Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Sport Sciences for Health
Published in: Sport Sciences for Health 3/2019

01-12-2019 | Tendinopathy | Original Article

Effects of a patellar strap on knee joint kinetics and kinematics during jump landings: an exploration using a statistical parametric mapping and Bayesian approach

Authors: Jonathan Sinclair, Paul John Taylor, Darrell Brooks, Thomas Glenn, Bobbie Butters

Published in: Sport Sciences for Health | Issue 3/2019

Login to get access

Abstract

Purpose

The aim of the current research was to investigate the effects of a patellar tendon strap on knee joint kinetics and kinematics during a vertical jump task using a statistical parametric mapping (SPM) and Bayesian approach.

Methods

Twenty-eight (14 male and 14 female) participants performed a vertical jump task under two conditions (patellar tendon strap/no-patellar tendon strap). Biomechanical data were captured using an eight-camera 3D motion capture system and force platform. Participants also subjectively rated the comfort/stability properties of the patellar tendon strap and their knee joint proprioception was examined with and without the strap using a weight bearing joint position sense test. Differences between patellar tendon strap/no-patellar tendon strap conditions were examined using SPM and Bayesian analyses and subjective ratings using Chi-squared tests.

Results

The results showed that neither knee joint kinetics or kinematics were affected as a function of wearing the patellar tendon strap. The findings did show that the knee brace helped to significantly increase participants perceived knee stability, but there were no improvements in weight bearing knee proprioception.

