusson S P Langberg H Kjaer M 2010 The pathogenesis of tendinopathy balancing the response to loading Nature Reviews Rheumatology 6 5 262 268 http doi org 10 1038 nrrheum 2010 43 McAuliffe S McCreesh K Culloty F Purtill H O Sullivan K 2016 Can ultra sound imaging predict the development of Achilles and patellar tendinopathy A systematic review and meta analysis British Journal of Sports Medicine 50 24 1516 1523 http doi org 10 1136 bjsports 2016 096288 Mersmann F Bohm S Arampatzis A 2017a Imbalances in the Development of Muscle and Tendon as Risk Factor for Tendinopathies in Youth Athletes A Re view of Current Evidence and Concepts of Prevention Frontiers in Physiology 8 Article 987 1 18 http doi org 10 3389 fphys 2017 00987 Mersmann F Bohm S Schroll A Marzilger R Arampatzis A 2016 Athletic Training Affects the Uniformity of Muscle and Tendon Adaptation during Adolescence Journal of Applied Physiology 121 893 899 http doi org 10 1152 japplphysi ol 00493 2016 Mersmann F Charcharis G Bohm S Aram patzis A 2017b Muscle and Tendon Ad aptation in Adolescence Elite Volleyball Athletes Compared to Untrained Boys and Girls Frontiers in Physiology 8 613 http doi org 10 3389 fphys 2017 00417 Mersmann F Domroes T Pentidis N Tsai M S Bohm S Schroll A Arampatzis A 2021a Prevention Strain Induced Im pairments of Patellar Tendon Micromor phology in Adolescent Athletes Scandi navian Journal of Medicine and Science in Sports accepted Mersmann F Laube G Marzilger R Bohm S Schroll A Arampatzis A 2021b A Functional High Load Exercise Inter vention for the Patellar Tendon Re duces Tendon Pain Prevalence During a Competitive Season in Adolescent Handball Players Frontiers in Physiolo gy 12 626225 http doi org 10 3389 fphys 2021 626225

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