The rationale for the protocol of this regimen is that
stressing the attachment of the ECRB through progressive
eccentric and concentric resistance exercises
results in the production of a dense collagenous scar
in the area of attachment; thus, pain is eliminated. This
idea is supported by the work of Curwin and Stanish,5
who wrote that the tension created through eccentric
contractions allows the formation of new fibrous tissue