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Faculty of Medical Sciences

Somatosensory thresholds in patellar tendinopathy. Using Quantitative Sensory Testing on chronic patellar tendinopathy patients.

Belt, S.M. van den (Sander) (2010) Somatosensory thresholds in patellar tendinopathy. Using Quantitative Sensory Testing on chronic patellar tendinopathy patients. thesis, Human Movement Sciences.

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Abstract

Patellar tendinopathy (PT) is a common tendon overuse injury. Usually, there are only few or no chemical inflammatory cells in or around the lesion in chronic tendinopathy. According to the iceberg-hypothesis, as presented by Fredberg & Stengaard-Petersen (2008), pain is caused by neurogenic inflammation, which would cause changes in somatosensory profiles. This study tests whether patients with the clinical diagnosis of chronic PT have altered somatosensory thresholds compared to healthy controls using Quantitative Sensory Testing. Somatosensory thresholds of patients (n=ll) and age, gender and activity matched controls (n=20) were obtained using the DNFS QST protocol. Mann-Whitney U-tests were used to test differences between patients and controls. Detection threshold for cold stimuli was lower in patients (U=27.5, p=O.OOl), while detection threshold for warm stimuli was higher (U=SS.O, p=0.033) and thermal sensory limen was larger in patients (U=39.0, p=O.OOS). The current study provides an indication of a neurogenic component in the experienced pain. This supports the hypothesis of neurogenic inflammation causing the pain in chronic PT patients, but will have to be confirmed in further research.

Item Type: Thesis (Thesis)
Supervisor name: Wilgen, C.P. van MD and Zwerver, J. MD and Konopka, K.H. MSc and Dekker, R. MD
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:57
Last Modified: 25 Jun 2020 10:57
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/1787

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