Critical review on the socio-economic impact of tendinopathy

Hopkins, Chelsea; Fu, Sai‐Chuen; Chua, Eldrich Norwin; Hu, Xin; Rolf, Christer; Mattila, Ville M.; Qin, Ling; Yung, Patrick Shu‐Hang; Chan, Kai‐Ming

doi:10.1016/j.asmart.2016.01.002

Cited by 130 publications

(151 citation statements)

References 143 publications

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“…Overuse injuries of the tendons are more common in athletes due to their exposure to high intensity and frequency of physical activities and repetitive movements. Incidence is also directly related to age 1. For example, Achilles tendinopathy was reported in 12.5% of adults and 5.6% in adolescents 1.…”

Section: Introductionmentioning

confidence: 99%

“…Incidence is also directly related to age 1. For example, Achilles tendinopathy was reported in 12.5% of adults and 5.6% in adolescents 1. Work-related tendinopathy of the lower extremities is uncommon 1.…”

Section: Introductionmentioning

confidence: 99%

“…For example, Achilles tendinopathy was reported in 12.5% of adults and 5.6% in adolescents 1. Work-related tendinopathy of the lower extremities is uncommon 1. The incidence of upper extremity tendinopathy has been reported to be as high as 2%–3% depending on the profession 1.…”

Section: Introductionmentioning

confidence: 99%

“…Work-related tendinopathy of the lower extremities is uncommon 1. The incidence of upper extremity tendinopathy has been reported to be as high as 2%–3% depending on the profession 1. In the general population a prevalence of 2%–3.8% has been reported with an increased prevalence in the elderly population (5%–7%) 1…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ankle tendoscopy: state of the art

Pereira¹,

Vuurberg

Stone

et al. 2017

Journal of ISAKOS

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ankle tendoscopy: state of the art

Pereira¹,

Vuurberg

Stone

et al. 2017

Journal of ISAKOS

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“…However, unlike acute injury, overuse injury development are not easily tracked by clinical visits or monetary impact until significantly limiting performance (Hopkins et al 2016). Figure 1-1 visually represents a potential explanation for under-representation of overuse injury incidence and economic impact in literature (Clarsen 2015).…”

Section: Chapter 4 Tablesmentioning

confidence: 99%

An Investigation of Fatigue in Stationary Biking with Application to Iliotibial Band Syndrome Development

Sathyanarayan

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Cycling, or spinning (stationary biking), is a sport that has a low incidence of acute injury and is considered a safe, low impact, cardio workout. However, the repetitive behavior of cycling makes the rider especially prone to the development of long-term injury. In literature, the cause of these injuries has been theorized to have multiple contributors, such as improper riding technique, poor compensation strategies, and overall muscle fatigue. The primary aim of this thesis is to advance the current understanding of human performance and fatigue processes by combining kinematic, kinetic, and muscle activation data from an experimental stationary bike test to identify performance metric trends, analyze EMG-based regression models of performance loss, and develop subject-specific musculoskeletal models to estimate iliotibial band syndrome (ITBS) risk factors, lateral femoral epicondyle (LFE) compression force and impingement duration. Highdimensional data was collected from sEMG-fitted volunteers as they were guided through a 1-hour stationary biking endurance routine. Motion capture and novel bike instrumentation were utilized to collect detailed kinematic and kinetic data with minimal influence on cycling performance. Following a warm-up period, pedaling resistance was manually incremented to maintain a selfreported high resistance level and reflect group stationary biking training. Volunteer fatigue levels were categorized by the extent of cadence reduction under constant cycling difficulty. Fatigued and non-fatigued performance groups exhibited significant differences, with the Fatigued group showing: greater peak hip adduction, greater lumbar flexion, greater torso and pelvic center-ofmass motion, and greater reductions in muscle activation amplitude. EMG signal shape parameters from the fatigue group were used to develop linear regression models of performance reduction. Correlation analysis and model fitting revealed a strong significance of distal motor control loss (foot plantar-/dorsi-flexion muscles), not power generation muscles, in triggering system-level performance change. OpenSim muscle path biofidelity was improved to match literature cadaveric muscle data, and estimation of ITBS risk factors was implemented. Model predictions indicate fatigued individuals have increased LFE compression duration, but decreased compression force due to kinematic changes. While osteokinematic and muscle activation compensation mechanisms were observed to maintain cadence among the non-fatigue group, increased LFE compression force was predicted with continued cycling. The investigation highlights the degradation of technique and elevated injury risk associated with fatigue and compensation processes, respectively. The identified performance-critical muscle parameters and fatigue-induced kinematic changes that can be used to inform overuse injury prevention in clinical rehabilitation, athletic training, and military applications.

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Tendinopathy diagnosis and treatment monitoring using attenuated total reflectance‐Fourier transform infrared spectroscopy

Bhattacharjee

Nicodemo

Sant’Anna

et al. 2018

Journal of Biophotonics

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Tendinopathy, an important sports injury afflicting athletes and general public, is associated with huge economic losses. The currently used diagnostic tests are subjective, show moderate sensitivity and specificity; while treatment failures persist despite advances in therapy. This highlights the need for tendinopathy diagnostic and treatment monitoring tools. This study investigates tendon injury, natural healing and effect of treatment using ATR-FTIR complemented with histopathology. Control (C), injured (I) and treated (T) rat tendons were extracted 3, 7, 14 and 28 days post-injury/treatment, representing phases of healing; and subjected to hematoxylin & eosin staining as well as spectroscopy. While C showed no change, I- and T-related histological changes could be clearly observed in stained sections. ATR-FTIR spectra highlighted the biochemical changes within groups. Multivariate analysis could classify C, I and T with 75%; different days between groups with 84%; and different days within group with 65% efficiency. Results suggest that such analysis can not only identify C, I or T but also different phases of healing. Difference between I and T at different time points also suggest change in rate of healing. Further studies may help develop this technique for clinical diagnosis and treatment monitoring in future.

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Critical review on the socio-economic impact of tendinopathy

Cited by 130 publications

References 143 publications

Ankle tendoscopy: state of the art

Ankle tendoscopy: state of the art

An Investigation of Fatigue in Stationary Biking with Application to Iliotibial Band Syndrome Development

Tendinopathy diagnosis and treatment monitoring using attenuated total reflectance‐Fourier transform infrared spectroscopy

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