Participant characteristics are poorly reported in exercise trials in tendinopathy: A systematic review

Auliffe, Seán Mc; Korakakis, Vasileios; Hilfiker, Roger; Whiteley, Rodney; O’Sullivan, Kieran

doi:10.1016/j.ptsp.2020.12.012

Cited by 15 publications

(12 citation statements)

References 79 publications

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“…(2010) found that WORCI was not more responsive to severity change in RC disorders compared to SPADI and Oxford Shoulder Scale, nor could it distinguish people with impingement syndrome from a full‐thickness cuff tear (de Witte, Henseler, Nagels, Vliet Vlieland, & Nelissen, 2012). SPADI has been most commonly selected, which is an additional reason for selection is it assists with comparison of populations and results (Mc Auliffe et al., 2021). We found a strong correlation ( r = 0.80) between the SPADI and the WORCI in RC tendinopathy, with no between‐group difference, but the WORCI is longer so we recommend using the SPADI due to the reduced questionnaire burden.…”

Section: Discussionmentioning

confidence: 99%

“…For generalisability, the International Scientific Tendinopathy Symposium Consensus statement recently recommended Nine important domains which should be reported in clinical studies focussing on tendinopathy, of which we assessed seven (Vicenzino et al., 2020). According to a recent systematic review detailing how well tendinopathy studies report participants' characteristics, previous studies poorly reported participants' characteristics (Mc Auliffe et al., 2021). For example, only two out of 45 studies reported psychological factors (Mc Auliffe et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

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Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Şendil

Kaux³

et al. 2022

Musculoskeletal Care

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Objective: Examine how rotator cuff (RC) tendinopathy differed from other shoulder problems (OSP) by measuring a variety of self-reported bio-psycho-social factors, and establish which explain severity. Methods:A validated online survey battery was used to collect self-reported biopsychosocial variables in an international population. Diagnostic group and severity were the dependent variables. Multiple logistic and linear regression analyses were utilised to generate explanatory models for group differences and severity after group comparison and univariate regression analysis.Results: 82 people with RC tendinopathy (50 female, 42.8 � 13.9 years) and 54 with OSP (33 female, 40.2 � 14.1 years) were recruited. Both groups had comparable severity results (Shoulder Pain and Disability Index = 37.3 � 24.5 vs. 33.7 � 22.5).Seven factors individually differentiated RC tendinopathy from OSP. The multivariable model included 4 factors: activity effect on pain (OR(95%CI) = 2.24(1.02-4.90)), previous injury in the shoulder (OR(95% CI) = 0.30(0.13-0.69)), activity level (moderate OR(95% CI) = 3.97(1.29-12.18), high OR(95% CI) = 3.66(1.41-9.48)) and self-efficacy (OR(95%CI) = 1.12(1.02-1.22)) demonstrating acceptable accuracy.The second multivariable model for RC tendinopathy severity included one demographic, three psychological and two biomedical variables (β(range) = 0.19-0.38) and explained 68% of the variance. Conclusion:Self-reported bio-psycho-social variables may be beneficial for further detailed clinical assessment as they partially distinguish RC tendinopathy from OSP, even when the groups have comparable overall pain and functional problems.Moreover, these variables were shown to be substantially associated with RC tendinopathy severity variance, implying that the clinical evaluation might be improved, perhaps by pre-consultation online data collection. The models should be This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Şendil

Kaux³

et al. 2022

Musculoskeletal Care

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“…Any disagreements that arise between the reviewers will be resolved in several studies evaluating the reporting of exercise descriptions and parameters in a musculoskeletal rehabilitation context [28][29][30][31][32][33].…”

Section: Data Extractionmentioning

confidence: 99%

Reporting of exercise descriptors and variables in resistance training interventions for lower limb tendinopathy: Protocol for a scoping review applying the Consensus on Exercise Reporting Template and Toigo and Boutellier Framework

