Identification of Kinematic Variables Specific of Patellar Tendinopathy in Athletes at Risk
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Variations of knee flexion angle at initial contact at 3 months (only for patients in the patellar tendinopathy group)
研究概览
简要总结
This research aims to identify and monitor specific kinematic markers associated with patellar tendinopathy in athletes at risk. Using a markerless motion capture system, vertical jump tests will be analyzed to detect early biomechanical changes in the knees, hips, trunk, and ankles. By comparing injured participants, the study seeks to improve early diagnosis and personalized prevention strategies for patellar tendinopathy.
详细描述
Patellar tendinopathy, also known as Jumper's knee, is the most common pathology in elite sports, with 30% of diagnoses occurring in volleyball. Among elite volleyball players, the prevalence of this overuse-related condition ranges between 40% and 50%, resulting in anterior knee pain during daily and recreational activities, which can lead to deficits in strength and sports performance. To date, investigator can determine whether a patient has had a history of tendinopathy through modifications in biomechanical jump-landing strategies. However, there is a lack of early biomechanical markers to identify the onset of patellar tendinopathy and thus prevent its chronic progression. A preventive strategy using markerless motion capture technology, providing quantitative and visual feedback of a 3D human body model, shows promise. Investigators hypothesize that jump-landing kinematic analysis using markerless technology could identify early kinematic markers specific to patellar tendinopathy, distinguishing affected individuals from a non-tendinopathy population. This could ultimately help identify motor strategies following the onset of patellar tendinopathy A prospective longitudinal multicenter cohort. After signing the consent form, participants will undergo a medical examination, including a clinical assessment, a SLDS test, a Doppler ultrasound of the patellar tendon, and evaluation using the VISA-PF and OSTRC-P scores. Following a standardized 10-minute warm-up, participants will perform vertical jump tests captured by high-resolution cameras, analyzed using markerless motion capture technology. These assessments will be conducted at inclusion and at 3, 6, 9, and 12 months. Additional medical visits will occur if symptoms arise outside of testing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •FOR THE PATELLAR TENDINOPATHY GROUP
- •Patients with at least 2 of the following 3 criteria:
- •Modified Öhberg score ≥2 according to L Öhberg, H Alfredson (2002)
- •VISA-PF < 80/100 according to Kaux et al. (2016) and/or OSTRC P ≥ 6/100 according to Owoeye et al. (2018)
- •Single Leg Decline Squat (SLDS): VAS ≥ 1/10 with pain mapping at the patellar tendon; according to Coombes et al. (2020)
- •SPECIFIC INCLUSION CRITERIA FOR THE HEALTHY GROUP
- •Patients with 0 or 1 of the following 3 criteria:
- •Modified Öhberg score ≥2 according to L Öhberg, H Alfredson (2002)
- •VISA-PF < 80/100 according to Kaux et al. (2016) and/or OSTRC P ≥ 6/100 according to Owoeye et al. (2018)
- •Single Leg Decline Squat (SLDS): VAS ≥ 1/10 with pain mapping at the patellar tendon; according to Coombes et al. (2020)
- •Non inclusion Criteria:
- •Significant medical and surgical history involving the lower limbs (e.g., ACL ligament reconstruction, meniscectomy, etc.)
- •Contraindications to participating in sports activities
- •Other pathologies involving the lower limbs (< 6 months), e.g., torn knee ligaments, ankle sprain, knee sprain, etc.
- •Participants who have not given their informed consent
- •Participants subject to legal protection measures (legal guardianship, conservatorship, curatorship)
- •Participants deprived of their liberty by judicial or administrative decision
排除标准
- 未提供
研究组 & 干预措施
patellar tendinopathy group
Diagnostic Test: The intervention consists of a series of vertical jump tests captured using high-resolution cameras with markerless motion capture technology.
干预措施: The intervention consists of a series of vertical jump tests captured using high-resolution cameras with markerless motion capture technology. (Diagnostic Test)
healthy group
Diagnostic Test: The intervention consists of a series of vertical jump tests captured using high-resolution cameras with markerless motion capture technology.
