ClinicalTrials.gg
CompletedNCT03262181Updated Feb 19, 2019

The Acute Effects of an Isometric Loading Intervention on Lower Extremity Landing Biomechanics in Individuals With Patellar Tendinopathy

An interventional study of Isometric Exercise and Sham Transcutaneous Electrical Nerve Stimulation in Tendinopathy, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to male participants aged 15 Years to 28 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-19.

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
15 Years to 28 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 99 studies in Tendinopathy with a site in United States — 15 open to participants now, 17 under way, none of them phase 3. Tendinopathy · United States.

Enrollment
40th of 89
43 · median 40
Started
2017
with 9 others
No phase
49 of 99
10 open now
Registered
44th of 99
by date

Among the 99 studies in Tendinopathy with a site in United States, this one is the 40th largest by enrollment of the 89 interventional ones that give a count, is one of 10 that started in 2017, is one of 49 with no phase, and was the 44th registered.

Tendinopathy

397 studies on the registry are indexed under Tendinopathy; 77 are open to participants now.

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Open to participants now

15 of the 99 studies in Tendinopathy with a site in United States are open now. Recruiting first, the newest first:

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All 15 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 47 Tendinopathy studies recruiting now, 16 (34%) set no upper age limit and 24 (51%) stop at 75 or younger; 1 take children under 18; 7 take healthy volunteers.

This study: 15 Years to 28 Years · male · healthy volunteers too.

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02

Study summary

The purpose of this study is to determine differences in lower extremity landing biomechanics and real-world physical activity between individuals with patellar tendinopathy compared to individuals without patellar tendinopathy,and to determine the acute effects of an isometric loading intervention on lower extremity landing biomechanics in individuals with patellar tendinopathy.

03

Conditions studied

  • Tendinopathy

Keywords

  • Exercise
  • Physical Activity
  • Biomechanics
04

Who can participate

Ages eligible
15 Years to 28 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The investigators will recruit a convenience sample of participants who meet the following overall criteria:

  1. Age 15 and post-pubertal (confirmed by Pubertal Development Scale Questionnaire) - 28 years
  2. Actively participating within an organized sport setting (high school, collegiate, club, competitive intramural sports) in their respective team's weekly training and competitions, quantified by a Tegner Activity Level Scale of at least 5.

Exclusion criteria

Exclusion Criteria:

The following exclusion criteria will be applied to all participants:

  1. Any anterior knee pain with no patellar tendon abnormality on ultrasound assessment.
  2. History of any knee joint surgery ever.
  3. History of other (non-knee) lower extremity surgery in the last 1 year.
  4. History of lower extremity injury in last 6 months (other than patellar tendinopathy).
  5. An injection (, plasma-rich-protein, etc.) to the patellar tendon in the last 3 months.
  6. Known history of osteoarthritis or current symptoms related to osteoarthritis (i.e. stiffness, swelling).
  7. Participation in formal rehabilitation for patellar tendinopathy in prior 3 months
  8. Known neurological disorders, including: stroke, multiple sclerosis, ALS, diabetic neuropathy, epilepsy, traumatic brain injury resulting in loss of consciousness, concussion within the last 6 months, cranial neural surgery, balance disorders.
  9. Use of pacemaker or another implantable electronic device.
  10. History of cardiac arrhythmia or any cardiac condition.
  11. History of psychiatric disorder. *
  12. History of cancer in the brain or thigh musculature.
  13. Pubertal Development Scale Score \< 12 (Stages 1-4)

    • Note: Rationale for exclusion of individuals with a history of psychiatric disorders is that these individuals may have taken or be taking pharmacological agents that could affect pain or neuromuscular control.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Isometric Exercise Condition

    The participant will perform 5 sets of a 45-second isometric contractions at 70% of their maximum voluntary isometric contraction (MVIC). During the 45-second contraction, the participant will be provided with visual biofeedback on a computer screen (70% MVIC target line and +/- 5% error lines). The participant will be instructed to produce a level of isometric quadriceps contraction that maintains the isometric torque output line as close the target line as possible and always between the two error lines.

