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    Twenty percent of the general population suffers from anterior knee pain, also known as Patellar Tendonitis. Tibial patellar straps reduce pain associated with tuberosity Patellar Tendonitis by an average of 33% (Kemp, 2002); however, the mechanisms that decrease pain are unclear.

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    Proposal FINAL

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    macsenviehweg
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    Twenty percent of the general population suffers from anterior knee pain, also known as Patellar Tendonitis. Tibial patellar straps reduce pain associated with tuberosity Patellar Tendonitis by an average of 33% (Kemp, 2002); however, the mechanisms that decrease pain are unclear.

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    Twenty percent of the general population suffers from anterior knee pain, also known as Patellar Tendonitis. Tibial patellar straps reduce pain associated with tuberosity Patellar Tendonitis by an average of 33% (Kemp, 2002); however, the mechanisms that decrease pain are unclear.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    230 views2 pages

    Proposal FINAL

    Uploaded by

    macsenviehweg
    Twenty percent of the general population suffers from anterior knee pain, also known as Patellar Tendonitis. Tibial patellar straps reduce pain associated with tuberosity Patellar Tendonitis by an average of 33% (Kemp, 2002); however, the mechanisms that decrease pain are unclear.

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    Fall 2009 ORCA Mentoring Grant Application

    A Preliminary Analysis of a Novel Patellar Tendon Strap:


    the Effect on Insertion Angle
    First applicant name: Macsen Viehweg & Jason Longhurst
    First applicant email and RouteY login: macsenviehweg@gmail.com, mviehweg
    Mentor name and department: Matthew K. Seeley, Exercise Science

    Importance of Project
    Knee pain affects a remarkable number of Figure 1 Figure 2
    Americans. Twenty percent of the general
    population suffers from Anterior Knee Pain, also
    known as Patellar Tendonitis; i.e., pain on the front
    side of the knee (Coetsee, 2007). Patellar
    Tendonitis accounts for up to 40 percent of all
    sports related knee injuries (Coetsee, 2007).
    tibial
    Patellar tendon straps reduce pain associated with tuberosity
    Patellar Tendonitis by an average of 33% (Kemp,
    2002); however, the mechanisms that decrease
    pain are unclear. One proposed mechanism is The angle of insertion we will The white arrows in this MRI
    an altered angle of insertion for the patellar study originates at the tibial are pointing to the patellar
    tendon, relative to the tibia. See Figure 1. It has tuberosity, which serves as tendon which is the primary
    the patellar tendon’s region of pain associated with
    been proposed that an altered angle of insertion attachment point to the tibia. Patellar Tendonitis.
    for the patellar tendon may alter the stress that is
    applied to the tibial tuberosity thus causing a
    decrease in pain. However, it is presently unknown how the patellar tendon strap affects the
    aforementioned angle of insertion.

    Main Proposal Body


    Purpose and Hypotheses: The purpose of this study is to quantify
    how the patellar tendon strap affects the patellar tendon’s angle of
    insertion at the tibial tuberosity. This knowledge may lead to an
    increased understanding of mechanisms that can potentially
    decrease anterior knee pain, as well as an improved design for
    patellar tendon straps. An improved patellar tendon strap may
    reduce pain caused by Patellar Tendonitis. We hypothesize that
    the use of a patellar tendon strap will cause the angle of insertion
    The Patellar tendon strap is applied
    directly over the Patellar Tendon. We between the patellar tendon and tibia to decrease across all
    hypothesize that the pressure of the measured conditions. However, we expect that the strap will have
    strap will change the insertion angle. the greatest effect on insertion angle when the knee is fully
    extended, or at 0° of flexion. Additionally, we hypothesize that the
    more the knee is flexed (the greater the degree of flexion), the less the strap will affect the angle of
    insertion. We feel this will be the case because as the knee is flexed, greater tension is observed in the
    patellar tendon which will hinder its ability to be deformed by the patellar tendon strap.

