“…The organisation of the extracellular matrix components includes mechanisms transmitting tensile forces along the interfibrilar matrix. Several studies have reported that cells have the ability to produce a better organised collagen matrix modulated by cyclic load (Steinmeyer and Knue, 1997;Wang and Grood, 2000;Wang et al, 2003a;Webb et al, 2006) and this way achieve an increase in tissue stiffness (Brown et al, 1998;Lo et al, 2000). The methods used in the present study do not permit examination of such adaptation possibilities at the Achilles tendon; nevertheless, the clear changes in the tendon-aponeurosis strain-force relationship, the only regionspecific tendon hypertrophy, the increase of the tendon elastic modulus, as well as reports of other studies demonstrating an increase in human tendon stiffness and elastic modulus with no changes in the tendon's CSA (Kubo et al, 2002;Reeves et al, 2003a) provide evidence for the plasticity of the organisation of the tendon's extracellular matrix in vivo (i.e.…”