dc.contributor.author | Plinsinga, ML | |
dc.contributor.author | Coombes, BK | |
dc.contributor.author | Mellor, R | |
dc.contributor.author | Nicolson, P | |
dc.contributor.author | Grimaldi, A | |
dc.contributor.author | Hodges, P | |
dc.contributor.author | Bennell, K | |
dc.contributor.author | Vicenzino, B | |
dc.date.accessioned | 2019-06-19T13:08:45Z | |
dc.date.available | 2019-06-19T13:08:45Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1090-3801 | |
dc.identifier.doi | 10.1002/ejp.1199 | |
dc.identifier.uri | http://hdl.handle.net/10072/381211 | |
dc.description.abstract | Background: Gluteal tendinopathy is the most common lower limb
tendinopathy presenting to general practice. It has a high prevalence
amongst middle-aged women and impacts on daily activities, work
participation and quality of life. The aim was to compare physical and
psychological characteristics between subgroups of severity of pain and
disability.
Methods: A multicentre cross-sectional cohort of 204 participants
(mean age 55 years, 82% female) who had a clinical diagnosis of gluteal
tendinopathy with magnetic resonance imaging confirmation were
assessed. A range of physical and psychosocial characteristics were
recorded. Pain and disability were measured with the VISA-G
questionnaire. A cluster analysis was used to identify mild, moderate
and severe subgroups based on total VISA-G scores. Between-group
differences were then evaluated with a MANCOVA, including sex and
study site as covariates, followed by a Bonferroni post hoc test.
Significance was set at 0.05.
Results: There were significantly higher pain catastrophizing and
depression scores in the more severe subgroups. Lower pain self-efficacy
scores were found in the severe group compared to the moderate and
mild groups. Greater waist girth and body mass index (BMI), lower
activity levels and poorer quality of life were reported in the severe
group compared to the mild group. Hip abductor muscle strength and
hip circumference did not differ between subgroups of severity.
Conclusions: Individuals with severe gluteal tendinopathy present with
psychological distress, poorer quality of life, greater BMI and waist girth.
Given these features, the consideration of psychological factors in more
severe patients may be important to optimize patient outcomes and
reduce healthcare utilization.
Significance: Patients with severe gluteal tendinopathy exhibit greater
psychological distress, poorer quality of life and greater waist girth and
BMI when compared to less severe cases. This implies that clinicians
ought to consider psychological factors in the management of more
severe gluteal tendinopathy. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | John Wiley & Sons Ltd. | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofpagefrom | 1124 | |
dc.relation.ispartofpageto | 1133 | |
dc.relation.ispartofissue | 6 | |
dc.relation.ispartofjournal | European Journal of Pain | |
dc.relation.ispartofvolume | 22 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearch | Neurosciences | |
dc.subject.fieldofresearch | Pharmacology and pharmaceutical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 320299 | |
dc.subject.fieldofresearchcode | 3209 | |
dc.subject.fieldofresearchcode | 3214 | |
dc.title | Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross-sectional study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Coombes, Brooke K. | |
gro.griffith.author | Plinsinga, Melanie | |