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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Background. Tendinopathies are a common complaint presenting to health professionals, including osteopaths. Evidence supports the use of exercise rehabilitation, with a potential role for manual therapy. This study sought to profile the practice and clinical management characteristics of Australian osteopaths who often treat tendinopathies. Methods. The study was designed as a cross-sectional survey of Australian osteopaths. Participants were Australian osteopaths who were members of the Osteopathy Research and Innovation Network (ORION)-the Australian professions' practice-based research network. Participants were invited to complete a 27-item practice and clinical management characteristic questionnaire. The questionnaire asked participants to identify demographic, practice and clinical management characteristics associated with their practice. Regression modelling was used to identify significant characteristics associated with often treating tendinopathies. Results. Nine hundred and eighty-nine osteopaths responded and over 41% (n = 410) reported often treating tendinopathies. This group were more likely to be female (ORa 1.5), often treat patients with chronic pain (ORa 3.8) and sports injury (ORa 2.5) and often use exercise prescription (ORa 1.6) in patient care. Conclusions. Australian osteopaths who often treat tendinopathies demonstrate different clinical practice and management characteristics compared to their colleagues who do not often treat this complaint. Research into patient outcomes and cost-effectiveness of osteopathy care for the management of tendinopathies is now required.
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