ArticleArthritis research & therapy2021
Biomechanical stress in the context of competitive sports training triggers enthesitis.
Article in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 18 citations in OpenAlex.
- Imaging findings of injuries associated with badminton.Skeletal radiology · 2026Review
- Sport-related entheseal adaptation and damage in elite athletes: a cross-sectional ultrasound study.Archives of medical science : AMS · 2026Article
- Retrospective Analysis of Suspensory Ligament Branch Injuries in 70 Dressage Horses.Animals : an open access journal from MDPI · 2025Article
- Tolerability of low to moderate biomechanical stress during leisure sport activity in patients with psoriasis and psoriatic arthritis.RMD open · 2023Article
- Association between biological immunotherapy for psoriasis and time to incident inflammatory arthritis: limitations and opportunities.RMD open · 2023Article
- Changes in ultrasound imaging of joints, entheses, bursae and tendons 24 and 48 h after adjusted weight training.Therapeutic advances in musculoskeletal disease · 2022Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the influence of mechanical stress on the development of immediate enthesitis.
methodsThe BEAT study is an interventional study that assessed entheses in competitive badminton players before and immediately after a 60-min intensive training session. Power Doppler (PD) signal and Gray scale (GS) changes were assessed in the insertion sites of both Achilles tendon, patellar tendons, and lateral humeral epicondyles and quantified using a validated scoring system.
resultsThirty-two badminton players were included. One hundred ninety-two entheseal sites were examined twice. The respective empirical total scores for PD examination were 0.1 (0.3) before and 0.5 (0.9) after training. Mean total GS scores were 2.9 (2.5) and 3.1 (2.5) before and after training, respectively. The mean total PD score difference of 0.4 between pre- and post-training was significant (p = 0.0014), whereas no significant difference for the mean total GS score was observed. Overall, seven participants (22%) showed an increased empirical total PD score. A mixed effects model showed a significant increase of PD scores after training, with a mean increase per site of 0.06 (95% CI 0.01 to 0.12, p = 0.017).
conclusionsMechanical stress leads to rapid inflammatory responses in the entheseal structures of humans. These data support the concept of mechanoinflammation in diseases associated with enthesitis.
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