The prevalence of self-reported psychological characteristics of adults with lower limb tendinopathy

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Mest, J; Vaughan, B; Mulcahy, J; Malliaras, PDate
2020-01-01Source Title
MLTJ : Muscles, Ligaments and Tendons JournalPublisher
Edra SpAUniversity of Melbourne Author/s
Vaughan, BrettAffiliation
Medical EducationMetadata
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Journal ArticleCitations
Mest, J., Vaughan, B., Mulcahy, J. & Malliaras, P. (2020). The prevalence of self-reported psychological characteristics of adults with lower limb tendinopathy. Muscles, Ligaments and Tendons Journal, 10 (4), pp.659-671. https://doi.org/10.32098/mltj.04.2020.14.Access Status
Open AccessAbstract
Purpose. There is an emerging body of literature describing psychological associations with lower limb tendinopathies. The literature suggests that those experiencing
a lower limb tendinopathy are likely to experience varying degrees of kinesiophobia,
depression and catastrophisation. These studies have typically been confined to one
lower limb tendinopathy. The current study sought to explore whether these psychological influences were experienced across a range of lower limb tendinopathies in a
clinical practice setting.
Materials and methods. The current study utilised a cross-sectional cohort design to
explore associations between those presenting with any lower limb tendinopathy and
psychological factors. Consecutive patients attending a private physiotherapy practice
in Melbourne (Australia) were invited to participate. Those who chose to participate
were invited to complete a health questionnaire along with the Hospital Anxiety &
Depression Scale (HADS), Tampa Scale of Kinesiophobia and the Life Orientation
Test – Revised.
Results. Ninety-one patients were recruited, with just over half identifying as male,
and more than half experiencing a tendinopathy for more than twelve months. Nearly
two-thirds (63.7%) of the cohort demonstrated kinesiophobia (n=58, 63.7%). Patients
were classified as depressed in 13% of cases while 21% were classified as anxious.
Conclusions. Routine screening for kinesiophobia may be valuable for patients
presenting with any lower limb tendinopathy. The results also support the potential
value of screening patients for the presence of anxiety and/or depression. The extent
to which these psychological influences are associated with individual patient’s experience of lower limb tendinopathy, requires further exploration, as does the development of these influences over the duration of the tendinopathy.
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