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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

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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.

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snip

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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.

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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

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A shorter URL for the above link:

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http://tinyurl.com/6zym4em

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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The complete article may be read at the URL above.

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