    Data Collection: As this study is preliminary in nature, we only plan to recruit 6 healthy female and 6
    healthy male subjects. Each subject will visit the Biomechanics Laboratory at Brigham Young University
    one time for a single data collection session. There will be one dependent variable: angle of insertion of
    the patellar tendon relative to the tibia. This will be measured using Rehabilitative Ultrasound Imaging
    throughout a combination of three independent variables; (1) strap vs. no strap, (2) closed chain vs. open
    chain motion and (3) degree of flexion of the knee. The following table will be used for each subject.

    Closed Chain Motion Open Chain Motion


    Degree of Flexion Without Strap With Strap Without Strap With Strap
    0°
    30°
    60°
    90°
    Statistical Analysis: The analysis for the three independent variables will be a repeated measures
    ANOVA, or Analysis of Variance. We will block on subjects which makes each subject their own control
    across the different variables. Insertion angles without the strap will be compared to insertion angles with
    the strap on each subject.

    Anticipated Academic Outcome


    We plan to present the results of this study at Brown University, in Providence, Rhode Island, USA,
    during the Annual Meeting for the American Society of Biomechanics to be held in August 2010.
    Furthermore, if these preliminary data indicate the expected results, we plan to use these data to pursue
    additional, external funding that will support a larger-scale study related to the present research question.
    Importantly, this national presentation and the potential grant that may accompany this project will also
    strengthen our resumes and help us in our pursuit of post-graduate degrees in Medicin and Physical
    Therapy.

    Qualifications
    Matthew Seeley earned a PhD in Biomechanics in 2006. His dissertation, A Test of the Functional
    Asymmetry Hypothesis in Walking, considered some of the involved mechanics during human
    locomotion, and his present research emphasis concerns human locomotion. He has extensive
    experience in collecting data that describes forces and motions during human locomotion. Additionally,
    as a certified athletic trainer, he has knowledge concerning various facets of the rehabilitation of human
    gait.

    Project Timetable
    Data Collection Jan -Feb 2010
    Data Analysis Jan-Feb 2010
    Final Report to ORCA April 30, 2010
    Abstract Submitted to American Society of Biomechanics Annual Meeting March 1, 2010
    Presentation at the Annual Meeting for the American Society of Biomechanics August 18-21, 2010
    Manuscript Completed and Submitted for Publication October 1, 2010

    Fit With BYU’s Mission


    On January 13, 2000, the World Health Organization declared that this decade was to be the Bone and
    Joint Decade. The purpose of this Bone and Joint Decade was to improve the health-related quality of
    life for people with musculoskeletal disorders throughout the world. The present project would allow BYU
    to, in part, assist the World Health Organization with the aforementioned purpose. Additionally, BYU has
    a mission to help further technology that will benefit humankind. The present study has the potential to
    benefit all who suffer from patellar tendonitis.

    Sources
    Bojanić, I., Pećina, M. (2004) Overuse injuries of the musculoskeletal system. Boca Raton, Florida: CCR
    Press LLC.

    Cambier, D., Danneels, L., Roget, P., Van Tiggelen, D., Verdonk, R., Witvrouw, E. (2004). Effect of
    bracing on the prevention of anterior knee pain—a prospective randomized study. Knee Surgery,
    Sports Traumatology, Arthroscopy. 12(5), p. 434-439.

    Coetsee, M. F., Phillips, J. (2007). Incidence of Non-Traumatic Anterior Knee Pain Among 11-17 Year-
    Olds. South African Journal of Sports Medicine. 19(2), p. 60-64.

    Kempe, C. (2002). Patellar Tendonitis Pain Is Decreased With Acute Use Of A Patellar tendon strap.
    Microform Publications Bulletin: Health, Physical Education and Recreation Exercise and Sport
    Sciences. 15(2), p. 79.

    Fall 2005 ORCA Mentoring Grant Application page 2

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