ArticlePloS one2014
Changes in morphological and elastic properties of patellar tendon in athletes with unilateral patellar tendinopathy and their relationships with pain and functional disability.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Effects of cupping therapy on chronic musculoskeletal pain and collateral problems: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Are the Mechanical or Material Properties of the Achilles and Patellar Tendons Altered in Tendinopathy? A Systematic Review with Meta-analysis.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- The Effects of Eccentric Contraction Execution Time on the Properties of the Patellar Tendon.International journal of environmental research and public health · 2022Trial
- Objective Assessment of Regional Stiffness in Achilles Tendon in Different Ankle Joint Positions Using the MyotonPRO.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- One Session of Extracorporeal Shockwave Therapy-Induced Modulation on Tendon Shear Modulus is Associated with Reduction in Pain.Journal of sports science & medicine · 2020Trial
- Trial
- Ultrasound-Based Spatial Frequency Analysis Differentiates Patellar Tendon Quality in Tendinopathic and Healthy Participants.Translational journal of the American College of Sports Medicine · 2026Article
- Monitoring Patellar Tendon Stiffness in Relation to Load, Function and Pain.Sports medicine international open · 2026Article
- Differences in lower-extremity strength and power between elite hockey players with and without patellar asymptomatic tendon thickening; unilateral and bilateral comparative analysis.Frontiers in sports and active living · 2026Article
- Patellar Tendon Properties and Unilateral Jump Performance in Junior Elite Volleyball Players With Patellar Tendinopathy.European journal of sport science · 2025Article
- ESWT is able to change macromorphological and micromorphological parameters in patellar tendinopathy: a prospective cohort study.International journal of surgery (London, England) · 2025Article
- Quantifying Mechanical Properties of the Patellar and Achilles Tendons Using Ultrasound Shear Wave Elastography: A Pilot Study.Diagnostics (Basel, Switzerland) · 2025Article
- Shear wave elastography, as a feasible tool, can be used to reflect the lower limb dysfunction in patients with chronic obstructive pulmonary disease?Scientific reports · 2025Article
- Differences in stiffness across the patellar tendon: An observational study using tendotonometry.PloS one · 2025Observational
- A comparative analysis of platelet-rich plasma alone versus combined with extracorporeal shockwave therapy in athletes with patellar tendinopathy and knee pain: a randomized controlled trial.Knee surgery & related research · 2024Article
- Patellar Non-Traumatic Pathologies: A Pictorial Review of Radiologic Findings.Diagnostics (Basel, Switzerland) · 2024Review
- Advancements in Therapeutic Approaches for Degenerative Tendinopathy: Evaluating Efficacy and Challenges.International journal of molecular sciences · 2024Review
- Effectiveness of Kinesiotherapy in the Treatment of Achilles Tendinopathy-A Narrative Review.Sports (Basel, Switzerland) · 2024Review
- Ultrasonographic Evaluation of the Patellar Tendon in Cyclists, Volleyball Players, and Non-Practitioners of Sports-The Influence of Gender, Age, Height, Dominant Limb, and Level of Physical Activity.Journal of functional morphology and kinesiology · 2024Article
- A New Quantitative Tool for the Ultrasonographic Assessment of Tendons: A Reliability and Validity Study on the Patellar Tendon.Diagnostics (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatellar tendinopathy (PT) is one of the most common knee disorders among athletes. Changes in morphology and elasticity of the painful tendon and how these relate to the self-perceived pain and dysfunction remain unclear.
objectivesTo compare the morphology and elastic properties of patellar tendons between athlete with and without unilateral PT and to examine its association with self-perceived pain and dysfunction.
methodsIn this cross-sectional study, 33 male athletes (20 healthy and 13 with unilateral PT) were enrolled. The morphology and elastic properties of the patellar tendon were assessed by the grey and elastography mode of supersonic shear imaging (SSI) technique while the intensity of pressure pain, self-perceived pain and dysfunction were quantified with a 10-lb force to the most painful site and the Victorian Institute of Sport Assessment-patella (VISA-P) questionnaire, respectively.
resultsIn athletes with unilateral PT, the painful tendons had higher shear elastic modulus (SEM) and larger tendon than the non-painful side (p<0.05) or the dominant side of the healthy athletes (p<0.05). Significant correlations were found between tendon SEM ratio (SEM of painful over non-painful tendon) and the intensity of pressure pain (rho = 0.62; p = 0.024), VISA-P scores (rho = -0.61; p = 0.026), and the sub-scores of the VISA-P scores on going down stairs, lunge, single leg hopping and squatting (rho ranged from -0.63 to -0.67; p<0.05).
conclusionsAthletes with unilateral PT had stiffer and larger tendon on the painful side than the non-painful side and the dominant side of healthy athletes. No significant differences on the patellar tendon morphology and elastic properties were detected between the dominant and non-dominant knees of the healthy control. The ratio of the SEM of painful to non-painful sides was associated with pain and dysfunction among athletes with unilateral PT.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.