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DC Field | Value | Language |
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dc.contributor.author | Myles C. Murphy | en_US |
dc.contributor.author | Nonhlanhla Mkumbuzi | en_US |
dc.contributor.author | Jordan Keightley | en_US |
dc.contributor.author | William Gibson | en_US |
dc.contributor.author | Patrick Vallance | en_US |
dc.contributor.author | Henrik Riel | en_US |
dc.contributor.author | Melanie Plinsinga | en_US |
dc.contributor.author | Ebonie K. Rio | en_US |
dc.date.accessioned | 2024-05-10T06:29:53Z | - |
dc.date.available | 2024-05-10T06:29:53Z | - |
dc.date.issued | 2023-11-17 | - |
dc.identifier.uri | https://cris.library.msu.ac.zw//handle/11408/6118 | - |
dc.description.abstract | OBJECTIVE: To explore whether people with lower-limb tendinopathy have reduced relative conditioned pain modulation (CPM) when compared to nontendinopathy controls. DESIGN: Systematic review with individual participant data (IPD) meta-analysis. LITERATURE SEARCH: Eight databases were searched until August 29, 2022. STUDY SELECTION CRITERIA: Cross-sectional studies comparing the magnitude of the CPM effect in people with lower-limb tendinopathy to nontendinopathy controls in a case-control design. DATA SYNTHESIS: Included studies provided IPD, which was reported using descriptive statistics. Generalized estimating equations (GEEs) determined between-group differences in the relative CPM effect, when adjusting for co-variables. Study quality was assessed using a Joanna Briggs Institute checklist, and certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluations. RESULTS: Five records were included, IPD were provided for 4 studies (n = 219 with tendinopathy, n = 226 controls). The principal GEE (model 1) found no significant relative CPM effects for tendinopathy versus controls (B = −1.73, P = .481). Sex (B = 4.11, P = .160), age (B = −0.20, P = .109), and body mass index (B = 0.28, P = .442) did not influence relative CPM effect. The Achilles region had a reduced CPM effect (B = −22.01, P = .009). In model 2 (adjusting for temperature), temperature (B = −2.86, P = .035) and female sex (B = 21.01, P = .047) were associated with the size of the relative CPM effect. All studies were low-quality, and the certainty of the evidence was moderate. CONCLUSION: There were no between-group differences in the magnitude of the CPM effect, suggesting clinicians should manage lower-limb tendinopathy using interventions appropriate for peripherally dominant pain (eg, tendon loading exercises such as heavy slow resistance). Based on the “moderate”-certainty evidence, future studies are unlikely to substantially change these findings. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Journal of Orthopaedic and Sports Physical Therapy | en_US |
dc.relation.ispartof | Journal of Orthopaedic and Sports Physical Therapy | en_US |
dc.subject | exercise | en_US |
dc.subject | muscle | en_US |
dc.subject | pain | en_US |
dc.subject | Rehabilitation | en_US |
dc.subject | tendon | en_US |
dc.title | Conditioned Pain Modulation Does Not Differ Between People With Lower-Limb Tendinopathy and Nontendinopathy Controls: A Systematic Review With Individual Participant Data Meta-analysis | en_US |
dc.type | research article | en_US |
dc.identifier.doi | https://www.jospt.org/doi/10.2519/jospt.2023.11940 | - |
dc.contributor.affiliation | Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia; School of Health Sciences and Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia. | en_US |
dc.contributor.affiliation | Department of Sports, Exercise, and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom; Department of Rehabilitation, Midlands State University, Gweru, Zimbabwe; Department of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa; NtombiSport, Cape Town, South Africa | en_US |
dc.contributor.affiliation | Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia. | en_US |
dc.contributor.affiliation | School of Health Sciences and Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia. | en_US |
dc.contributor.affiliation | Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia. | en_US |
dc.contributor.affiliation | Centre for General Practice at Aalborg University, Aalborg, Denmark; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark. | en_US |
dc.contributor.affiliation | School of Health Sciences and Social Work, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. | en_US |
dc.contributor.affiliation | The Australian Ballet, Southbank, Australia; Victorian Institute of Sport, Albert Park, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Australia. | en_US |
dc.relation.issn | 1938-1344 | en_US |
dc.description.volume | 54 | en_US |
dc.description.issue | 1 | en_US |
dc.description.startpage | 50 | en_US |
dc.description.endpage | 59 | en_US |
item.openairetype | research article | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | With Fulltext | - |
item.grantfulltext | open | - |
Appears in Collections: | Research Papers |
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Conditioned Pain Modulation Does Not Differ Between People with Lower.pdf | Abstract | 111.03 kB | Adobe PDF | View/Open |
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