{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:21:40Z","timestamp":1777645300575,"version":"3.51.4"},"reference-count":62,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T00:00:00Z","timestamp":1519344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["631717"],"award-info":[{"award-number":["631717"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1058440"],"award-info":[{"award-number":["1058440"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1002190"],"award-info":[{"award-number":["1002190"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gluteal tendinopathy is the most common lower limb tendinopathy presenting to general practice. It has a high prevalence amongst middle\u2010aged women and impacts on daily activities, work participation and quality of life. The aim was to compare physical and psychological characteristics between subgroups of severity of pain and disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multicentre cross\u2010sectional cohort of 204 participants (mean age 55\u00a0years, 82% female) who had a clinical diagnosis of gluteal tendinopathy with magnetic resonance imaging confirmation were assessed. A range of physical and psychosocial characteristics were recorded. Pain and disability were measured with the <jats:styled-content style=\"fixed-case\">VISA<\/jats:styled-content>\u2010G questionnaire. A cluster analysis was used to identify mild, moderate and severe subgroups based on total <jats:styled-content style=\"fixed-case\">VISA<\/jats:styled-content>\u2010G scores. Between\u2010group differences were then evaluated with a <jats:styled-content style=\"fixed-case\">MANCOVA<\/jats:styled-content>, including sex and study site as covariates, followed by a Bonferroni <jats:italic>post hoc<\/jats:italic> test. Significance was set at 0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significantly higher pain catastrophizing and depression scores in the more severe subgroups. Lower pain self\u2010efficacy scores were found in the severe group compared to the moderate and mild groups. Greater waist girth and body mass index (BMI), lower activity levels and poorer quality of life were reported in the severe group compared to the mild group. Hip abductor muscle strength and hip circumference did not differ between subgroups of severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Individuals with severe gluteal tendinopathy present with psychological distress, poorer quality of life, greater <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and waist girth. Given these features, the consideration of psychological factors in more severe patients may be important to optimize patient outcomes and reduce healthcare utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Patients with severe gluteal tendinopathy exhibit greater psychological distress, poorer quality of life and greater waist girth and <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> when compared to less severe cases. This implies that clinicians ought to consider psychological factors in the management of more severe gluteal tendinopathy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1199","type":"journal-article","created":{"date-parts":[[2018,2,10]],"date-time":"2018-02-10T04:22:37Z","timestamp":1518236557000},"page":"1124-1133","source":"Crossref","is-referenced-by-count":43,"title":["Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross\u2010sectional study"],"prefix":"10.1002","volume":"22","author":[{"given":"M.L.","family":"Plinsinga","sequence":"first","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.K.","family":"Coombes","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Mellor","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Nicolson","sequence":"additional","affiliation":[{"name":"Centre for Health, Exercise and Sports Medicine Department of Physiotherapy University of Melbourne Carlton Vic. Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Grimaldi","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia"},{"name":"Physiotec Tarragindi Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Hodges","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Bennell","sequence":"additional","affiliation":[{"name":"Centre for Health, Exercise and Sports Medicine Department of Physiotherapy University of Melbourne Carlton Vic. Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Vicenzino","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31805f70fa"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000000781"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2016.06.020"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2016.10.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2016.01.003"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12942"},{"key":"e_1_2_7_8_1","volume-title":"The Active Australia Survey: A guide and manual for implementation, analysis and reporting","author":"Australian Institute of Health and Welfare (AIHW)","year":"2003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/03008200903191312"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-008-0514-8"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.09.007"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2003.10.009"},{"key":"e_1_2_7_13_1","first-page":"163","volume-title":"Rehabilitation and Health Assessment: Applying ICF Guidelines","author":"Connelly L.B.","year":"2009"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31823dd333"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000078"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00064"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2010.07.008"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2011-090744"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.10.016"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.03.009"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2016.12.005"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-012-0970-7"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24518"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2017.01.004"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjpain.2013.05.001"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2015.5829"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-015-0336-5"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.09.014"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-78665-0_5"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg360"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2005.tb00063.x"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470712184"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23563"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60937-9"},{"key":"e_1_2_7_35_1","first-page":"577","article-title":"Objectively measured physical activity in patients with end stage knee or hip osteoarthritis","volume":"48","author":"Holsgard\u2010Larsen A.","year":"2012","journal-title":"Eur J Phys Rehabil Med"},{"key":"e_1_2_7_36_1","unstructured":"Hopkins W.G.(2013).A new view of statistics. Available from:http:\/\/www.sportsci.org\/resource\/stats\/index.html."},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.3109\/09593985.2014.960539"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0485-x"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20130587"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2010.43"},{"key":"e_1_2_7_43_1","first-page":"655","article-title":"Prognostic factors for musculoskeletal pain in primary care: A systematic review","volume":"57","author":"Mallen C.D.","year":"2007","journal-title":"Br J Gen Pract"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.030049"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2017.03.009"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-016-1043-6"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2013.04.004"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.09.006"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.12.008"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2004.11.007"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3182940b91"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.06.040"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.10.037"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093989"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510384789"},{"key":"e_1_2_7_56_1","first-page":"2053","article-title":"Lateral epicondylitis in general practice: Course and prognostic indicators of outcome","volume":"33","author":"Smidt N.","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000105535.12598.AE"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.7.4.524"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1080\/1091367X.2017.1365078"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1440-2440(03)80273-6"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(08)70073-4"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2008.10.016"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.03.003"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fejp.1199","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.1199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:04:39Z","timestamp":1695492279000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.1199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,23]]},"references-count":62,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/ejp.1199"],"URL":"https:\/\/doi.org\/10.1002\/ejp.1199","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,23]]}}}