Conclusions

The current investigation indicates that the utilization of a patellar tendon strap akin to the device used in the current study does not appear to reduce the biomechanical parameters linked to the aetiology of knee pathologies, during vertical jump movements.
Literature
1.
2.
Lachman S, Boekholdt SM, Luben RN, Sharp SJ, Brage S, Khaw KT, Wareham NJ (2018) Impact of physical activity on the risk of cardiovascular disease in middle-aged and older adults: EPIC Norfolk prospective population study. Eur J Prev Cardiol. 25:200–208PubMed
3.
Sparling PB, Owen N, Lambert EV, Haskell WL (2000) Promoting physical activity: the new imperative for public health. Health Educ Res 2000(15):367–376
4.
Haljaste K, Unt E (2010) Relationships between physical activity and musculoskeletal disorders in former athletes. Coll Antropol 34:1335–1340PubMed
5.
6.
Agel J, Akesson K, Amadio PC, Anderson M, Badley E, Balint G, Bjorke PA (2003) The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser 919:219–225
7.
Hootman JM, Dick R, Agel J (2007) Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42:311–319PubMedPubMedCentral
8.
Kujala UM, Kvist M, Österman K (1986) Knee injuries in athletes. Sports Med 1986(3):447–460
9.
Ingram JG, Fields SK, Yard EE, Comstock RD (2008) Epidemiology of knee injuries among boys and girls in US high school athletics. Am J Sports Med 36:1116–1122PubMed
10.
John R, Dhillon MS, Syam K, Prabhakar S, Behera P, Singh H (2016) Epidemiological profile of sports-related knee injuries in northern India: an observational study at a tertiary care centre. J Clin Orthop Trauma 7:207–211PubMedPubMedCentral
11.
Thomas MJ, Wood L, Selfe J, Peat G (2010) Anterior knee pain in younger adults as a precursor to subsequent patellofemoral osteoarthritis: a systematic review. BMC Musc Disord. 11:201–205
12.
Cook JL, Khan KM, Purdam CR (2001) Conservative treatment of patellar tendinopathy. Phys Ther Sport 35:291–294
13.
Lian ØB, Engebretsen L, Bahr R (2005) Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med 33:561–567PubMed
14.
Lavagnino M, Arnoczky SP, Dodds J, Elvin N (2011) Infrapatellar straps decrease patellar tendon strain at the site of the jumper’s knee lesion: a computational analysis based on radiographic measurements. Sports Health 3:296–302PubMedPubMedCentral
15.
Rudavsky A, Cook J (2014) Physiotherapy management of patellar tendinopathy. J Physiother 60:122–129PubMed
16.
17.
Maffulli N, Wong J, Almekinders LC (2003) Types and epidemiology of tendinopathy. Clin J Sport Med 22:675–692
18.
19.
Cook JL, Khan KM, Harcourt PR, Grant M, Young DA, Bonar SF (1997) A cross sectional study of 100 athletes with jumper’s knee managed conservatively and surgically. The Victorian Institute of Sport Tendon Study Group. Br J Sports Med 31:332–336PubMedPubMedCentral
20.
Kettunen JA, Kvist M, Alanen E, Kujala UM (2002) Long-term prognosis for jumper’s knee in male athletes. A prospective follow-up study. Am J Sports Med 30:689–692PubMed
21.
Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones BM, Esculier J-F, Morrissey D, Callaghan MJ (2016) Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016; 50: 839–843PubMedPubMedCentral
22.
Halabchi F, Abolhasani M, Mirshahi M, Alizadeh Z (2017) Patellofemoral pain in athletes: clinical perspectives. Open Access J Sports Med 8:189–203PubMedPubMedCentral
23.
Oakes JL, McCandless P, Selfe J (2009) Exploration of the current evidence base for the incidence and prevalence of patellofemoral pain syndrome. Phys Ther Rev 14:382–387
24.
Foss KD, Myer GD, Magnussen RA, Hewett TE (2014) Diagnostic differences for anterior knee pain between sexes in adolescent basketball players. J Athl Enhanc 3:1814–1820PubMedPubMedCentral
25.
Blond L, Hansen L (1998) Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthopædica Belgica 64:393–400PubMed
26.
Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, Logan P (2018) Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PLoS One 13:e0190892PubMedPubMedCentral
27.
Maclachlan LR, Matthews M, Hodges PW, Collins NJ, Vicenzino B (2018) The psychological features of patellofemoral pain: a cross-sectional study. Scand J Pain 18:261–271PubMed
28.
Farrokhi S, Keyak JH, Powers CM (2011) Individuals with patellofemoral pain exhibit greater patellofemoral joint stress: a finite element analysis study. Osteoarthr Cartil 19:287–294PubMed
29.
McKenzie K, Galea V, Wessel J, Pierrynowski M (2010) Lower extremity kinematics of females with patellofemoral pain syndrome while stair stepping. J Orthop Sports Phys Ther 40:625–632PubMed
30.
Nimon G, Murray D, Sandow M, Goodfellow J (1998) Natural history of anterior knee pain: a 14-to 20-year follow-up of nonoperative management. J Pediatr Orthop 18:118–122PubMed
31.
Eijkenboom JFA, Waarsing JH, Oei EH, Bierma-Zeinstra SM, van Middelkoop M (2018) Is patellofemoral pain a precursor to osteoarthritis? Patellofemoral osteoarthritis and patellofemoral pain patients share aberrant patellar shape compared with healthy controls. Bone Jt Res 7:541–547
32.
Capin JJ, Snyder-Mackler L (2018) The current management of patients with patellofemoral pain from the physical therapist’s perspective. Ann Jt 3:40–43PubMedPubMedCentral
33.
Demirbüken İ, Özyürek S, Angın S (2016) The immediate effect of patellar tendon strap on weight-bearing asymmetry during squatting in patients with unilateral knee osteoarthritis: a pilot study. Prosthet Orthot Int 40:682–688PubMed
34.
Rosen AB, Ko J, Simpson KJ, Brown CN (2017) Patellar tendon straps decrease pain and may alter lower extremity kinetics in those with patellar tendinopathy during jump landing. Int J Athl Ther Train 22:51–57