干预措施: The intervention consists of a series of vertical jump tests captured using high-resolution cameras with markerless motion capture technology at 6 months and 12 months (Diagnostic Test)
结局指标
主要结局
Variations of knee flexion angle at initial contact at 3 months (only for patients in the patellar tendinopathy group)
时间窗: Between the initial visit and the 3-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of knee flexion angle at initial contact at 6 months
时间窗: Between the 3-month visit and the 6-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of knee flexion angle at initial contact at 9 months (only for patients in the patellar tendinopathy group)
时间窗: Between the 6-month visit and the 9-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of knee flexion angle at initial contact at 12 months
时间窗: Between the 9-month visit and the 12-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the maximum knee flexion angle at 3 months (only for patients in the patellar tendinopathy group)
时间窗: Between the initial visit and the 3-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the maximum knee flexion angle at 6 months
时间窗: Between the 3-month visit and the 6-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the maximum knee flexion angle at 9 months (only for patients in the patellar tendinopathy group)
时间窗: Between the 6-month visit and the 9-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the maximum knee flexion angle at 12 months
时间窗: Between the 9-month visit and the 12-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the range of motion (ROM) of the knee between initial contact and maximum flexion angle at 3 months (only for patients in the patellar tendinopathy group)
时间窗: Between the initial visit and the 3-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the range of motion (ROM) of the knee between initial contact and maximum flexion angle at 6 months
时间窗: Between the 3-month visit and the 6-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the range of motion (ROM) of the knee between initial contact and maximum flexion angle at 9 months (only for patients in the patellar tendinopathy group)
时间窗: Between the 6-month visit and the 9-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the range of motion (ROM) of the knee between initial contact and maximum flexion angle at 12 months
时间窗: Between the 9-month visit and the 12-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the angle at the peak of the vertical ground reaction force (VGRF) at 3 months (only for patients in the patellar tendinopathy group)
时间窗: Between the initial visit and the 3-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the angle at the peak of the vertical ground reaction force (VGRF)at 6 months
时间窗: Between the 3-month visit and the 6-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the angle at the peak of the vertical ground reaction force (VGRF) at 9 months (only for patients in the patellar tendinopathy group)
时间窗: Between the 6-month visit and the 9-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Variations of the angle at the peak of the vertical ground reaction force (VGRF) at 12 months
时间窗: Between the 9-month visit and the 12-month visit
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Comparison of variation between healthy group and patellar tendinopathy group of knee flexion angle at initial contact at 6 months
时间窗: Between the two 6-month visits of the two groups
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Comparison between the healthy group and the patellar tendinopathy group of variation of the maximum knee flexion angle at 6 months
时间窗: Between the two 6-month visits of the two groups
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Comparison between the healthy group and the patellar tendinopathy group of variations of the range of motion (ROM) of the knee between initial contact and maximum flexion angle at 6 months
时间窗: Between the two 6-month visits of the two groups
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
Comparison between the healthy group and the patellar tendinopathy group of variations of the angle at the peak of the vertical ground reaction force (VGRF)at 6 months
时间窗: Between the two 6-month visits of the two groups
The participant will perform the required vertical jump tests. The kinematic data will be captured by the investigating physical therapist specializing in motion analysis using a camera and markerless technology.
次要结局
- Variations of the angle of flexion of the trunk, hips, knees, and ankles at initial contact at 3 months (only for patients in the patellar tendinopathy group)(Between the initial visit and the 3-month visit)
- Variations of the angle of flexion of the trunk, hips, knees, and ankles at initial contact at 6 months(Between the 3-month visit and the 6-month visit)
- Variations of the angle of flexion of the trunk, hips, knees, and ankles at initial contact at 9 months (only for patients in the patellar tendinopathy group)(Between the 6-month visit and the 9-month visit)
- Variations of the angle of flexion of the trunk, hips, knees, and ankles at initial contact at 12 months(Between the 9-month visit and the 12-month visit)
- Variations of the maximum flexion angle of the trunk, hips, knees, and ankles upon landing at 3 months (only for patients in the patellar tendinopathy group)(Between the initial visit and the 3-month visit)
- Variations of the maximum flexion angle of the trunk, hips, knees, and ankles upon landing at 6 months(Between the 3-month visit and the 6-month visit)
- Variations of the maximum flexion angle of the trunk, hips, knees, and ankles upon landing at 9 months (only for patients in the patellar tendinopathy group)(Between the 6-month visit and the 9-month visit)
- Variations of the maximum flexion angle of the trunk, hips, knees, and ankles upon landing at 12 months(Between the 9-month visit and the 12-month visit)
- Variations of the range of motion (ROM) of the trunk, hips, knees, and ankles between initial contact and maximum flexion angle upon landing at 3 months (only for patients in the patellar tendinopathy group)(Between the initial visit and the 3-month visit)
- Variations of the range of motion (ROM) of the trunk, hips, knees, and ankles between initial contact and maximum flexion angle upon landing at 6 months(Between the 3-month visit and the 6-month visit)
- Variations of the range of motion (ROM) of the trunk, hips, knees, and ankles between initial contact and maximum flexion angle upon landing at 9 months (only for patients in the patellar tendinopathy group)(Between the 6-month visit and the 9-month visit)
- Variations of the range of motion (ROM) of the trunk, hips, knees, and ankles between initial contact and maximum flexion angle upon landing at 12 months(Between the 9-month visit and the 12-month visit)
- Variations of the angle at the peak of the vertical ground reaction force (VGRF) of the hips, knees, and ankles upon landing at 3 months (only for patients in the patellar tendinopathy group)(Between the initial visit and the 3-month visit)
- Variations of the angle at the peak of the vertical ground reaction force (VGRF) of the hips, knees, and ankles upon landing at 6 months(Between the 3-month visit and the 6-month visit)
- Variations of the angle at the peak of the vertical ground reaction force (VGRF) of the hips, knees, and ankles upon landing at 9 months (only for patients in the patellar tendinopathy group)(Between the 6-month visit and the 9-month visit)
- Variations of the angle at the peak of the vertical ground reaction force (VGRF) of the hips, knees, and ankles upon landing at 12 months(Between the 9-month visit and the 12-month visit)