NCT05454449

Brief Summary

Patellar tendinopathy (PT) is an overuse injury associated with loading activities, and popular among basketball and volleyball players. Although altered biomechanical characteristics during landing has been suggested as one of the risk factors for the development of PT, previous evidence failed to show the link between the sagittal plane biomechanics of the hip and knee joint and PT; and little was known about the frontal and horizontal plane biomechanics in athletes with PT. While other factors such as motor control or muscle activation also have not been explored fully. The purpose of this study is to compare hip motor control and biomechanical characteristics of the hip and knee joint during landing in athletes with and without symptomatic PT.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Feb 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 2, 2022

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 12, 2022

Completed
7 months until next milestone

Study Start

First participant enrolled

February 13, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 17, 2023

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 15, 2024

Completed
11 months until next milestone

Results Posted

Study results publicly available

April 9, 2025

Completed
Last Updated

April 9, 2025

Status Verified

March 1, 2025

Enrollment Period

4 months

First QC Date

July 2, 2022

Results QC Date

April 14, 2024

Last Update Submit

March 23, 2025

Conditions

Keywords

patellar tendinopathyvolleyballbasketballlandingbiomechanicsEMGmuscle activationkineticskinematics

Outcome Measures

Primary Outcomes (5)

  • Hip Flexion Angles

    Measure the hip joint angle when the knee reaches the maximum flexion angle during the landing phase of the countermovement jump

    In the experiment, the maximum knee flexion during the landing phase of the countermovement jump

  • Maximal Knee Flexion Angle

    In the countermovement jump test, the force received by the force plate changes from 0 to a positive value during the landing phase. Measure the maximal knee flexion angle during this phase.

    The landing phase of the countermovement jump in the experiment

  • Hip Abduction Angle

    Measure the hip abduction angle when the knee reaches the maximum flexion angle during the landing phase of the countermovement jump

    In the experiment, the maximum knee flexion during the landing phase of the countermovement jump

  • Knee Joint Flexion Angle

    Perform the step-down test on a 15 cm high table to measure the knee flexion angle of the foot on the table when the side foot is at the lowest point.

    the contralateral foot is at its lowest point in step-down test in the experiment

  • Motor Control Ability

    Having 4 motor control tests: Hip Flexion Control: Maintain an upright posture in a single-leg small knee bend. The knee aligns with the 2nd toe in the sagittal plane and \>5 cm beyond the toes. Internal/External Rotation Control:Perform a single-leg small knee bend while rotating the pelvis and upper body toward the opposite/same side. Rotate 35°/30° without excessive L/E compensation. Hip Adduction Control:Maintain a single-leg stance with symmetrical shoulders and pelvis. Pelvic lateral displacement \<10 cm, left-right displacement difference \<2 cm. Scoring Criteria: Avoid uncontrolled movements, perform isolated movements correctly, achieve adequate ROM, maintain normal breathing, control movements in eccentric/concentric phases, execute smoothly, stay relaxed and aware, ensure fluid transitions, avoid compensations, complete without feedback/support, and show no fatigue. Total score range: 0-52, converted to a percentage for comparison(0-100%).

    during the experiment, up to 4 hours

Secondary Outcomes (2)

  • Maximum Muscle Activity of Biceps Femoris

    Immediately during the experiment

  • Muscle Activity of Biceps Femoris

    Immediately during the experiment

Study Arms (2)

symptomatic group

Individuals with patellar tendon pain last for 3 months Individuals age between 18-40 years old Individuals had trained in volleyball or basketball for more than two years Individuals still played volleyball or basketball for at least 90 minutes a week Victorian Institute of Sport Assessment (VISA) Questionnaire score ≦80

asymptomatic group

Individuals without any lower extremity pain(NRS\>3/10) in past 3 months Individuals age between 18-40 years old Individuals had trained in volleyball or basketball for more than two years Individuals still played volleyball or basketball for at least 90 minutes a week Victorian Institute of Sport Assessment (VISA) Questionnaire score \>80

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

* 18 to 40 years old volleyball and basketball players * Volleyball and basketball players with more than 2 years' training experience * Volleyball and basketball players train over 90 minutes per week

You may qualify if:

  • at the age of 18 to 40 years old
  • volleyball and basketball players have more than 2 years training experience
  • over 90 minutes of training time per week
  • symptomatic group:
  • having patellar tendon pain during loading task last for 3 months
  • VISA-P questionnaire score ≦80
  • asymptomatic group:
  • without any lower extremity pain(NRS3/10) in past 3 months
  • VISA-P questionnaire score \>80

You may not qualify if:

  • Underwent sports physical therapy for knee pain in the past three months.
  • Currently have any other chronic or acute lower limb injuries with a pain score \>3/10.
  • Self-reported pregnancy.
  • Had surgery, fractures, or received steroid injections for the patellar tendon in the lower limbs.
  • with a history of rheumatoid arthritis, systematic and neurological diseases

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Yang-Ming Chiao-Tung University

Taipei, 11221, Taiwan

Location

Results Point of Contact

Title
Yi-Fen Shih, Ph.D Department of Physical Therapy and Assistive Technology
Organization
National Yang-Ming Chiao-Tung University

Study Officials

  • Yi-Fen Shih, Ph.D

    Department of Physical Therapy and Assistive Technology, National Yang-Ming Chiao-Tung University

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

July 2, 2022

First Posted

July 12, 2022

Study Start

February 13, 2023

Primary Completion

June 17, 2023

Study Completion

May 15, 2024

Last Updated

April 9, 2025

Results First Posted

April 9, 2025

Record last verified: 2025-03

Locations