{"id":"https://openalex.org/W4387951145","doi":"https://doi.org/10.1249/esm.0000000000000017","title":"Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy","display_name":"Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy","publication_year":2023,"publication_date":"2023-10-01","ids":{"openalex":"https://openalex.org/W4387951145","doi":"https://doi.org/10.1249/esm.0000000000000017","pmid":"https://pubmed.ncbi.nlm.nih.gov/38222444","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10786321"},"language":"en","primary_location":{"id":"doi:10.1249/esm.0000000000000017","doi":"https://doi.org/10.1249/esm.0000000000000017","is_oa":true,"landing_page_url":"https://doi.org/10.1249/esm.0000000000000017","pdf_url":null,"source":{"id":"https://openalex.org/S4387286168","display_name":"Exercise Sport and Movement","issn_l":"2831-3461","issn":["2831-3461"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exercise, Sport and Movement","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1249/esm.0000000000000017","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060687900","display_name":"Lauren K. Sara","orcid":"https://orcid.org/0000-0003-3310-9822","observed_orcids":["https://orcid.org/0000-0003-3310-9822"]},"institutions":[{"id":"https://openalex.org/I102461120","display_name":"Marquette University","ror":"https://ror.org/04gr4te78","country_code":"US","type":"education","lineage":["https://openalex.org/I102461120"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren K. Sara","raw_affiliation_strings":["Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","Harvard Medical School, Cambridge, MA, USA","1(4):e00017","How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","institution_ids":["https://openalex.org/I102461120"]},{"raw_affiliation_string":"Harvard Medical School, Cambridge, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"1(4):e00017","institution_ids":[]},{"raw_affiliation_string":"How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066213932","display_name":"Savannah B. Gutsch","orcid":"https://orcid.org/0009-0008-0284-0595","observed_orcids":["https://orcid.org/0009-0008-0284-0595"]},"institutions":[{"id":"https://openalex.org/I102461120","display_name":"Marquette University","ror":"https://ror.org/04gr4te78","country_code":"US","type":"education","lineage":["https://openalex.org/I102461120"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Savannah B. Gutsch","raw_affiliation_strings":["Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","1(4):e00017","How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","institution_ids":["https://openalex.org/I102461120"]},{"raw_affiliation_string":"1(4):e00017","institution_ids":[]},{"raw_affiliation_string":"How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067496791","display_name":"Marie Hoeger Bement","orcid":"https://orcid.org/0000-0003-1334-6396","observed_orcids":["https://orcid.org/0000-0003-1334-6396"]},"institutions":[{"id":"https://openalex.org/I102461120","display_name":"Marquette University","ror":"https://ror.org/04gr4te78","country_code":"US","type":"education","lineage":["https://openalex.org/I102461120"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marie Hoeger Bement","raw_affiliation_strings":["Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","1(4):e00017","How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","institution_ids":["https://openalex.org/I102461120"]},{"raw_affiliation_string":"1(4):e00017","institution_ids":[]},{"raw_affiliation_string":"How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014074726","display_name":"Sandra K. Hunter","orcid":"https://orcid.org/0000-0001-8013-2051","observed_orcids":["https://orcid.org/0000-0001-8013-2051"]},"institutions":[{"id":"https://openalex.org/I102461120","display_name":"Marquette University","ror":"https://ror.org/04gr4te78","country_code":"US","type":"education","lineage":["https://openalex.org/I102461120"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sandra K. Hunter","raw_affiliation_strings":["Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","1(4):e00017","How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy, Marquette University, Milwaukee, WI, USA","institution_ids":["https://openalex.org/I102461120"]},{"raw_affiliation_string":"1(4):e00017","institution_ids":[]},{"raw_affiliation_string":"How to cite this article: Lauren K. Sara, Savannah B. Gutsch, Marie Hoeger Bement, Sandra K. Hunter. Plantar Flexor Weakness and Pain Sensitivity Cannot Be Assumed in Midportion Achilles Tendinopathy. Exerc Sport Mov 2023","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5014074726"],"corresponding_institution_ids":["https://openalex.org/I102461120"],"apc_list":null,"apc_paid":null,"fwci":2.0725,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.85206136,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"1","issue":"4","first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11068","display_name":"Tendon