35.
Rosen AB, Ko J, Simpson KJ, Brown CN (2017) Patellar tendon straps decrease pre-landing quadriceps activation in males with patellar tendinopathy. Phys Ther Sport 24:13–19PubMed
36.
de Vries AJ, van den Akker-Scheek I, Haak SL, Diercks RL, van der Worp H, Zwerver J (2017) Effect of a patellar strap on the joint position sense of the symptomatic knee in athletes with patellar tendinopathy. J Sci Med Sport 20:986–991PubMed
37.
de Vries AJ, van den Akker-Scheek I, Diercks R, Zwerver J, van der Worp H (2016) The effect of a patellar strap on knee joint proprioception in healthy participants and athletes with patellar tendinopathy. J Sci Med Sport 19:278–282PubMed
38.
Whyte EF, Kennelly P, Milton O, Richter C, O’Connor S, Moran KA (2018) The effects of limb dominance and a short term, high intensity exercise protocol on both landings of the vertical drop jump: implications for the vertical drop jump as a screening tool. Sports Biomech 17:541–553PubMed
39.
Pataky TC (2010) Generalized n-dimensional biomechanical field analysis using statistical parametric mapping. J Biomech 43:1976–1982PubMed
40.
Pataky TC, Robinson MA, Vanrenterghem J (2013) Vector field statistical analysis of kinematic and force trajectories. J Biomech 46:2394–2401PubMed
41.
Pullenayegum EM, Thabane L (2009) Teaching Bayesian statistics in a health research methodology program. J Stat Educ 17:21–23
42.
Ashby D (2006) Bayesian statistics in medicine: a 25 year review. Stat Med 25:3589–3631PubMed
43.
Sinclair J, Hobbs SJ, Selfe J (2015) The influence of minimalist footwear on knee and ankle load during depth jumping. Res Sports Med 2015(23):289–301
44.
Cappozzo A, Catani F, Leardini A, Benedeti MG, Della CU (1995) Position and orientation in space of bones during movement: anatomical frame definition and determination. Clin Biomech 10:171–178
45.
Sinclair J, Taylor PJ, Greenhalgh A, Edmundson CJ, Brooks D, Hobbs SJ (2012) The test–retest reliability of anatomical co-ordinate axes definition for the quantification of lower extremity kinematics during running. J Hum Kinet 35:15–25PubMedPubMedCentral
46.
Drouin JM, Houglum PA, Perrin DH, Gansneder BM (2003) Weight bearing and non- weight-bearing knee joint reposition sense are not related to functional performance. J Sport Rehab 12:54–66
47.
Sinclair JK, Vincent H, Richards JD (2017) Effects of prophylactic knee bracing on knee joint kinetics and kinematics during netball specific movements. Phys Ther Sport 23:93–98PubMed
48.
van Eijden TM, Kouwenhoven E, Verburg J, Weijs WA (1986) A mathematical model of the patellofemoral joint. J Biomech 19:219–229PubMed
49.
Willson JD, Ratcliff OM, Meardon SA, Willy RW (2015) Influence of step length and landing pattern on patellofemoral joint kinetics during running. Scand J Med Sci Sports 25:736–743PubMed
50.
DeVita P, Hortobagyi T (2001) Functional knee brace alters predicted knee muscle and joint forces in people with ACL reconstruction during walking. J Appl Biomech 17:297–311
51.
Spoor CW, van Leeuwen JL (1992) Knee muscle moment arms from MRI and from tendon travel. J Biomech 25:201–206PubMed
52.
Besier TF, Draper CE, Gold GE, Beaupre GS, Delp SL (2005) Patellofemoral joint contact area increases with knee flexion and weight-bearing. J Orthop Res 23:345–350PubMed
53.
Janssen I, Steele JR, Munro BJ, Brown NA (2013) Predicting the patellar tendon force generated when landing from a jump. Med Sci Sports Exerc 45:927–934PubMed
54.
Herzog W, Read LJ (1993) Lines of action and moment arms of the major force-carrying structures crossing the human knee joint. J Anat 182:213–230PubMedPubMedCentral
55.
Pataky TC, Robinson MA, Vanrenterghem J (2016) Region-of-interest analyses of one-dimensional biomechanical trajectories: bridging 0D and 1D theory, augmenting statistical power. Peer J 4:2652–2664
56.
Jeffreys H (1961) Theory of probability, 3rd edn. Oxford University Press, Oxford
57.
Sinclair J, Selfe J (2015) Sex differences in knee loading in recreational runners. J Biomech 48:2171–2175PubMed
58.
Robinson RL, Nee RJ (2007) Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther 37:232–238PubMed
Metadata
Title
Effects of a patellar strap on knee joint kinetics and kinematics during jump landings: an exploration using a statistical parametric mapping and Bayesian approach
Authors
Jonathan Sinclair
Paul John Taylor
Darrell Brooks
Thomas Glenn
Bobbie Butters
Publication date
01-12-2019
Publisher
Springer Milan
Keyword
Tendinopathy
Published in
Sport Sciences for Health / Issue 3/2019
Print ISSN: 1824-7490
Electronic ISSN: 1825-1234
DOI
https://doi.org/10.1007/s11332-019-00589-3

Other articles of this Issue 3/2019

Sport Sciences for Health 3/2019 Go to the issue

Original Article

The physiological and mechanical demands of aerobics, indoor cycling, and netball in recreationally active females

Original Article

High-intensity interval training prevents cognitive-motor impairment and serum BDNF level reduction in parkinson mice model

Original Article

The effect of physical exercise on anxiety among the victims of child abuse

Original Article

Pre- and post-exercise nutritional practices of amateur runners in the UK: are they meeting the guidelines for optimal carbohydrate and protein intakes?

Original Article

Neutrophil-to-lymphocyte ratio and exercise intensity are associated with cardiac-troponin levels after prolonged cycling: the Indonesian North Coast and Tour de Borobudur 2017 Troponin Study

Original Article

Effects of an empowerment program for promoting physical activity in middle-aged women: an application of the health action process approach