Why do tendon researchers overlook the patient's psychological state? The review with no papers.
Date
2020-08-01Metadata
Show full item recordAbstract
Exercise or loading interventions remain
the conservative treatment of choice in the
management of tendinopathy.1 However,
as many as 60% of individuals experience
continued symptoms, while up to a quarter
of patients experiencing symptoms 10
years after treatment.2
What might explain these rather
sobering outcomes? We opine that given
the complex and often persistent nature of
tendinopathy, addressing other factors in
addition to exercise variables may prove
beneficial. We focus here on the potential
role of psychological factors.
Psychological factors have been implicated
in many other musculoskeletal
disorders, either as prognostic factors,3
as treatment effect modifiers4 or as
mediators of recovery.5 As tendinopathy
has been shown to be associated with
psychological distress and poor quality
of life,6 7 measuring psychological factors
in randomised controlled trials (RCTs)
of exercise would appear justifiable. This
does not mean outcomes will necessarily
improve, but the evidence from
other musculoskeletal disorders suggests
that there is merit to understanding the
potential implications of psychological
factors on prognosis, treatment effect
modification
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