{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:55:41Z","timestamp":1780052141376,"version":"3.53.1"},"reference-count":51,"publisher":"BMJ","issue":"5","funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2017,5,15]]},"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Study design<\/jats:title><jats:p>Case\u2013control design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Tendinopathy is characterised by pain on tendon loading. In persistent cases of upper limb tendinopathy, it is frequently associated with central nervous system sensitisation, whereas less commonly linked in the case of persistent lower limb tendinopathies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Compare somatosensory and psychological profiles of participants with persistent patellar (PT) and Achilles tendinopathies (AT) with pain-free controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive battery of Quantitative Sensory Testing (QST) was assessed at standardised sites of the affected tendon and remotely (lateral elbow) by a blinded assessor. Participants completed the Victorian Institute of Sports Assessment, a health-related quality of life questionnaire, the Hospital Anxiety and Depression Scale and the Active Australia Questionnaire. Independent t-test and analysis of covariance (sex-adjusted and age-adjusted) were performed to compare groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants with PT and AT did not exhibit differences from controls for the QST at the remote site, but there were differences at the affected tendon site. Compared with controls, participants with PT displayed significantly lower pressure pain threshold locally at the tendon (p=0.012) and fewer single limb decline squats before pain onset, whereas participants with AT only displayed fewer single heel raises before pain onset, but this pain was of a higher intensity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PT and AT appear to be predominantly local not widespread pain states related to loading of tendons without significant features of central sensitisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level 4.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsports-2016-097163","type":"journal-article","created":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T01:10:31Z","timestamp":1499821831000},"page":"284-291","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":64,"title":["Patellar and Achilles tendinopathies are predominantly peripheral pain states: a blinded case control study of somatosensory and psychological profiles"],"prefix":"10.1136","volume":"52","author":[{"given":"Melanie L","family":"Plinsinga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelis P","family":"van Wilgen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel S","family":"Brink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viana","family":"Vuvan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"Stephenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke J","family":"Heales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Mellor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke K","family":"Coombes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bill T","family":"Vicenzino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,7,11]]},"reference":[{"key":"2024051412001054000_52.5.284.1","doi-asserted-by":"crossref","first-page":"e310","DOI":"10.1111\/sms.12318","article-title":"Prevalence of Achilles and patellar tendinopathy and their association to intratendinous changes in adolescent athletes","volume":"25","author":"Cassel","year":"2015","journal-title":"Scand J Med Sci Sports"},{"key":"2024051412001054000_52.5.284.2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504270454"},{"key":"2024051412001054000_52.5.284.3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1299701"},{"key":"2024051412001054000_52.5.284.4","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.066936"},{"key":"2024051412001054000_52.5.284.5","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701786377"},{"key":"2024051412001054000_52.5.284.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095422"},{"key":"2024051412001054000_52.5.284.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092535"},{"key":"2024051412001054000_52.5.284.8","doi-asserted-by":"crossref","first-page":"864","DOI":"10.2519\/jospt.2015.5895","article-title":"Evidence of Nervous System sensitization in commonly presenting and Persistent Painful Tendinopathies: systematic review","volume":"45","author":"Plinsinga","year":"2015","journal-title":"J Orthop Sports Phys Ther"},{"key":"2024051412001054000_52.5.284.9","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000078"},{"key":"2024051412001054000_52.5.284.10","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31823dd333"},{"key":"2024051412001054000_52.5.284.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2011.05.004"},{"key":"2024051412001054000_52.5.284.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2011.01375.x"},{"key":"2024051412001054000_52.5.284.13","first-page":"34","article-title":"Chronic Mid Portion Achilles Tendinopathy is not associated with Central Sensitisation","volume":"37","author":"Skinner","year":"2014","journal-title":"Journal of the physiotherapy pain association"},{"key":"2024051412001054000_52.5.284.14","doi-asserted-by":"crossref","unstructured":"Tompra N , van Die\u00ebn JH , Coppieters MW . 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