Article Text

Download PDFPDF
Why do tendon researchers overlook the patient’s psychological state? The review with no papers
  1. Seán Mc Auliffe1,
  2. Kieran O'Sullivan2,3,
  3. Rod Whiteley4,5,
  4. Vasileios Korakakis4
  1. 1 Department of Physical Therapy and Rehabilitation Science, Qatar University, Doha, Qatar
  2. 2 School of Allied Health, University of Limerick, Limerick, Ireland
  3. 3 Health Research Institute, University of Limerick, Limerick, Ireland
  4. 4 Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
  5. 5 University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Seán Mc Auliffe, Department of Physical Therapy & Rehabilitation Science, Qatar University, Doha, Qatar; macca{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Exercise or loading interventions remain the conservative treatment of choice in the management of tendinopathy.1 However, as many as 60% of individuals experience continued symptoms, while up to a quarter of patients experiencing symptoms 10 years after treatment.2

What might explain these rather sobering outcomes? We opine that given the complex and often persistent nature of tendinopathy, addressing other factors in addition to exercise variables may prove beneficial. We focus here on the potential role of psychological factors.

Psychological factors have been implicated in many other musculoskeletal disorders, either as prognostic factors,3 as treatment effect modifiers4 or as mediators of recovery.5 As tendinopathy has been shown to be associated with psychological distress and poor quality of life,6 7 measuring psychological factors in randomised controlled trials (RCTs) of exercise would appear justifiable. This does not …

View Full Text


  • Twitter @Seaniemc89, @kieranosull, @RodWhiteley

  • Contributors All authors provided equal contribution to the composition of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.