    Other: Isometric Exercise

  • Sham comparator
    Sham TENS Condition

    Two electrodes of the Select System TENS unit (Empi, Inc., St. Paul, MN) will be placed on either side of the patellar tendon on the test limb. The same instruction script will be used for each participant, stating, "A surface electrode has been placed on either side of your patellar tendon. I will turn on the stimulation unit to emit a stimulus to your patellar tendon. This is a special sub-sensory stimulation treatment, so you will not feel anything during this period as the stimulus is set at a very low, non-detectable threshold. Please remain still during this 45-second period, letting your leg rest passively in the machine without contracting your leg muscles. After the 45-second period, the stimulation unit will be turned off and you will have a 2-minute rest period. We will repeat this same treatment/rest sequence 5 total times."

    Other: Sham Transcutaneous Electrical Nerve Stimulation

Interventions

  • OtherIsometric Exercise

    5 sets of 45-seconds quadriceps contraction, each followed by 2-minutes of rest.

    Also known as: Therapeutic Exercise

  • OtherSham Transcutaneous Electrical Nerve Stimulation

    5 sets of 45-seconds intervals without quadriceps contraction, each followed by 2-minutes of rest.

    Also known as: Sham TENS

06

What researchers measure

Primary outcomes

  1. Difference in the change in mean internal knee extension moment during landing between groups

    Angular force or moment will be measured in Nm/kg\*m where "Nm" represents angular force and "kg\*m" represents normalization to body weight and height.

    Time frame: Pre- and post-intervention condition (~30 minutes)

  2. Difference in the change in mean internal hip flexion moment during landing between groups

    Angular force or moment will be measured in Nm/kg\*m where "Nm" represents angular force and "kg\*m" represents normalization to body weight and height.

    Time frame: Pre- and post-intervention condition (~30 minutes)

  3. Difference in the change in mean peak vertical ground reaction force during landing between groups

    Vertical ground reaction force will be measured in N(BW) where "N" is a measure of force and "BW" represents normalization to body weight.

    Time frame: Pre- and post-intervention condition (~30 minutes)

  4. Difference in the change in mean peak vertical ground reaction force loading rate during landing between groups

    Vertical ground reaction force loading rate will be measured in N(BW)/s where "N" is a measure of force and "BW" represents normalization to body weight and "s" is the time unit seconds.

    Time frame: Pre- and post-intervention condition (~30 minutes)

  5. Difference in the change in mean peak patellar tendon force during landing between groups

    Patellar tendon force will be measured in N(BW) where "N" is a measure of force and "BW" represents normalization to body weight.

    Time frame: Pre- and post-intervention condition (~30 minutes)

Secondary outcomes

  1. Difference in average steps-per-day between groups

    Steps-per-day calculated by an ActiGraph GT9X Link Accelerometer (ActiGraph Corporation, Pensacola, FL) wearable physical activity device worn at the hip using a belt clip.

    Time frame: Day 1 - Day 7

  2. Difference in average minutes of moderate-to-vigorous physical activity (MVPA) between groups

    MVPA calculated by an ActiGraph GT9X Link Accelerometer (ActiGraph Corporation, Pensacola, FL) wearable physical activity device worn at the hip using a belt clip.

    Time frame: Day 1 - Day 7

  3. Difference in change in anterior knee pain (self-reported via visual analog scale (0-10)) between groups

    A standard visual analog scale (0-10) will be utilized to assess pain, where 0=complete absence of pain and 10=worst pain imaginable (higher scores indicate worse pain). This scale will be delivered verbally and the participants will respond verbally.

    Time frame: Pre- and post-intervention condition (~10 minutes)

07

Study locations

1 site
  • Sports Medicine Research Laboratory
    Chapel Hill, North Carolina 27599, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Apr 2018, 7 months.

Of 174 non-industry interventional studies with no phase under Tendinopathy, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 37. This study's 7 months is below that.

Counting every sponsor, half of 183 studies reached it within 20 months; a quarter within 7 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2017
First posted
Aug 25, 2017
StartActual
Sep 15, 2017
Primary completionActual
Apr 20, 2018
CompletionActual
Apr 20, 2018
Last update
Feb 19, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03262181
Collaborators
Foundation for Physical Therapy, Inc.
Responsible party
Sponsor
First posted
Aug 25, 2017
Start date
Sep 15, 2017
Primary completion
Apr 20, 2018
Completion
Apr 20, 2018
Last update
Feb 19, 2019

Study contacts

Darin A Padua, PhD, ATC
study chair · Professor and Department Chair
Laura E Stanley, DPT
principal investigator · Graduate Research Assistant

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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