Lower Limb Biomechanical Variables Are Indicators of the Pattern of Presentation of Patella Tendinopathy in Elite African Basketball and Volleyball Players

Aiyegbusi, Ayoola; Tella, Bidemi; Okeke, Chukwuebuka

doi:10.1055/s-0039-1693743

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Ortopedia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. bras. ortop. 54 (5) • Sep-Oct 2019 • https://doi.org/10.1055/s-0039-1693743 copy

Lower Limb Biomechanical Variables Are Indicators of the Pattern of Presentation of Patella Tendinopathy in Elite African Basketball and Volleyball Players^* * Study conducted at the Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

The present study determined the pattern of presentation and severity of patellar tendinopathy (PT) and its relationship with selected biomechanical variables in elite athletes.

Methods

The study involved 98 elite Nigerian basketball and volleyball players aged between 18 and 35 years. Clinical tests and ultrasound imaging were used to divide the participants into symptomatic and asymptomatic groups. Standard procedures were used to assess the quadriceps angle (Q-angle), tibial torsion, ankle dorsiflexion, hamstring flexibility, and foot posture. The Victorian Institute of Sport Assessment Questionnaire, Patellar Tendon (VISA-P) was used to assess the severity of the symptoms. The statistical analysis was performed using analysis of variance (ANOVA), and a post hoc analysis and Pearson correlation with significance level set at p < 0.05 were also performed.

Results

Significantly lower sit-and-reach scores (p = 0.01), increased foot posture index score (p = 0.01) and reduced ankle dorsiflexion range (p = 0.03) were found in participants of both sexes with symptomatic PT. Higher Q-angles (p = 0.02) in males and tibial torsion angles (p = 0.001) in females were also found in the symptomatic PT groups. Symptom severity was significantly higher in the group with clinical symptoms only (p = 0.042), and it was significantly correlated with hamstring flexibility in both males (r = -0.618) and females (r = -0.664).

Conclusion

Reduced hamstring flexibility, increased foot pronation and reduced ankle dorsiflexion range were significant in participants with symptomatic PT.

Keywords
tendinopathy; patella; athletic injuries; biomechanical phenomena; volleyball; basketball

Variables		Group A	Group B	Group C	Group D	Total
General occurrence
	Frequency/number	16	54	13.0	15.0	98
	Percentage	16.3	55.1	13.3	15.3	100
Occurrence per gender
Male	Frequency/number	12	31	10	10	63
	Percentage	19	49.2	15.9	15.9	100
Female	Frequency/number	4	23	3	5	35
	Percentage	11.4	65.7	8.6	14.3	100
Occurrence per type of sport
Basketball	Frequency/number	8	27	5	13	53
	Percentage	15.1	50.9	9.4	24.5	100
Volleyball	Frequency/number	8	27	8	2	45
	Percentage	17.8	60.0	17.8	4.4	100

Variables	Group A	Group B	Group C	Group D	f-value	p-value
	Mean ± SD	Mean ± SD	Mean ± SD	Mean ± SD
Q-angle	12.30 ± 2.35	11.27 ± 1.60	15.20 ± 1.75	14.40 ± 2.22	14.633	0.020^* * significant at p ˂ 0.05; f-value should be close to 1.0 if the null hypothesis is true. A large f-value shows the Null hypothesis is false.
Hamstring flexibility	18.83 ± 0.94	19.65 ± 1.50	17.40 ± 0.84	18.10 ± 1.60	8.559	0.010^* * significant at p ˂ 0.05; f-value should be close to 1.0 if the null hypothesis is true. A large f-value shows the Null hypothesis is false.
Foot posture	3.88 ± 2.03	3.29 ± 2.45	8.10 ± 2.85	7.10 ± 2.88	9.418	0.010^* * significant at p ˂ 0.05; f-value should be close to 1.0 if the null hypothesis is true. A large f-value shows the Null hypothesis is false.
Ankle dorsiflexion	18.08 ± 2.02	18.45 ± 1.23	13.50 ± 1.08	14.30 ± 1.89	6.539	0.000^* * significant at p ˂ 0.05; f-value should be close to 1.0 if the null hypothesis is true. A large f-value shows the Null hypothesis is false.
Tibial torsion	20.25 ± 5.74	17.18 ± 2.90	26.70 ± 3.97	27.60 ± 3.65	1.356	0.383

