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ArticleSports medicine - open2025

Prognostic Factors for Recovery from Patellar Tendinopathy in Jumping Athletes: An International Prospective Cohort Study.

Abdulhamit Tayfur, Halime Gülle, Mehmet Delen, Dominik Zenner, Stuart Charles Miller, Hazel Screen, Dylan Morrissey

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Article in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Abdulhamit TayfurSports and Exercise Medicine, Queen Mary University of London, London, UK. a.tayfur@qmul.ac.uk.ORCID http://orcid.org/0000-0001-7366-5212
Halime GülleSports and Exercise Medicine, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-2698-5077
Mehmet DelenSports and Exercise Medicine, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-0693-8046
Dominik ZennerInstitute of Population Health Sciences, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-9200-6180
Stuart Charles MillerSports and Exercise Medicine, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-8140-2612
Hazel ScreenSchool of Engineering Material Sciences, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-9077-0732
Dylan MorrisseySports and Exercise Medicine, Queen Mary University of London, London, UK. d.morrissey@qmul.ac.uk.ORCID http://orcid.org/0000-0001-7045-3644

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no robust prognostic guides for patellar tendinopathy (PT), hence we do not understand who gets better, when and why. Therefore, we aimed to identify which combination of self-reported factors best predicts PT recovery. A previously validated, reliable online questionnaire battery yielded data from an international sample of professional and recreational jumping athletes with a one-year follow-up. Recovery was defined using Global Rating of Change, alongside full availability for training and competition. Data on > 100 plausible bio-psycho-social, demographic and sporting outcome predictors were collected; and a multivariable cox proportional-hazards model constructed.

results128 athletes with PT (30.9 ± 8.9 years; 77 males (60%); Victorian Institute of Sport Assessment Questionnaire-Patellar Tendon = 61.5 ± 16.2) provided 25,284 days at risk for analysis. Recovery rate was 45%, peaking at 6-month. The multivariable model partially predicted PT recovery with acceptable performance (optimism-corrected C-statistic:0.77, 95%CI:0.74-0.79) and internal validation. Recovery was associated with lower severity (Hazard Ratio (HR) = 1.03, 95%CI 1.02-1.05), a shorter time off sport (HR = 0.93, 95%CI 0.87-0.99), feeling more rested after sleep (HR = 1.93, 95%CI 1.13-3.28), not having multiple concurrent tendon problems (HR = 0.23, 95%CI 0.07-0.69), higher training duration (HR = 1.05, 95%CI 1.01-1.10) and symptoms being modifiable by movement (HR = 2.71, 95%CI 1.21-6.09).

conclusionsTo the best of our knowledge, this is the first study investigating outcome predictors for PT recovery in a large international cohort of jumping athletes. The exploratory recovery model showed that a combination of self-reported sports-specific and biomedical variables were predictive of PT recovery. These findings can be used to support clinical judgements of prognosis.

Identifiers

PMID41269475
PMCPMC12638584

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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.