The impact of patellar tendinopathy on sports and work performance in active athletes

Vries, Adrianus J. de; Koolhaas, Wendy; Zwerver, Johannes; Diercks, Ron L.; Nieuwenhuis, Kari; Worp, Henk van der; Brouwer, Sandra; Akker‐Scheek, Inge van den

doi:10.1080/15438627.2017.1314292

Cited by 56 publications

(40 citation statements)

References 25 publications

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“…Using the OSTRC questionnaire in participants diagnosed with patellar tendinopathy, de Vries et al demonstrated a greater severity of patellar tendinopathy (ie, higher OSTRC score) than is reported in the current study (mean [SD] = 45.1 [23.2] compared to 25.3[17.7]). This is likely due to differences in the populations studied.…”

Section: Discussioncontrasting

confidence: 45%

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The prevalence of Achilles and patellar tendon injuries in Australian football players beyond a time‐loss definition

Docking

Rio

Cook

et al. 2018

Scandinavian Med Sci Sports

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Little is known about the prevalence and associated of morbidity of tendon problems. With only severe cases of tendon problems missing games, players that have their training and performance impacted are not captured by traditional injury surveillance. The aim of this study was to report the prevalence of Achilles and patellar tendon problems in elite male Australian football players using the Oslo Sports Trauma Research Centre (OSTRC) overuse questionnaire, compared to a time-loss definition. Male athletes from 12 professional Australian football teams were invited to complete a monthly questionnaire over a 9-month period in the 2016 pre- and competitive season. The OSTRC overuse injury questionnaire was used to measure the prevalence and severity of Achilles and patellar tendon symptoms and was compared to traditional match-loss statistics. A total of 441 participants were included. Of all participants, 21.5% (95% CI: 17.9-25.6) and 25.2% (95% CI 21.3-29.4) reported Achilles or patellar tendon problems during the season, respectively. Based on the traditional match-loss definition, a combined 4.1% of participants missed games due to either Achilles or patellar tendon injury. A greater average monthly prevalence was observed during the pre-season compared to the competitive season. Achilles and patellar tendon problems are prevalent in elite male Australian football players. These injuries are not adequately captured using a traditional match-loss definition. Prevention of these injuries may be best targeted during the off- and pre-season due to higher prevalence of symptoms during the pre-season compared to during the competitive season.

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Section: Discussioncontrasting

confidence: 45%

“…This is likely due to differences in the populations studied. de Vries et al included participants who were seeking treatment whereas the current study included a non‐treatment seeking sporting population. However, the mean OSTRC score in the current study is similar to that reported in other sporting populations for other injuries …”

Section: Discussionmentioning

confidence: 99%

The prevalence of Achilles and patellar tendon injuries in Australian football players beyond a time‐loss definition

Docking

Rio

Cook

et al. 2018

Scandinavian Med Sci Sports

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“…Tendinopathy often impacts the patient’s daily life in multiple biopsychosocial ways such as employment, mental health and quality of life on both a personal and a professional level [6]. Tendinopathy has been related to reduced work ability and decreased work productivity, particularly for physically demanding work [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice: a registry-based study

Riel

Lindstrøm

Rathleff

et al. 2019

BMC Musculoskelet Disord

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Background Tendinopathies of the lower extremity (e.g. Achilles, patellar, and plantar heel pain) are common in both general and sporting populations. However, the prevalence and incidence in Danish general practice is unknown. The aim was to determine the prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice. Methods In this registry-based study, we extracted data from the electronic patient files of all patients in a single Danish general practice. The practice included 8836 patients. We searched ICPC-2 codes to identify patients with either of the following lower-extremity tendinopathies: plantar heel pain; Achilles tendinopathy; patellar tendinopathy; greater trochanteric pain syndrome or adductor tendinopathy. We defined an incident and prevalent case as a patient with a consultation because of tendinopathy in 2016 only. A prevalent, but not incident case was a patient with consultations in both 2015 and 2016. Incidence and prevalence were expressed as the number of patients with a tendinopathy per 1000 registered patients. Results The prevalence and incidence rate were 16.6 and 7.9 per 1000 registered patients, respectively. Plantar heel pain was the most prevalent tendinopathy and accounted for 39% of lower-extremity tendinopathies. Patients with tendinopathies were significantly older than all registered patients (46.0 years (95%CI: 43.3;48.7) versus 38.8 years (95%CI: 38.4;39.3), respectively). Conclusions Lower-extremity tendinopathies, especially plantar heel pain, had a high prevalence and incidence rate in a Danish general practice. In a typical general practice with 5000 patients, general practitioners should expect to see more than 80 patients with a lower-extremity tendinopathy every year.

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“…Patellar tendinopathy rehabilitation is an encompassing management of the athlete with the fundamental focus on exercise (Van Ark et al 2016 ). However, with the possibility of enduring persistent symptoms, full recovery from this pathology is not always certain (De Vries et al 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Proposing a Patellar Tendinopathy Screening tool following a systematic review

Morgan

Coetzee

2018

S. Afr. j. physiother.

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BackgroundPatellar tendinopathy (PT) is an overuse injury of the knee. The mechanism of injury is associated with repetitive stress on the patellar tendon of the knee as a result of explosive movement. Patellar tendinopathy is prevalent in all populations and is associated with intrinsic and extrinsic risk factors.ObjectivesPrimarily, the objective was to report on the intrinsic and extrinsic risk factors for PT, entailing a systematic review of the literature; the secondary objective was to use these risk factors to compile a proposed PT screening tool from the review and standard outcome measures.MethodA systematic review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Elimination criteria of the articles included duplicates, titles, abstracts and methodological quality. The evidence was collected, characterised with regard to the intrinsic and extrinsic risk factors and summarised descriptively.ResultsThe search yielded 157 feasible articles prior to commencement of article elimination. Six articles were included with a mean methodological quality score of 69%. Eight intrinsic and five extrinsic risk factors were identified. These identified risk factors are all relevant to the pathology and formed the basis for a proposed PT screening tool. The Victorian Institute of Sports Assessment for Patellar Tendinopathy Questionnaire, Visual Analog Scale and the Pain Provocation Test are also included in the proposed test.ConclusionIntrinsic and extrinsic risk factors for PT were identified, and consequently, the proposed PT screening tool was formulated for possible future testing in appropriate studies.Clinical implicationsPrevention of PT through intrinsic and extrinsic risk factor identification, and implementation in the clinical setup as a possible outcome measurement tool with which to verify functional improvement in PT rehabilitation.

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The impact of patellar tendinopathy on sports and work performance in active athletes

Cited by 56 publications

References 25 publications

The prevalence of Achilles and patellar tendon injuries in Australian football players beyond a time‐loss definition

The prevalence of Achilles and patellar tendon injuries in Australian football players beyond a time‐loss definition

Prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice: a registry-based study

Proposing a Patellar Tendinopathy Screening tool following a systematic review

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