Relationships between tendon structure and clinical impairments in patients with patellar tendinopathy

Andrew L. Sprague, Christian Couppé, Ryan T. Pohlig, Daniel C. Cortes, Karin Grävare Silbernagel

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


The clinical relevance of altered tendon structure in patellar tendinopathy is contested since structural change persists after symptom resolution. The purpose of this study was to explore the relationships between tendon structure and clinical impairments in patellar tendinopathy. In this retrospective, secondary analysis of individuals with patellar tendinopathy (n = 41), tendon structure (thickness, cross-sectional area [CSA], shear modulus, and viscosity), symptom severity, lower extremity function (counter-movement jump [CMJ] height), and quadriceps muscle performance (knee extension force and central activation ratio [CAR]) were recorded for the symptomatic limb. Relationships among structure, symptom severity, lower extremity function, and quadriceps muscle performance were examined using sequential regression models. Adjusting for age, sex, body mass index, and pain levels, there were significant positive relationships for thickness (p < 0.001, β = 0.718) and viscosity (p = 0.006, β = 0.496) with CMJ height. There were significant negative relationships between CSA with both CMJ height (p = 0.001, β = −0.538) and CAR (p = 0.04, β = −0.517). This is the first study to demonstrate relationships between tendon structure and lower extremity function or quadriceps muscle performance in patients with patellar tendinopathy. Clinical significance: Since structural changes persist after symptom resolution, addressing these changes may assist in restoring lower extremity function and quadriceps muscle performance.

Original languageEnglish (US)
Pages (from-to)2320-2329
Number of pages10
JournalJournal of Orthopaedic Research
Issue number10
StatePublished - Oct 2022

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine


Dive into the research topics of 'Relationships between tendon structure and clinical impairments in patients with patellar tendinopathy'. Together they form a unique fingerprint.

Cite this