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dc.contributor.authorMcCreesh, Karen
dc.contributor.authorPurtill, Helen
dc.contributor.authorDonnelly, Alan
dc.contributor.authorLewis, Jeremy
dc.date.accessioned2018-01-30T22:32:47Z
dc.date.available2018-01-30T22:32:47Z
dc.date.issued2017-12-26
dc.identifier.citationMcCreesh , K , Purtill , H , Donnelly , A & Lewis , J 2017 , ' Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy. ' , BMJ Open Sport & Exercise Medicine , vol. 3 , e000279 . https://doi.org/10.1136/bmjsem-2017-000279
dc.identifier.issn2055-7647
dc.identifier.otherPURE: 13115627
dc.identifier.otherPURE UUID: 985ff3a9-197f-47ba-bc6f-0e006dae90ed
dc.identifier.otherScopus: 85050318614
dc.identifier.urihttp://hdl.handle.net/2299/19679
dc.description© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
dc.description.abstractBackground/aim Exercise imparts a load on tendon tissue that leads to changes in tendon properties. Studies suggest that loading immediately reduces tendon thickness, with a loss of this response in symptomatic tendinopathy. No studies investigating the response of tendon dimensions to load for the rotator cuff tendons exist. This study aimed to examine the short-term effect of loading on the thickness of the supraspinatus tendon and acromiohumeral distance those with and without rotator cuff tendinopathy. Methods: Participants were 20 pain free controls, and 23 people with painful rotator cuff tendinopathy. Supraspinatus tendon thickness and acromiohumeral distance were measured using ultrasound scans before, and at three time points after loading (1, 6 and 24 hours). Loading involved isokinetic eccentric and concentric external rotation and abduction. Result: There was a significant increase in supraspinatus tendon thickness in the pain group at 1 (7%, Δ=0.38, 95% CI 0.19 to 0.57) and 6 hours (11%, Δ=0.53, 95% CI 0.34 to 0.71), although only the 6 hours difference exceeded minimal detectable difference. In contrast, there was a small non-significant reduction in thickness in controls. The acromiohumeral distance reduced significantly in both groups at 1 hour (controls: Δ=0.64, 95% CI 0.38 to 0.90; pain: Δ=1.1, 95% CI 0.85 to 1.33), with a larger change from baseline in the pain group. Conclusion Those diagnosed with painful supraspinatus tendinopathy demonstrated increased thickening with delayed return to baseline following loading. Rehabilitation professionals may need to take into account the impact of loading to fatigue when planning rehabilitation programmes.en
dc.language.isoeng
dc.relation.ispartofBMJ Open Sport & Exercise Medicine
dc.rights/dk/atira/pure/core/openaccesspermission/open
dc.titleIncreased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: : potential implications for exercise therapy.en
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.contributor.institutionPhysiotherapy
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2017-09-01
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjsem-2017-000279
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeopenAccess


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