Selective Muscle Weakness in Achilles Tendinopathy: Is It Time to Look Beyond the Soleus?

Plantarflexor weakness in Achilles tendinopathy has long been attributed to soleus dysfunction. However, recent neurophysiological and biomechanical evidence challenge this view, suggesting selective deficits in gastrocnemius lateralis muscle-tendon unit. This article reexamines the role of the triceps surae in Achilles tendinopathy and proposes a shift toward assessing gastrocnemius lateralis deficits and targeting rehabilitation to restore its function.

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Publication Details

Journal
Exercise and Sport Sciences Reviews
Published
2026-02-09
DOI
https://doi.org/10.1249/jes.0000000000000381
Primary Topic
Tendon Structure and Treatment
Type
article
Field-Weighted Citation Impact
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article

Selective Muscle Weakness in Achilles Tendinopathy: Is It Time to Look Beyond the Soleus?

Gabriel Fernandes, Lucas BR Orssatto, Gabriel S. Trajano, François Hug
Exercise and Sport Sciences Reviews
Tendon Structure and Treatment
article

Selective Muscle Weakness in Achilles Tendinopathy: Is It Time to Look Beyond the Soleus?

Gabriel Fernandes, Lucas BR Orssatto, Gabriel S. Trajano, François Hug
article en

Abstract

Plantarflexor weakness in Achilles tendinopathy has long been attributed to soleus dysfunction. However, recent neurophysiological and biomechanical evidence challenge this view, suggesting selective deficits in gastrocnemius lateralis muscle-tendon unit. This article reexamines the role of the triceps surae in Achilles tendinopathy and proposes a shift toward assessing gastrocnemius lateralis deficits and targeting rehabilitation to restore its function.

Exercise and Sport Sciences ReviewsVol. 54(2)
Queensland University of Technology (AU), The University of Queensland (AU), Institut Universitaire de France (FR), Université Côte d'Azur (FR), Laboratoire Motricité Humaine Éducation Sport Santé (FR), Southern Cross University (AU)
Good health and well-being
Openalex Percentile: Top 61%
Tendon Structure and Treatment
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