[Evidence-based therapy for tendinopathy of the knee joint : Which forms of therapy are scientifically proven?].

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Abstract

[Indexed for MEDLINE] 8. Phys Ther Sport. 2025 Jul;74:96-103. doi: 10.1016/j.ptsp.2025.05.011. Epub 2025 May 28. Altered landing strategy during vertical jump tasks in elite volleyball players with patellar tendinopathy. Ben Zaki B(1), Julia M(2), Desmyttere G(3), Perrey S(4), Dusfour G(2). Author information: (1)CHU Montpellier CARTIGEN, Montpellier, France; EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France. Electronic address: benjamin.ben-zaki@umontpellier.fr. (2)CHU Montpellier CARTIGEN, Montpellier, France; EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France. (3)CHU Montpellier CARTIGEN, Montpellier, France. (4)EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France. OBJECTIVE: To describe the biomechanical strategies during the landing phase of vertical jumps in volleyball players with or without patellar tendinopathy. DESIGN: Cross-sectional observational study. SETTING: Field-based study. PARTICIPANTS: Twenty-three elite volleyball players, 9 of whom where symptomatic for patellar tendinopathy (PT; Victorian Institute of Sport Assessment-Patella (VISA-P) score ≤80). MAIN OUTCOME MEASURES: Participants performed 4 types of vertical jumps: squat jump (SJ), countermovement jump without/with hands (CMJNH/CMJWH), and drop jump (DJ). Landing biomechanics were recorded using inertial measurement units and force platforms. RESULTS: The PT group exhibited greater maximal knee flexion angles during CMJNH and DJ (p = 0.02 and p = 0.02; Hedges' g = -0.92 and -1.01, respectively), along with increased knee sagittal plane range of motion across CMJNH, CMJWH, and DJ (p = 0.007, p = 0.04, and p = 0.05; Hedges' g = -1.16, -0.85, and -0.88, respectively). Additionally, the PT group demonstrated higher rates of velocity decrease during CMJWH and DJ (p = 0.015 and p = 0.005; Hedges' g = -0.97 and -1.17, respectively). CONCLUSIONS: This study highlighted key knee joint kinematics differences in PT athletes during jump landing. Future applications may include early detection of the pathology, before functional impairments develop. Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved. DOI: 10.1016/j.ptsp.2025.05.011