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Musculoskelet Sci Pract · Oct 2019
Do features of central sensitisation exist in Greater Trochanteric Pain Syndrome (GTPS)? A case control study.
- Helen P French, Chie Chian Jong, and Mary McCallan.
- School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin 2, Ireland. Electronic address: hfrench@rcsi.ie.
- Musculoskelet Sci Pract. 2019 Oct 1; 43: 6-11.
BackgroundGreater Trochanteric Pain Syndrome (GTPS), which is commonly due to Gluteal Tendinopathy, refers to pain over the lateral hip that can become persistent and disabling. Central nervous sensitisation has been implicated in upper limb tendinopathy, but no studies have investigated if it plays a role in GTPS.ObjectivesTo investigate if features of central sensitisation were present in people with GTPS.MethodsEighteen people with GTPS were matched with 18 healthy controls in this cross-sectional study. The VISA-G and Central Sensitisation Inventory (CSI) self-report questionnaires were completed and pressure pain detection thresholds (PPDTs) at local and remote sites were measured in all participants. Data were analysed for between-group differences using Mann-Whitney U tests. Correlation between CSI and PPDTs were assessed using Pearson correlation co-efficients.ResultsPPDT values were lower at local (symptomatic greater trochanter) and remote sites in the GTPS group, indicative of central sensitisation, resulting in statistically significant between-group differences. 44.4% of the GTPS group were classified as having symptoms of central sensitisation, based on the CSI.ConclusionThere is preliminary evidence of central sensitisation in people with GTPS. Results need to be validated using other objective quantitative sensory testing measures in larger samples.Copyright © 2019. Published by Elsevier Ltd.
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