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Trial registered on ANZCTR
Registration number
ACTRN12616000752460
Ethics application status
Approved
Date submitted
23/05/2016
Date registered
8/06/2016
Date last updated
16/05/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Jumper's knee: does exercise decrease pain and increase participation in basketball?
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Scientific title
Isometric and isotonic leg extensions program: does either exercise decrease morbidity of patellar tendinopathy in basketball players when performed regularly during a playing season?
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Secondary ID [1]
289274
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None
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Universal Trial Number (UTN)
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Trial acronym
POST UP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patellar tendinopathy
298859
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Condition category
Condition code
Musculoskeletal
298927
298927
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention exercises will be conducted four times per week at participants usual training session with equipment provided by the investigators. Players can do their exercise before or after training.
The exercise program will be individualised and delivered electronically to participants with exercise prescription software. the repetitions and sets will be consistent in all participants, the weight will be individualised to each participant and to each leg of each participant to account for differences in muscle strength. Participants will record on the software the number of times each week they complete the session and the weights that they use for the exercise session.
The intervention will be offered for the length of the season, this can vary between 6 and 10 months depending on the competition and the country.
Isometric protocol: Participants will complete isometric holds on a leg extension machine. These consist of 5 x 45 second holds at 70% maximum voluntary contraction (MVC) with 2 minutes recovery between holds.
Isotonic protocol: Participants will complete the isotonic exercise on a leg extension machine using established protocols (4 x 8 contractions at 70% MVC). The rest period between sets will be 1 minute.
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Intervention code [1]
294823
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Treatment: Other
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Comparator / control treatment
The isotonic group will serve as the control group,
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Control group
Active
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Outcomes
Primary outcome [1]
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OSTRC outcome measure. This validated tool measures that includes 4 simple questions,quantifies the impact of overuse injuries on function and is used for all overuse injuries.
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Assessment method [1]
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Timepoint [1]
298391
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Monthly for the length of the season, this will vary depending on country and league and will be between 6 and 10 months.
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Primary outcome [2]
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VISA-P that assesses the amount of pain and dysfunction in people with anterior knee pain. The questions are designed to measure symptoms of jumper's knee, but the questionnaire is not diagnostic.
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Assessment method [2]
298393
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Timepoint [2]
298393
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Monthly for the length of the season, this will vary depending on country and league and will be between 6 and 10 months.
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Primary outcome [3]
298396
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Participants will complete a global rating of change in knee pain and function on a seven point scale from very much worse to very much better.
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Assessment method [3]
298396
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Timepoint [3]
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End of the competitive season that will be between 6 and 10 months after the start of the intervention depending on the competition level and country.
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Secondary outcome [1]
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The change in the amount of patellar tendon pathology will be assessed using UTC tendon imaging.
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Assessment method [1]
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Timepoint [1]
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End of the competitive season that will be between 6 and 10 months after the start of the intervention depending on the competition level and country.
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Eligibility
Key inclusion criteria
1. Have current or previous patellar tendinopathy
2. Playing basketball at an elite or semi-elite level that will ensure they are training more than 4 times a week.
3. Over 18 years until they are no longer playing at an elite or sub-elite level, this is usually up to 35 years but occasionally players can be older
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Minimum age
18
Years
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Maximum age
35
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Insufficient English language ability to understand informed consent and follow study protocol .
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Whole teams will be block randomised to one intervention
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Generalised estimating equation (group and time)
Previous study (van Ark et al 2015) showed improvement with both exercise interventions, to show a difference between exercise interventions with an alpha of .05 and a beta of >8 128 participants will be required.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2017
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Actual
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Date of last participant enrolment
Anticipated
1/09/2018
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
128
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment outside Australia
Country [1]
7892
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United States of America
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State/province [1]
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Wshington DC. Milwaukee, Tulane, Louisiana, New York
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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NBA/GE Orthopaedics and Sports Medicine collaboration
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Address [1]
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General Electric Healthcare
43614 Westridge Lane
Northville, MI 48167 USA
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Country [1]
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United States of America
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Primary sponsor type
University
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Name
La Trobe university
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Address
Kingsbury Drive
Bundoora 3086
Victoria
Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
292490
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Address [1]
292490
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Country [1]
292490
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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La Trobe university Human ethics committee
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Ethics committee address [1]
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Kingsbury Drive Bundoora 3086 Victoria Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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30/05/2016
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Approval date [1]
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14/07/2016
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Ethics approval number [1]
295091
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HEC016-049
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Summary
Brief summary
The impact of patellar tendinopathy is underestimated as many athletes continue to participate with pain that affects performance in games and capacity to train. This study aims to determine if we can change the natural history of pain and impaired performance with exercise;
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Jill Cook
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Address
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La Trobe University
Kingsbury Drive
Bundoora
3086, Victoria, Australia
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Country
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Australia
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Phone
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+61 3 94792774
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jill Cook
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Address
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La Trobe University
Kingsbury Drive
Bundoora
3086, Victoria, Australia
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Country
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Australia
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Phone
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+61 3 94792774
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jill Cook
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Address
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La Trobe University
Kingsbury Drive
Bundoora
3086, Victoria, Australia
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Country
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Australia
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Phone
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+61394792774
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Location of anterior knee pain affects load tolerance in isometric single leg knee extension.
2022
https://dx.doi.org/10.1016/j.jsams.2022.03.010
N.B. These documents automatically identified may not have been verified by the study sponsor.
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