Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross‐sectional study

Plinsinga, Melanie L; Coombes, Brooke K.; Mellor, Rebecca; Nicolson, P.J.; Grimaldi, Alison; Hodges, Paul W.; Bennell, Kim L; Vicenzino, Bill

doi:10.1002/ejp.1199

Cited by 43 publications

(47 citation statements)

References 58 publications

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“…The R statistical software package (https://www.r-project.org/) version 3.4.3 was used for data analyses. Partitioning around medoids (PAM) cluster analysis (Lesmeister, ) was performed to classify participants into three subgroups: mild, moderate and severe symptoms and functional limitations, as per methods in previous similar studies (Coombes et al, ; Plinsinga et al, ). Cluster analysis in this study was based on total iHOT33 Symptoms and Functional Limitations subscale scores.…”

Section: Methodsmentioning

confidence: 99%

“…While potentially modifiable deficits such as hip strength, range of movement (ROM) and dynamic balance control are also consistently reported in individuals with hip pain when compared to healthy controls (Freke et al, 2018(Freke et al, , 2016Kemp, Schache, Makdissi, Pritchard, & Crossley, 2014b), little is known about the relationship between such deficits, and severity of symptoms and functional limitations. High levels of pain and disability are consistent prognostic indicators of poor outcome in other musculoskeletal injuries such as tendinopathy at the lateral elbow (Coombes, Bisset, & Vicenzino, 2012) and lateral hip (Plinsinga et al, 2018). Individuals with these conditions who report greater levels of pain and disability, present with greater sensitivity to cold stimuli, poorer quality of life, psychological distress, greater body mass index (BMI) and more prevalent sleep disturbance when compared with less severe cases (Coombes et al, 2012;Plinsinga et al, 2018).…”

mentioning

confidence: 99%

“…High levels of pain and disability are consistent prognostic indicators of poor outcome in other musculoskeletal injuries such as tendinopathy at the lateral elbow (Coombes, Bisset, & Vicenzino, 2012) and lateral hip (Plinsinga et al, 2018). Individuals with these conditions who report greater levels of pain and disability, present with greater sensitivity to cold stimuli, poorer quality of life, psychological distress, greater body mass index (BMI) and more prevalent sleep disturbance when compared with less severe cases (Coombes et al, 2012;Plinsinga et al, 2018).…”

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confidence: 99%

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Strength and range of movement deficits are associated with symptom severity in people scheduled for hip arthroscopy

Freke

Kemp

Crossley

et al. 2019

European Journal of Pain

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Background Identifying the physical impairments associated with worse symptoms and greater functional limitations in people with hip pain could enable targeted rehabilitation programmes designed to improve quality of life. The objective of this study was to compare physical characteristics between subgroups of symptoms and functional limitation severity in individuals with hip pain scheduled for arthroscopic surgery. Methods Hip range of motion (ROM) and muscle strength were measured in 114 individuals (48 women; aged 32 ± 8 years) with hip pain scheduled for hip arthroscopy. Pain and disability were measured with the International Hip Outcome Tool (iHOT33) subscale of Symptoms and Functional Limitation, and a cluster analysis was used to identify mild, moderate and severe subgroups. Between‐group differences were then evaluated using multivariate analysis of covariance, including sex as a covariate, followed by post hoc testing. Significance was set at 0.05. Results Lesser hip muscle strength in all directions was reported in the severe symptoms and functional limitation group compared to the mild group. Hip flexion ROM differed when comparing the moderate to both the mild and severe subgroups. Hip internal rotation did not differ between subgroups of severity. Conclusions Individuals with hip pain and severe scores in the iHOT33 subscale of symptoms and functional limitations present with significantly lesser hip muscle strength and hip flexion ROM than individuals with moderate or mild scores. Targeted programmes to improve hip strength and flexion ROM in more severe patients may help reduce symptoms and improve function. Significance Individuals with severe hip pain and functional limitation possess significantly lesser muscle strength and flexion ROM than individuals with moderate or mild scores.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Strength and range of movement deficits are associated with symptom severity in people scheduled for hip arthroscopy