	Q-angle	Hamstring flexibility	Foot posture	Ankle dorsiflexion
Groups	Mean difference (p-value)	Mean difference (p-value)	Mean difference (p- value)	Mean difference (p-value)
B-C	-3.93 (0.000)^* * significant at p ˂ 0.05.	-4.81 (0.00)^* * significant at p ˂ 0.05.	4.95 (0.000)^* * significant at p ˂ 0.05.	2.245 (0.000)^* * significant at p ˂ 0.05.
B-D	-3.13 (0.000)^* * significant at p ˂ 0.05.	1.545 (0.002)^* * significant at p ˂ 0.05.	-3.81 (0.001)^* * significant at p ˂ 0.05.	4.15 (0.000)^* * significant at p ˂ 0.05.
A-C	-2.91 (0.011)^* * significant at p ˂ 0.05.	1.433 (0.015)^* * significant at p ˂ 0.05.	-4.23 (0.001)^* * significant at p ˂ 0.05.	4.58 (0.000)^* * significant at p ˂ 0.05.
A-D	-2.11 (0.011)^* * significant at p ˂ 0.05.	0.733 (0.206)	-3.23 (0.013)^* * significant at p ˂ 0.05.	3.78 (0.000)^* * significant at p ˂ 0.05.
A-B	1.0175 (0.117)	0.812 (0.08)	0.59 (0.560)	0.87 (0.474)
C-D	0.80 (0.346)	-0.700(0.248)	-1.00 (0.449)	0.80 (0.239)

Variables	Group A	Group B	Group C	Group D	f-value	p-value
	Mean ± SD	Mean ± SD	Mean ± SD	Mean ± SD
Q-angle (degrees)	15.25 ± 3.60	14.48 ± 3.08	18.00 ± 2.00	17.76 ± 2.97	2.274	0.100
Hamstring flexibility	20.5 ± 0.58	21.22 ± 1.51	19.67 ± 2.52	18.60 ± 1.52	4.457	0.010^* * significant at p ˂ 0.05.
Foot posture	4.50 ± 1.52	3.33 ± 1.77	9.00 ± 1.00	7.40 ± 1.88	11.296	0.010^* * significant at p ˂ 0.05.
Ankle dorsiflexion	18.00 ± 1.00	18.41 ± 1.32	15.33 ± 0.58	13.20 ± 1.64	6.147	0.030^* * significant at p ˂ 0.05.
Tibial torsion	17.75 ± 2.35	16.78 ± 3.32	26.33 ± 2.77	24.40 ± 3.07	7.753	0.001^* * significant at p ˂ 0.05.

	Hamstring flexibility	Foot posture	Ankle dorsiflexion	Tibial torsion
Groups	Mean difference (p-value)	Mean difference (p-value)	Mean difference (p-value)	Mean difference (p-value)
B-C	1.55 (0.109)	3.08 (0.000)^* * significant at p ˂ 0.05.	-5.67 (0.000)^* * significant at p ˂ 0.05.	-9.56 (0.001)^* * significant at p ˂ 0.05.
B-D	2.62 (0.002)^* * significant at p ˂ 0.05.	-4.07 (0.000)^* * significant at p ˂ 0.05.	5.21 (0.000)^* * significant at p ˂ 0.05.	-7.62 (0.001)^* * significant at p ˂ 0.05.
A-C	0.83 (0.482)	-4.50 (0.04)^* * significant at p ˂ 0.05.	2.67 (0.01)^* * significant at p ˂ 0.05.	-8.58 (0.013)^* * significant at p ˂ 0.05.
A-D	1.90 (0.074)^* * significant at p ˂ 0.05.	-2.90 (0.038)^* * significant at p ˂ 0.05.	4.80 (0.000)^* * significant at p ˂ 0.05.	-6.65 (0.027)^* * significant at p ˂ 0.05.
A-B	0.72 (0.394)	1.1739 (0.285)	-0.41 (0.552)	0.97 (0.679)
C-D	1.067 (0.348)	1.60 (0.280)	-2.13 (0.028)^* * significant at p ˂ 0.05.	1.93 (0.540)

Variables	Group C	Group D	t-value	p- value
	Mean ± SD	Mean ± SD
Male	72 ± 0.14	79 ± 2.96	1.876	0.077
Female	78 ± 1.05	80 ± 1.55	0.527	0.617
Both	73 ± 1.60	79 ± 2.35	2.07	0.04^* * significant at p ˂ 0.05.

Variables		Q-angle	Hamstrings flexibility	Foot posture	Ankle dorsiflexion	Tibial torsion
Symptom severity
Male	r	0.03	-0.618	-0.130	-0.003	0.018
Male	p	0.899	0.021*	0.585	0.991	0.939
Female	r	0.159	-0.664	-0.525	-0.425	-0.120
Female	p	0.706	0.042*	0.181	0.294	0.778

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Address for correspondence Ayoola Aiyegbusi, PhD, Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria (e-mail: aaiyegbusi@unilag.edu.ng).

Brasil

Brasil

Lower Limb Biomechanical Variables Are Indicators of the Pattern of Presentation of Patella Tendinopathy in Elite African Basketball and Volleyball Players* * Study conducted at the Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria.

Abstract

Objective

Methods

Results

Conclusion

Lower Limb Biomechanical Variables Are Indicators of the Pattern of Presentation of Patella Tendinopathy in Elite African Basketball and Volleyball Players^* * Study conducted at the Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria.