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Do features of central sensitisation exist in greater trochanteric pain syndrome (GTPS)?

journal contribution
posted on 12.05.2022, 11:50 by Helen FrenchHelen French, Chie Chian Jong, Mary McCallanMary McCallan

Background: Greater 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.

Objectives: To investigate if features of central sensitisation were present in people with GTPS.

Methods: Eighteen 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.

Results: PPDT 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.

Conclusion: There 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.

Funding

Royal College of Surgeons in Ireland Research Summer School Undergraduate Scheme 2016

History

Comments

The original article is available at https://www.sciencedirect.com/

Published Citation

French HP, Jong CC, McCallan M. Do features of central sensitisation exist in greater trochanteric pain syndrome (GTPS)? a case control study. Musculoskelet Sci Pract. 2019;43:6-11

Publication Date

18 May 2019

PubMed ID

31153026

Department/Unit

  • School of Physiotherapy

Research Area

  • Population Health and Health Services

Publisher

Elsevier BV

Version

  • Accepted Version (Postprint)