Structure and Treatment","score":0.8955000042915344,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11068","display_name":"Tendon Structure and Treatment","score":0.8955000042915344,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.06379999965429306,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10196","display_name":"Pain Mechanisms and Treatments","score":0.010200000368058681,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/midportion-achilles-tendinopathy","display_name":"midportion Achilles tendinopathy","score":0.9850000143051147},{"id":"https://openalex.org/keywords/plantar-flexion-strength","display_name":"plantar flexion strength","score":0.902999997138977},{"id":"https://openalex.org/keywords/neural-drive","display_name":"neural drive","score":0.9390000104904175},{"id":"https://openalex.org/keywords/contractile-function","display_name":"contractile function","score":0.7450000047683716},{"id":"https://openalex.org/keywords/tibial-nerve","display_name":"tibial nerve","score":0.8299999833106995},{"id":"https://openalex.org/keywords/pressure-pain-threshold","display_name":"pressure pain threshold","score":0.8379999995231628},{"id":"https://openalex.org/keywords/pain-sensitivity","display_name":"pain sensitivity","score":0.9800000190734863},{"id":"https://openalex.org/keywords/maximal-voluntary-contraction","display_name":"maximal voluntary contraction","score":0.7110000252723694},{"id":"https://openalex.org/keywords/eccentric-contraction","display_name":"eccentric contraction","score":0.5569999814033508},{"id":"https://openalex.org/keywords/achilles-tendon","display_name":"Achilles tendon","score":0.7649999856948853}],"concepts":[{"id":"https://openalex.org/C103486182","wikidata":"https://www.wikidata.org/wiki/Q1216236","display_name":"Isometric exercise","level":2,"score":0.927089512348175},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7693595886230469},{"id":"https://openalex.org/C2780984734","wikidata":"https://www.wikidata.org/wiki/Q223172","display_name":"Achilles tendon","level":3,"score":0.6870341897010803},{"id":"https://openalex.org/C2778911562","wikidata":"https://www.wikidata.org/wiki/Q1682583","display_name":"Tendinopathy","level":3,"score":0.6354254484176636},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5570815801620483},{"id":"https://openalex.org/C3019029512","wikidata":"https://www.wikidata.org/wiki/Q264251","display_name":"Plantar flexion","level":3,"score":0.5566126108169556},{"id":"https://openalex.org/C100784341","wikidata":"https://www.wikidata.org/wiki/Q1340491","display_name":"Eccentric","level":2,"score":0.4651317000389099},{"id":"https://openalex.org/C2780118021","wikidata":"https://www.wikidata.org/wiki/Q142091","display_name":"Transcutaneous electrical nerve stimulation","level":3,"score":0.4236736297607422},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.41788148880004883},{"id":"https://openalex.org/C2780105995","wikidata":"https://www.wikidata.org/wiki/Q232358","display_name":"Tendon","level":2,"score":0.3368866741657257},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.28316232562065125},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.16430604457855225},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1249/esm.0000000000000017","doi":"https://doi.org/10.1249/esm.0000000000000017","is_oa":true,"landing_page_url":"https://doi.org/10.1249/esm.0000000000000017","pdf_url":null,"source":{"id":"https://openalex.org/S4387286168","display_name":"Exercise Sport and Movement","issn_l":"2831-3461","issn":["2831-3461"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exercise, Sport and Movement","raw_type":"journal-article"},{"id":"pmid:38222444","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38222444","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exercise, sport & movement","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10786321","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10786321","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10786321/pdf/nihms-1950686.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Exerc Sport Mov","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1249/esm.0000000000000017","doi":"https://doi.org/10.1249/esm.0000000000000017","is_oa":true,"landing_page_url":"https://doi.org/10.1249/esm.0000000000000017","pdf_url":null,"source":{"id":"https://openalex.org/S4387286168","display_name":"Exercise Sport and Movement","issn_l":"2831-3461","issn":["2831-3461"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Exercise, Sport and Movement","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G7363764170","display_name":"J. NRSA Training Core","funder_award_id":"TL1TR001437","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G7825701934","display_name":"Clinical and