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An Investigation of the Asymptomatic Limb in Unilateral Lateral Epicondylalgia

Overview of attention for article published in Medicine and Science in Sports & Exercise, November 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
An Investigation of the Asymptomatic Limb in Unilateral Lateral Epicondylalgia
Published in
Medicine and Science in Sports & Exercise, November 2015
DOI 10.1249/mss.0000000000000681
Pubmed ID
Authors

LUKE J. HEALES, PAUL W. HODGES, BILL VICENZINO

Abstract

Musculoskeletal ultrasound (MSUS) imaging is used to investigate features of tendinosis. Recent studies have reported tendon pathology in not only the symptomatic tendon but also the contralateral asymptomatic tendon of animals and humans with unilateral Achilles tendinopathy. This study assessed the symptomatic and contralateral asymptomatic tendon in unilateral lateral epicondylalgia (LE) for features of tendinosis and compared with a pain-free control. Twenty-nine participants with clinically diagnosed unilateral LE and 32 pain-free controls (matched for age, sex, and arm dominance) underwent a blinded bilateral musculoskeletal ultrasound examination of the common extensor tendon, using a standardised protocol. Greyscale features, including tendon thickening, hypoechoic region, fibrillar disruption and calcification, as well as neovascularity were scored using separate ordinal scales. Tendon thickness and hypoechoic volume were also measured. The contralateral asymptomatic tendon did not differ from the tendons of the pain-free controls. The symptomatic tendon of LE participants revealed a significantly greater score for; tendon thickening (Mean difference: 0.76 [95% CI 0.22 to 1.30]), hypoechoic changes (0.58 [0.05 to 1.11]), fibrillar disruption (0.97 [0.52 to 1.42]), and neovascularity (1.53 [0.9 to 2.2]) than controls. Hypoechoic volume was greater in the symptomatic arm (33.0 mm [8.4 to 57.6]), than controls. Unlike Achilles tendinopathy, musculoskeletal ultrasound examination did not reveal features of tendinosis in the contralateral asymptomatic limb beyond those present in tendons of pain-free controls.

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X Demographics

The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 44 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Unknown 43 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 23%
Student > Bachelor 9 20%
Student > Ph. D. Student 4 9%
Researcher 3 7%
Other 3 7%
Other 5 11%
Unknown 10 23%
Readers by discipline Count As %
Medicine and Dentistry 12 27%
Nursing and Health Professions 9 20%
Sports and Recreations 8 18%
Psychology 1 2%
Unspecified 1 2%
Other 1 2%
Unknown 12 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 April 2015.
All research outputs
#5,157,544
of 25,374,917 outputs
Outputs from Medicine and Science in Sports & Exercise
#3,109
of 7,053 outputs
Outputs of similar age
#64,695
of 294,812 outputs
Outputs of similar age from Medicine and Science in Sports & Exercise
#55
of 82 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,053 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 25.1. This one has gotten more attention than average, scoring higher than 55% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 294,812 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 82 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.