Burton¹

2022

IJCIMR

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Introduction: Musculoskeletal disorders have a significant global burden, with tendinopathies of the lower limb having a high prevalence. Although the use of resistance training interventions as treatment for tendinopathies has become widespread, the reporting and description of these interventions is often poor, preventing translation to clinical practice. Specific exercise description and intervention variables must be reported in order to translate research findings into clinical practice. This scoping review aims to summarise reporting of current resistance training interventions as assessed by the Consensus on Exercise Reporting Template and Toigo and Boutellier Framework. Methods and analysis: The recommended methodological framework described by the Joanna Briggs Institute will be used to structure this review, with reporting in accordance with the PRIS-MA-ScR. Databases to be searched include MEDLINE, CINAHL, AMED, EMBase, SPORTDiscus, Cochrane library (Controlled trials, Systematic reviews), JBI Evidence Synthesis, and five trial registries. Two independent reviewers will screen studies at title/ abstract and full text. Following screening, data will be extracted and charted, then presented as figures and table alongside a narrative synthesis. Dissemination: This scoping review will evaluate current resistance training exercise descriptors and program variables in lower limb tendinopathy using recommended frameworks for the first time in the literature. The results will allow dissemination of the parameters of research exercise interventions to clinical practitioners through peer-reviewed publication and social media outlets, allowing imple

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“…There is little consistency between published studies in the assessments used to quantify demographic information, diagnose the condition or assess improvements in different systems (eg, tendon structure or muscle force production) relevant to rehabilitation 12 13 15. For instance, across exercise rehabilitation trials to treat mid-portion Achilles tendinopathy, we identified numerous assessment tools used to assess different aspects of pain and function,12 13 yet few reported data related to their reliability and validity 12 13.…”

Section: Introductionmentioning

confidence: 99%

Assessment and monitoring of Achilles tendinopathy in clinical practice: a qualitative descriptive exploration of the barriers clinicians face

Murphy

Debenham

Bulsara

et al. 2022

BMJ Open Sport Exerc Med

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Our primary objective was to explore the barriers preventing clinicians from implementing what they think is ideal practice as it relates to using tools to aid diagnosis and monitor progress in mid-portion Achilles tendinopathy. Our secondary objectives were to describe the assessments employed by clinicians in their own practice to aid with (a) diagnosis and (b) monitoring progress in Achilles tendinopathy and explore the outcome measure domains clinicians believe to be the most and least important when managing patients with Achilles tendinopathy. We employed a qualitative descriptive study design. Thirteen participants (eight female, five male) from across Australia, consisting of two junior physiotherapists, five senior physiotherapists working in private practice, four senior physiotherapists working within elite sports organisations and two sport and exercise medicine doctors, were included and one-on-one interviews were performed. Audio was transcribed then entered into NVivo for coding and analysis. Four main themes were perceived as barriers to implementing ideal practice of assessment and monitoring in people with Achilles tendinopathy: financial constraints, time constraints, access to equipment and patient symptom severity. Assessments related to function, pain on loading, pain over a specified time frame and palpation are commonly used to assist diagnosis. Assessments related to disability, pain on loading, pain over a specified time frame and physical function capacity are used to monitor progress over time. Furthermore, pain on loading and pain over a specified time frame were considered the most important outcome measure domains for assisting diagnosis whereas pain on loading, patient rating of the condition and physical function capacity were the most important outcome measure domains for monitoring progress. A number of barriers exist that prevent clinicians from implementing what they view as ideal assessment and monitoring for Achilles tendinopathy. These barriers should be considered when developing new assessments and in clinical practice recommendations.

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Participant characteristics are poorly reported in exercise trials in tendinopathy: A systematic review

Cited by 15 publications

References 79 publications

Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Reporting of exercise descriptors and variables in resistance training interventions for lower limb tendinopathy: Protocol for a scoping review applying the Consensus on Exercise Reporting Template and Toigo and Boutellier Framework

Assessment and monitoring of Achilles tendinopathy in clinical practice: a qualitative descriptive exploration of the barriers clinicians face

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