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Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model
Published on: December 8, 2023
Functional impact of gluteal tendinopathy: A secondary cross-sectional analysis of baseline data from the LEAP
Alison Grimaldi1, Anthony Nasser2, Rebecca Mellor1
1University of Queensland Physiotherapy, St Lucia, Queensland, Australia.
Background:
Gluteal tendinopathy (GT) can substantially limit function, although limited information exists on the range of activities affected by GT or the severity of the impact.
Objective:
To investigate the type and degree of functional impact in participants with GT.
Methods:
A cross-sectional secondary analysis of baseline Patient-Specific Functional Scale (PSFS) data from the multi-centre LatErAl hip Pain (LEAP) randomised clinical trial was performed. Two hundred and four community-dwelling participants (82% female, mean age 55(9) years) were recruited, with GT confirmed through clinical and imaging assessment. Participants nominated and rated three activities most impacted by their condition (0=unable to perform, 10=pre-condition ability). Activities - categorised by type - and degree of impact (mean PSFS score) along with the influence of sex and physical activity were analysed by general linear model. Physical activity levels were derived from the Active Australia Survey.
Results:
Data were available for 201 (99%) participants. They nominated 585 PSFS activities over 34 categories. The three most frequently nominated activities were walking (68%), running (27%), and sitting (27%). One hundred and fifty-four (77%) participants were moderately/highly physically active. The mean PSFS score was 4.6(1.9) - with no difference between sexes or physical activity levels (p>0.3). The lowest scores (greatest impact) were for court/field sports (2.5(2.0)), jumping (2.7(2.1)), and martial arts (3.0(2.2)).
Conclusions:
GT is characterised by approximately 50% impairment of a range of daily activities (e.g., walking, sitting). PSFS activities nominated by patients should be considered in treatment and measuring outcome.
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