Patellar tendinopathy outcome predictors in jumping athletes: feasibility of measures for a cohort study

• Published in: Physical therapy in sport Vol. 44; pp. 75 - 84
• Main Authors: Tayfur, A., Salles, J.I., Miller, S.C., Screen, H., Morrissey, D.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.07.2020; Elsevier Limited
• Subjects: Adolescent; Adult; Arthritis; Athletes; Athletic recruitment; Biomechanics; Cohort analysis; Cohort Studies; Cohort study; Data collection; Feasibility; Feasibility Studies; Female; Humans; Knee; Male; Middle Aged; Osteoarthritis; Outcome predictors; Pain; Patellar Ligament - physiopathology; Physical therapy; Prognosis; Questionnaires; Range of motion; Reproducibility of Results; Sports medicine; Surveys and Questionnaires; Tendinopathy; Tendinopathy - physiopathology; Ultrasonic imaging; Validity; Young Adult; Tendinopathy; Feasibility; Outcome predictors; Cohort study
• ISSN: 1466-853X; 1873-1600
• DOI: 10.1016/j.ptsp.2020.05.004

The main aim was to assess feasibility by testing data collection procedures for a cohort study. Measurements validity and reliability were secondary objectives. Feasibility study. Combination of remote contact, assessment in clinic and biomechanical evaluation. 36 jumping athletes (female:17, male:19) equally spread between those with patellar tendinopathy, other knee problems and controls. Measurements validity, reliability and feasibility. There was no systematic difference between administration methods for patient reported outcome measures and miscellaneous questions (range of d = −0.32 to 0.26) without any order effect (all p > 0.05) except KOOS-PF (p = 0.02). Questionnaires’ inter-session reliability was moderate to excellent (ICCs = 0.68–0.93). Pain maps were 94% matched between methods. Training load recall percentage decreased until week-3 with only 20% maintaining a training diary completing the full 6 weeks. The graded loaded challenge was clinically applicable, biomechanically valid with increasing load through progression and reliable (ICCs = 0.63–0.98). The tested questionnaires were valid and reliable for online use, therefore being suitable for clinical and research purposes. A shorter survey to reduce burden and collecting training load using shorter recall duration should improve feasibility. Biomechanical measures were valid and reliable, and a graded loaded challenge, suitable for further testing, has been defined. •Online use of a PROM questionnaire battery was similar to traditional administration.•Collecting training load with shorter recall duration should improve accuracy and feasibility.•The graded loaded challenge is suitable for further clinical testing.