Load size drives tendon changeStrong evidence
Across 27 studies (264 healthy adults), training made tendons stiffer by a moderate amount and a little thicker. The intensity of the load mattered, the type of muscle action didn't, and programmes of 12 weeks or more tended to do more. In 21 adults, only the leg trained at high Achilles strain adapted; the leg trained at everyday strain didn't. A sports medicine consensus says tendon changes start within weeks.
Sources 5, 6, 7
Hopping and jumping stiffen tendons, on averageEmerging evidence
A 2022 meta-analysis of 32 studies found plyometric training stiffened tendons by a moderate amount on average (135 people in that analysis), without making the Achilles tendon thicker. Study quality was moderate, and about a third of the studies it assessed were at high risk of bias.
Single trials disagree. In four small trials, jump training didn't measurably stiffen the tendon, though in one it cut the energy the Achilles lost by about a third; in another, tendon stiffness rose 29%.
Sources 8, 9, 10, 21, 22, 11
Heavy or isometric strength work does at least as wellEmerging evidence
In head-to-head trials, heavy weight training or isometric holds stiffened tendons at least as reliably as jumping: in 13 men over 6 weeks, tendon stiffness rose 29% with plyometrics and 62% with isometric training. Jumping added more to jump height and joint stiffness. Strength training works in older people too: in 7 people averaging 74, 14 weeks of leg training raised the stiffness of the tendon below the kneecap by about 64%.
Sources 9, 10, 11, 23
Jump training makes you jump higherStrong evidence
Across 26 studies, plyometric training raised countermovement jump height by about 9% and squat jump height by about 5%.
Sources 24, 8
It may help runnersEmerging evidence
In 17 male runners, adding 6 weeks of plyometrics improved running economy and 3-kilometre time by 2.7%, without changing aerobic fitness.
Source 25
Older adults can do it, built up graduallyEmerging evidence
In 12 randomised studies of older adults (289 people, average ages 58 to 79), the reviewers concluded plyometric training has the potential to improve strength, power, bone, balance and jumping, and no study reported more injuries or other harms. In 36 older men, 8 weeks of mini-trampoline or balance-board training improved balance, fear of falling, chair stands and walking speed.
Sources 26, 27
Fascia itself responds to hard exercise, for a few daysEmerging evidence
After 6 sets of 10 maximal lowering (eccentric) hamstring contractions, the fascia over the hamstrings was stiffer 24 to 72 hours later while the muscle wasn't, and the change predicted soreness (19 men). After lowering-only elbow exercise, the connective tissue over the biceps thickened by 14% to 17% for up to 4 days, in step with soreness (11 people). No study we found has followed human fascia through weeks of training.
Sources 28, 29
That gentle bouncing remodels fascia: not shownMixed evidence
Tendons adapted only when the strain went above everyday levels, and gentle calf springs sit at the very bottom of the plyometric range. No study has measured what weeks of gentle bouncing do to human fascia.
Sources 6, 16, 1
That fascia training beats ordinary exercise: not shownMixed evidence
Three small studies. In 41 inpatients with back pain and depression, fascia-focused and conventional physiotherapy both helped, with no difference between them. In 33 people with back pain, three sessions of fascial fitness improved one body-image measure, with no comparison group. In 18 people after a stem cell transplant, fascia training was feasible and safe, with only trends in back pain and flexibility.
Sources 13, 14, 15
For preventing injuries, strength training has the evidenceStrong evidence
Fascial fitness aims for a more injury-resistant body over 6 to 24 months, but no trial has tested that. In a meta-analysis of injury prevention trials, strength training cut sports injuries to under a third, and stretching made no difference.
Sources 30, 1