Freke

Kemp

Crossley

et al. 2019

European Journal of Pain

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“…While potentially modifiable deficits such as hip strength, range of movement (ROM) and dynamic balance control are also consistently reported in individuals with hip pain when compared to healthy controls [64,67,119], little is known about the relationship between such deficits, and severity of symptoms and functional limitations. High levels of pain and disability are consistent prognostic indicators of poor outcome in other musculoskeletal injuries such as tendinopathy at the lateral elbow [40] and lateral hip [187]. Individuals with these conditions, who report greater levels of pain and disability, present with greater sensitivity to cold stimuli, poorer quality of life, psychological distress, greater BMI and more prevalent sleep disturbance compared with less severe cases [40,187].…”

Section: Introductionmentioning

confidence: 97%

“…High levels of pain and disability are consistent prognostic indicators of poor outcome in other musculoskeletal injuries such as tendinopathy at the lateral elbow [40] and lateral hip [187]. Individuals with these conditions, who report greater levels of pain and disability, present with greater sensitivity to cold stimuli, poorer quality of life, psychological distress, greater BMI and more prevalent sleep disturbance compared with less severe cases [40,187].…”

Section: Introductionmentioning

confidence: 97%

Clinical predictors of outcome following hip arthroscopy

Freke¹

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Intra-articular hip pathology, including femoro-acetabular impingement syndrome (FAIS), is a cause of hip and groin pain in otherwise healthy young adults. While arthroscopic surgery in the hip joint has historically lagged behind its counterparts in the shoulder and knee, there has recently been a rapid evolution of the management of hip injuries in the young, active population utilizing hip arthroscopic techniques which has improved understanding of mechanical hip pathology. The aims of this thesis were to; investigate the clinical presentation of individuals scheduled to undergo hip arthroscopy; assess and report pre-operative deficits in hip strength, range of movement (ROM) and dynamic balance; determine the changes that occur post surgery, and; identify potentially modifiable predictors of outcome post arthroscopy.A review of literature revealed that there is limited evidence that those with FAI syndrome have reduced hip abduction and flexion ROM compared to healthy matched controls. There were no differences in hip adduction or extension ROM, and conflicting results for external rotation and internal rotation ROM. However, people with symptomatic FAIS demonstrated deficits in hip muscle strength and reduced dynamic balance on one leg when compared to controls. For hip joint ROM, there were no significant within-group differences between pre and post intervention time points while hip muscle strength improved significantly from pre to post-hip arthroscopy in a single case series.In people undergoing hip arthroscopy, severe femoral head chondropathy, large labral tears, along with a high prevalence of labral pathology and acetabular chondropathy, were relatively common findings. Severe femoral head chondropathy and large labral tears were most associated with patient related outcomes (PROs), however, at best only explained 22% of the variability. Individuals with hip pain and severe scores in the International Hip Outcome Tool (iHOT33) subscale of symptoms and functional limitations presented with significantly lesser hip muscle strength and hip flexion ROM when compared to individuals with moderate or mild scores. Individuals scheduled for arthroscopic hip surgery were also significantly weaker, had less hip mobility and reduced dynamic balance compared to healthy matched controls. In the hip pain population, dynamic balance performance was associated with various hip strength and ROM measurements in a direction specific manner. The clinical significance of these findings may assist therapists in providing targeted rehabilitation programs for people with FAIS and chondrolabral hip pain to improve hip strength and ROM, help reduce symptoms and to improve function. 3 By three months post arthroscopy to address bony morphology and/or chondrolabral pathology, all directions of hip strength (with the exception of adduction squeeze in crook lying and flexion) and hip flexion ROM were significantly improved. While by six months post arthroscopy, strength in all directions, and flexion and rotation ROM were signifi...

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