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Auteur Shawn L. Hanlon
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheBeyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy / Shawn L. Hanlon in Journal of Orthopaedic & Sports Physical Therapy, vol. 51, 9 (Septembre 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 51, 9 (Septembre 2021) . - p.440-448
Titre : Beyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy Type de document : article de périodique Auteurs : Shawn L. Hanlon ; [et al.] Année de publication : 2021 Article en page(s) : p.440-448 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Tendinopathie
[Thésaurus Mesh]Tendon calcanéenRésumé : To identify latent subgroups among patients with Achilles tendinopathy, describe patient characteristics and clinical attributes that defined each subgroup, and develop a clinical classification model for subgroup membership.
Design
Cross-sectional study.
Methods
One hundred forty-five participants (men, n = 73; mean ± SD age, 51 ± 14 years) with clinically diagnosed Achilles tendinopathy completed a baseline evaluation, including demographics and medical history, patient-reported outcome measures, a clinical exam, tendon structure measures via ultrasound imaging and continuous shear-wave elastography, and a functional test battery. Subgroups were identified using mixture modeling. We compared the subgroups using a 1-way analysis-of-variance or chi-square test and the Tukey post hoc test to identify defining attributes. We developed a clinical classification model using logistic regression and receiver operating characteristic curves.
Results
Three latent subgroups were identified and named by their distinctive patient characteristics and clinical attributes. The activity-dominant subgroup (n = 67), on average, had the highest physical activity level, function, and quality of life; reported mild symptoms; and was the youngest. The psychosocial-dominant subgroup (n = 56), on average, had the worst symptoms, impaired function, heightened psychological factors, the poorest quality of life, minimal tendon structural alterations, and was obese and predominantly female. The structure-dominant subgroup (n = 22), on average, had the most tendon structural alterations, severe functional deficits, moderate symptoms and psychological factors, reduced quality of life, and was the oldest, obese, and predominantly male. The clinical classification model correctly classified 85% (123/145) of participants.
Conclusion
Three Achilles tendinopathy subgroups (activity dominant, psychosocial dominant, and structure dominant) differed in patient characteristics and clinical attributes.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Differences in Recovery of Tendon Health Explained by Midportion Achilles Tendinopathy Subgroups: A 6-Month Follow-up / Shawn L. Hanlon in Journal of Orthopaedic & Sports Physical Therapy, vol. 53,04 (Avril 2023)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 53,04 (Avril 2023) . - p. 217-234
Titre : Differences in Recovery of Tendon Health Explained by Midportion Achilles Tendinopathy Subgroups: A 6-Month Follow-up Type de document : article de périodique Auteurs : Shawn L. Hanlon ; [et al.] Année de publication : 2023 Article en page(s) : p. 217-234 Langues : Français (fre) Mots-clés : exercices physiques tendons Résumé : OBJECTIVES: To (1) evaluate whether the defining characteristics of previously reported Achilles tendinopathy subgroups were reproducible in a cohort with midportion Achilles tendinopathy and (2) compare recovery trajectories and outcomes.
DESIGN: Prospective single cohort study.
METHODS: Participants (n = 114; 57 women; age [mean ± standard deviation]: 47 ± 12 years) received the Silbernagel protocol and were evaluated at baseline, and at 8, 16, and 24 weeks. Subgroups were identified using mixture modeling. Main effects of group and time, and interaction effects were evaluated using linear mixed models for 23 outcome measures representing symptoms, lower extremity function, tendon structure, psychological factors, and patient-related factors. Recovery trajectories were reported descriptively to reflect clinically meaningful change for outcomes.
RESULTS: Activity-Dominant (n = 34), Function-Dominant (n = 38), Psychosocial-Dominant (n = 27), and Structure-Dominant (n = 15) subgroups were identified. There were significant effects of group and time for all primary outcome measures, except heel-rise and viscosity limb symmetry indexes. The Activity- and Function-Dominant subgroups achieved functional recovery despite persisting symptoms. The Psychosocial-Dominant subgroup reported the greatest impairments in symptom and foot- and ankle-related quality of life at all time points. The Structure-Dominant subgroup experienced delayed improvement in symptoms and was the only subgroup to not achieve structural recovery. No subgroup met our criteria for complete recovery.
CONCLUSION: The defining characteristics of Achilles tendinopathy subgroups were reproduced in a cohort with midportion Achilles tendinopathy. The Activity- and Function-Dominant subgroups had superior outcomes compared to the Psychosocial- and Structure-Dominant subgroups for symptomatic, functional, and structural recovery.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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