Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes

Detalhes bibliográficos
Autor(a) principal: Luciana De Michelis Mendonça
Data de Publicação: 2018
Outros Autores: Juliana de Melo Ocarino, Natalia Franco Netto Bittencourt, Luciana Gazzi Macedo, Sergio Teixeira da Fonseca
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.2519/jospt.2018.7426
http://hdl.handle.net/1843/46630
http://orcid.org/0000-0002-4495-1807
https://orcid.org/0000-0001-9404-1695
https://orcid.org/0000-0002-7683-9270
http://orcid.org/0000-0002-1840-2951
https://orcid.org/0000-0002-2979-8744
Resumo: Outra Agência
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spelling 2022-10-26T15:00:06Z2022-10-26T15:00:06Z2018-09489676684https://doi.org/10.2519/jospt.2018.74260190-6011http://hdl.handle.net/1843/46630http://orcid.org/0000-0002-4495-1807https://orcid.org/0000-0001-9404-1695https://orcid.org/0000-0002-7683-9270http://orcid.org/0000-0002-1840-2951https://orcid.org/0000-0002-2979-8744Outra AgênciaBackground: Investigations on the causes of patellar tendinopathy should consider impairments at the hip and foot/ankle because they are known to influence movement patterns and affect patellar tendon loading. Objectives: To investigate hip and foot/ankle impairments associated with patellar tendinopathy in volleyball and basketball athletes using classification and regression tree analysis. Methods: In this clinical measurement, cross-sectional study, 192 athletes were assessed for impairments of the hip and foot/ankle, including shank-forefoot alignment, dorsiflexion range of motion (ROM), iliotibial band flexibility, passive hip internal rotation ROM, and hip external rotator and hip abductor isometric strength. Athletes with tenderness and/or pain at the inferior pole of the patella were considered to have patellar tendinopathy. Athletes with scores higher than 95 points on the Victorian Institute of Sport Assessment-patella (VISA-P), no pain during the single-leg decline squat, and no history of patellar tendon pain were considered not to have patellar tendinopathy. Classification and regression tree analyses were performed to identify interacting factors associated with patellar tendinopathy. Results: Interactions among passive hip internal rotation ROM, shank-forefoot alignment, and hip external rotator and abductor strength identified athletes with and without patellar tendinopathy. The model achieved 71.2% sensitivity and 74.4% specificity. The area under the receiver operating characteristic curve was 0.77 (95% confidence interval: 0.70, 0.84; P<.001). Conclusion: Impairments of the hip and foot/ankle are associated with the presence of patellar tendinopathy in volleyball and basketball athletes. Future studies should evaluate the role of these impairments in the etiology of patellar tendinopathy. J Orthop Sports Phys Ther 2018;48(9):676–684. Epub 23 May 2018. doi:10.2519/jospt.2018.7426engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIAJournal of Orthopaedic and Sports Physical TherapyArvores de decisãoEpidemiologiaJoelhosEsportesTraumatismos dos tendõesDecision treesEpidemiologyKneeSportsTendon injuryAssociation of hip and foot factors with patellar tendinopathy (jumper's knee) in athletesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.jospt.org/doi/10.2519/jospt.2018.7426?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedLuciana De Michelis MendonçaJuliana de Melo OcarinoNatalia Franco Netto BittencourtLuciana Gazzi MacedoSergio Teixeira da Fonsecaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/46630/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALAssociation of hip and foot factors with patellar tendinopathy in athletes.pdfAssociation of hip and foot factors with patellar tendinopathy in athletes.pdfapplication/pdf527159https://repositorio.ufmg.br/bitstream/1843/46630/2/Association%20of%20hip%20and%20foot%20factors%20with%20patellar%20tendinopathy%20in%20athletes.pdfdf977c9523177b912bf690bd69cbbc54MD521843/466302022-10-26 12:00:07.219oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-10-26T15:00:07Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
title Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
spellingShingle Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
Luciana De Michelis Mendonça
Decision trees
Epidemiology
Knee
Sports
Tendon injury
Arvores de decisão
Epidemiologia
Joelhos
Esportes
Traumatismos dos tendões
title_short Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
title_full Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
title_fullStr Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
title_full_unstemmed Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
title_sort Association of hip and foot factors with patellar tendinopathy (jumper's knee) in athletes
author Luciana De Michelis Mendonça
author_facet Luciana De Michelis Mendonça
Juliana de Melo Ocarino
Natalia Franco Netto Bittencourt
Luciana Gazzi Macedo
Sergio Teixeira da Fonseca
author_role author
author2 Juliana de Melo Ocarino
Natalia Franco Netto Bittencourt
Luciana Gazzi Macedo
Sergio Teixeira da Fonseca
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Luciana De Michelis Mendonça
Juliana de Melo Ocarino
Natalia Franco Netto Bittencourt
Luciana Gazzi Macedo
Sergio Teixeira da Fonseca
dc.subject.por.fl_str_mv Decision trees
Epidemiology
Knee
Sports
Tendon injury
topic Decision trees
Epidemiology
Knee
Sports
Tendon injury
Arvores de decisão
Epidemiologia
Joelhos
Esportes
Traumatismos dos tendões
dc.subject.other.pt_BR.fl_str_mv Arvores de decisão
Epidemiologia
Joelhos
Esportes
Traumatismos dos tendões
description Outra Agência
publishDate 2018
dc.date.issued.fl_str_mv 2018-09
dc.date.accessioned.fl_str_mv 2022-10-26T15:00:06Z
dc.date.available.fl_str_mv 2022-10-26T15:00:06Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/46630
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.2519/jospt.2018.7426
dc.identifier.issn.pt_BR.fl_str_mv 0190-6011
dc.identifier.orcid.pt_BR.fl_str_mv http://orcid.org/0000-0002-4495-1807
https://orcid.org/0000-0001-9404-1695
https://orcid.org/0000-0002-7683-9270
http://orcid.org/0000-0002-1840-2951
https://orcid.org/0000-0002-2979-8744
url https://doi.org/10.2519/jospt.2018.7426
http://hdl.handle.net/1843/46630
http://orcid.org/0000-0002-4495-1807
https://orcid.org/0000-0001-9404-1695
https://orcid.org/0000-0002-7683-9270
http://orcid.org/0000-0002-1840-2951
https://orcid.org/0000-0002-2979-8744
identifier_str_mv 0190-6011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Journal of Orthopaedic and Sports Physical Therapy
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv EEF - DEPARTAMENTO DE FISIOTERAPIA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
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