[Eccentric muscular contraction: implications in treatment of athletes].
OBJECTIVES: To review the research on the effects and indications of eccentric muscular contraction in the athlete. METHODS: We searched the Medline database using the key words eccentric and negative work for reports of eccentric muscular contraction published from 1993 to 2004. RESULTS: The physiologic features of eccentric contraction remain unknown but significantly differ from concentric contraction. Eccentric contraction has a specific effect: during sports practice, it permits the muscular and tendinous complex to support strain and strengthens the muscular action of articular stabilization. But eccentric contraction produces injuries: delayed-onset muscle soreness, and muscle rupture and tendinous injuries such as luxation, rupture, and tendinitis. CONCLUSION: Treatment and prevention must have controlled protocols. In therapy, eccentric contraction must be realized at progressive speeds and resistances. Prevention of tendinous injury necessitates quantifying eccentric activity during training.