Patterns of movement-evoked pain during tendon loading and stretching tasks in Achilles tendinopathy: A secondary analysis of a randomized controlled trial.
This study aimed to characterize movement-evoked pain during tendon loading and stretching tasks in individuals with Achilles tendinopathy, and to examine the association between movement-evoked pain with the Achilles tendinopathy type (insertional and midportion), biomechanical, and psychological v...
| Publicado en: | Clinical Biomechanics Vol. 109 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172366331&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172366331 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02680033 JB1 jtl: Clinical Biomechanics issn: 02680033 maglogo: N pubinfo: dt: Oct2023 vid: 109 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 172366331 172366331 172366331 10.1016/j.clinbiomech.2023.106073 172366331 ppct: 1 formats: tig: atl: Patterns of movement-evoked pain during tendon loading and stretching tasks in Achilles tendinopathy: A secondary analysis of a randomized controlled trial. aug: au: Janowski, Adam J. Post, Andrew A. Heredia-Rizo, Alberto M. Mosby, Hadley Dao, Megan Law, Laura Frey Bayman, Emine O. Wilken, Jason M. Sluka, Kathleen A. Chimenti, Ruth L. affil: Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA, USA sug: subj: Achilles Tendinopathy Complications Pain Risk Factors Stretching Physiology Movement Physiology Partial Weight-Bearing Physiology Risk Assessment Human Secondary Analysis Randomized Controlled Trials Biomechanics Cross Sectional Studies Achilles Tendinopathy Symptoms Pain Psychosocial Factors Scales Confidence Intervals Descriptive Statistics Pain Measurement ab: This study aimed to characterize movement-evoked pain during tendon loading and stretching tasks in individuals with Achilles tendinopathy, and to examine the association between movement-evoked pain with the Achilles tendinopathy type (insertional and midportion), biomechanical, and psychological variables. In this laboratory-based, cross-sectional study, 37 individuals with chronic Achilles tendinopathy participated. Movement-evoked pain intensity (Numeric Rating Scale: 0 to 10) and sagittal-plane ankle biomechanics were collected simultaneously during standing, fast walking, single-leg heel raises, and weight-bearing calf stretch. Description of symptoms, including location of Achilles tendon pain and duration of tendon morning stiffness, as well as pain-related psychological measures, including the Tampa Scale of Kinesiophobia were collected. Linear mixed effects models were built around two paradigms of movement-evoked pain (tendon loading and stretching tasks) with each model anchored with pain at rest. Movement-evoked pain intensity increased as task demand increased in both models. Lower peak dorsiflexion with walking (β = −0.187, 95% CI: −0.305, −0.069), higher fear of movement (β = 0.082, 95% CI: 0.018, 0.145), and longer duration of tendon morning stiffness (β = 0.183, 95% CI: 0.07, 0.296) were associated with greater pain across tendon loading tasks (R2 = 0.47). Lower peak dorsiflexion with walking (β = −0.27, 95% CI: −0.41, −0.14), higher dorsiflexion with the calf stretch (β = 0.095, 95% CI: 0.02, 0.16), and insertional Achilles tendinopathy (β = −0.93, 95% CI: −1.65, −0.21) were associated with higher pain across tendon stretching tasks (R2 = 0.53). In addition to exercise, the ideal management of Achilles tendinopathy may require adjunct treatments to address the multifactorial aspects of movement-evoked pain. • Limited use of ankle dorsiflexion is associated with more severe pain in Achilles tendinopathy. • No association was found between movement-evoked pain and ankle power during fast walking. • Achilles tendinopathy type seems to influence movement-evoked pain and ankle biomechanics. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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