. . SPORTS MEDICINE : SPORTS: BASKETBALL : ANKLES : KNEES : MEDICAL: CONDITIONS : RESEARCH: Low Range of Ankle Dorsiflexion Predisposes for Patellar Tendinopathy in Junior Elite Basketball Players: A 1-Year Prospective Study . . Low Range of Ankle Dorsiflexion Predisposes for Patellar Tendinopathy in Junior Elite Basketball Players: A 1-Year Prospective Study http://ajs.sagepub.com/content/early/2011/09/14/0363546511420552.a Ludvig J. Backman, MSc, BSc (PT) ([log in to unmask]) Department of Integrative Medical Biology, Anatomy, Umea University, Ume Sweden Patrik Danielson, MD, PhD Department of Integrative Medical Biology, Anatomy, Umea University, Ume Sweden Abstract Background: Patellar tendinopathy (PT) is one of the most common reasons for sport-induced pain of the knee. Low ankle dorsiflexion range might predispose for PT because of load-bearing compensation in the patellar tendon. Purpose: The purpose of this 1-year prospective study was to analyze if a low ankle dorsiflexion range increases the risk of developing PT for basketball players. . snip . Conclusion: This study clearly shows that low ankle dorsiflexion range is a risk factor for developing PT in basketball players. In the studied material, an ankle dorsiflexion range of 36.5 was found to be the most appropriate cutoff point for prognostic screening. This might be useful information in identifying at-risk individuals in basketball teams and enabling preventive actions. A history of ankle sprains might contribute to reduced ankle dorsiflexion range. . . Stiff ankles tied to young athletes' painful knees By Adam Marcus New York | Fri Oct 7, 2011 1:14pm EDT Reuters http://www.reuters.com/article/2011/10/07/ us-stiff-ankles-idUSTRE7964V620111007 . A shorter URL for the above link: . http://tinyurl.com/6zym4em . New York (Reuters Health) - Young basketball and volleyball players' chances of developing a painful condition called jumper's knee may hinge on how far they can flex their ankles, say Swedish researchers. . Teenagers at a junior elite basketball camp who were less able to flex their feet upward at the start of the study had up to a 30 percent risk of developing patellar tendinopathy -- pain below the kneecap -- over the next year, compared to a two percent risk in young players with more flexible ankles. . The notion that ankle stiffness might lead to knee pain "makes perfect sense" physiologically, said Dr. Rachel Coel, co-director of the sports medicine program at Children's Hospital Colorado, in Aurora, who was not involved in the study. "If we don't have the right flexibility, we are changing the mechanics we're supposed to have," she told Reuters Health. . Ludvig Backman and his colleagues at Umea University in Sweden, who published the new findings in the American Journal of Sports Medicine, conclude that identifying kids at risk at the beginning of a sports season and giving them preventive stretching exercises could save many young knees from damage. . So-called jumper's knee is poorly understood, but believed to stem from damage to the tendon connecting the kneecap to the shin. The condition is most common in sports like volleyball and basketball, where jumping is a frequent part of the play. . The study included 75 Swedish junior elite basketball players, both girls and boys, ages 14 to 20, who were attending a training camp. At the outset, the researchers measured each player's range of dorsiflexion -- the ability to flex the foot toward the shin. Mobility in that direction basically reflects the stiffness of calf muscles and Achilles tendons. A year later, they evaluated the players for knee pain. . A dozen athletes (16 percent) developed jumper's knee within the year; eight were male and four were female, although the sex difference was not statistically meaningful. Players who developed knee problems were found to have about five degrees less ankle mobility than those who did not experience the condition. . . The complete article may be read at the URL above. . . 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