Translational Science Award","funder_award_id":"UL1TR001436","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320313814","display_name":"Marquette University","ror":"https://ror.org/04gr4te78"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W186958986","https://openalex.org/W1269480228","https://openalex.org/W1527931679","https://openalex.org/W1862349858","https://openalex.org/W1967347300","https://openalex.org/W2000439420","https://openalex.org/W2003409515","https://openalex.org/W2005771085","https://openalex.org/W2006525506","https://openalex.org/W2020042514","https://openalex.org/W2029545682","https://openalex.org/W2052072422","https://openalex.org/W2067349517","https://openalex.org/W2067987811","https://openalex.org/W2069233276","https://openalex.org/W2088334756","https://openalex.org/W2097198989","https://openalex.org/W2110798656","https://openalex.org/W2115194073","https://openalex.org/W2117749278","https://openalex.org/W2133089445","https://openalex.org/W2143488080","https://openalex.org/W2165453261","https://openalex.org/W2205953026","https://openalex.org/W2418253088","https://openalex.org/W2536677693","https://openalex.org/W2543946245","https://openalex.org/W2614377358","https://openalex.org/W2734489107","https://openalex.org/W2766692132","https://openalex.org/W2802068014","https://openalex.org/W2809603361","https://openalex.org/W2895965967","https://openalex.org/W2903403648","https://openalex.org/W2921906574","https://openalex.org/W2982973976","https://openalex.org/W3134874257","https://openalex.org/W3195169093","https://openalex.org/W4212934391","https://openalex.org/W4239662541","https://openalex.org/W4252613300"],"related_works":["https://openalex.org/W7067836882","https://openalex.org/W2921906574","https://openalex.org/W3041016457","https://openalex.org/W3217232543","https://openalex.org/W2574966722","https://openalex.org/W1982575243","https://openalex.org/W4301368887","https://openalex.org/W2978074775","https://openalex.org/W2966768131","https://openalex.org/W2979139843"],"abstract_inverted_index":{"ABSTRACT":[0],"Introduction/Purpose":[1],"The":[2],"purpose":[3],"of":[4,69,80,93,105],"this":[5],"study":[6],"was":[7,84,99,276],"to":[8,48,86],"determine":[9],"the":[10,70,81,94,102,106,163,212,227,262],"following":[11],"in":[12,50,73,119,147,176,188,217,245,251,278],"persons":[13,252],"with":[14,253],"midportion":[15],"Achilles":[16,107,234],"tendinopathy":[17],"(AT):":[18],"1)":[19],"maximal":[20,28,51,65,166,174,186,203,265],"strength":[21,122,167,175,187,204,248,268],"and":[22,30,38,44,63,90,111,127,150,157,182,205,233,272],"power;":[23],"2)":[24],"neural":[25,42,88,148,171],"drive":[26,89,149,172],"during":[27,33],"contractions":[29,67],"contractile":[31,45,91,151,183],"function":[32,152,184],"electrically":[34],"evoked":[35],"resting":[36],"contractions;":[37],"3)":[39],"whether":[40,255],"pain,":[41],"drive,":[43],"mechanisms":[46,164,263],"contribute":[47],"differences":[49,118,146],"strength.":[52],"Methods":[53],"Twenty-eight":[54],"volunteers":[55],"(14":[56],"AT,":[57,254],"14":[58],"controls)":[59],"completed":[60],"isometric,":[61],"concentric,":[62],"eccentric":[64],"voluntary":[66],"(MVCs)":[68],"plantar":[71,95,120,246,266],"flexors":[72],"a":[74],"Biodex\u2122":[75],"dynamometer.":[76],"Supramaximal":[77],"electrical":[78],"stimulation":[79],"tibial":[82],"nerve":[83],"performed":[85],"quantify":[87],"properties":[92],"flexors.":[96],"Pain":[97],"sensitivity":[98,275],"quantified":[100],"as":[101],"pressure-pain":[103,209],"thresholds":[104,210],"tendon,":[108],"medial":[109],"gastrocnemius,":[110],"upper":[112,213],"trapezius.":[113],"Results":[114],"There":[115,241],"were":[116,144,215,242],"no":[117,243],"flexion":[121,247],"or":[123,249,259],"power":[124,250],"between":[125,169,202,270],"AT":[126,189,218],"controls":[128,177],"(isometric":[129],"MVC:":[130,135],"P":[131,136,140,154,158,179,191,220,230,237],"=":[132,137,141,155,159,180,192,221,231,238],"0.95;":[133],"dynamic":[134],"0.99;":[138],"power:":[139],"0.98),":[142],"nor":[143],"there":[145],"(":[153,178,190,219,229,236],"0.55":[156],"0.06,":[160],"respectively).":[161],"However,":[162,261],"predicting":[165,264],"differed":[168,269],"groups:":[170],"predicted":[173,185],"0.02)":[181],"0.001).":[193],"Although":[194],"pain":[195,274],"did":[196],"not":[197],"mediate":[198],"these":[199],"relationships":[200],"(i.e.,":[201],"its":[206],"contributing":[207],"mechanisms),":[208],"at":[211,226],"trapezius":[214],"higher":[216],"0.02),":[222],"despite":[223],"being":[224],"similar":[225],"calf":[228],"0.24)":[232],"tendon":[235],"0.40).":[239],"Conclusions":[240],"deficits":[244],"evaluated":[256],"isometrically,":[257],"concentrically,":[258],"eccentrically.":[260],"flexor":[267],"groups,":[271],"systemic":[273],"diminished":[277],"AT.":[279]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-10-27T00:00:00"}