Matthew D. DeLang , Lasse Ishøi , Kasper Thornton , Kristian Thorborg
{"title":"High previous-week training load amplifies hip adduction squeeze strength reductions in male academy football players with performance-limiting groin pain","authors":"Matthew D. DeLang , Lasse Ishøi , Kasper Thornton , Kristian Thorborg","doi":"10.1016/j.ptsp.2026.101902","DOIUrl":"10.1016/j.ptsp.2026.101902","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether preceding seven-day football training load and previous seven-day groin pain influence hip adduction squeeze strength in academy football players.</div></div><div><h3>Design</h3><div>Longitudinal observational study with twice weekly repeated measures over seven weeks.</div></div><div><h3>Setting</h3><div>West African academy football club.</div></div><div><h3>Participants</h3><div>Nineteen male academy football players (age 16.5 ± 0.9 [15-18] years).</div></div><div><h3>Main outcome measures</h3><div>Hip adduction squeeze strength, performance-limiting groin pain, and football training load were captured. Observations with and without groin pain were stratified into two groups, and two linear-mixed effects models examined hip adduction squeeze strength based on preceding-week football training load.</div></div><div><h3>Results</h3><div>Hip adduction squeeze strength was significantly influenced by football training load when associated with groin pain (estimate −0.13, 95% CI [-0.20, −0.07], p < 0.001). In observations without groin pain, football training load did not influence hip adduction squeeze strength (estimate −0.01, 95% CI [-0.06, 0.03], p = 0.634.</div></div><div><h3>Conclusions</h3><div>When groin pain is present, hip adduction squeeze strength is adversely influenced by higher football training loads. Players without groin pain do not experience hip adduction squeeze strength reductions from high football training load. Monitoring training load should be a consideration for practitioners working with football players that are experiencing groin pain.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101902"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Return-to-sport following lateral ankle sprain: Connecting scientific frameworks and real-world protocols of elite sports teams","authors":"Jente Wagemans , Bart Dingenen , Bruno Tassignon","doi":"10.1016/j.ptsp.2026.101899","DOIUrl":"10.1016/j.ptsp.2026.101899","url":null,"abstract":"<div><div>Lateral ankle sprains (LAS) are the most common lower-limb sports injuries and demonstrate high recurrence rates. Although several return-to-sport (RTS) frameworks exist, empirical, sport-specific criteria remain limited. Clinicians rely on heterogeneous or incomplete assessment strategies. This paper aims to answer how current RTS guidelines for LAS compare to RTS protocols in elite sports teams; and how RTS decision-making after LAS can be optimised by connecting conceptual frameworks and real-life protocols. Elite teams’ protocols (n = 6) demonstrated large variability in RTS-phases, progression, and assessment strategies. Only one StARRT domain (specific tests) was universally assessed. All teams evaluated ankle range of motion, muscle function, jumping/hopping, and agility (PAASS framework). Psychological readiness, proprioception, contextual modifiers and ability to complete a full training were deficient in the protocols. Most protocols approached RTS with phases. Both literature and practice relied heavily on isolated tests, with minimal integration of sport-specific, continuous RTS assessments. Optimising RTS after LAS requires shifting from reductionist, single-time-point testing toward a complex-systems approach embedded across the RTS continuum. Clinicians should integrate progressive on-field rehabilitation, continuous monitoring across a broader range of factors influencing risk and readiness. Aligning frameworks with practical, phase-based protocols may enhance decision-making, reduce recurrence risk and facilitate return to performance.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101899"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Test–retest reliability of dual-task cost in neurocognitive single-leg hop and countermovement jump tests","authors":"Shunsuke Ohji, Jun-ya Aizawa","doi":"10.1016/j.ptsp.2026.01.001","DOIUrl":"10.1016/j.ptsp.2026.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>To examine test–retest reliability of single-leg anterior hop (SLH) and countermovement jump (SCMJ) with a simple visual reaction-time stimulus (LED illumination), and reliability of dual-task cost (DTC) in healthy adults.</div></div><div><h3>Design</h3><div>Cross-sectional reliability study.</div></div><div><h3>Setting</h3><div>Controlled university laboratory.</div></div><div><h3>Participants</h3><div>Twenty-nine college students (14 females, 15 males; 21.4 ± 1.0 years).</div></div><div><h3>Methods</h3><div>Participants completed two sessions 14–21 d apart. Reliability for SLH, neurocognitive SLH (N-SLH), SCMJ, neurocognitive SCMJ (N-SCMJ), reaction time, and DTC was assessed using intraclass correlation coefficients (ICC<sub>3</sub>,<sub>1</sub>), standard error of measurement (SEM), and minimal detectable change (MDC). Bland–Altman analysis examined fixed and proportional bias.</div></div><div><h3>Results</h3><div>SLH distance and SCMJ height showed excellent test–retest reliability (ICC = 0.93–0.96), and reaction time showed good reliability (ICC = 0.79–0.85). DTC reliability was moderate for SLH (ICC = 0.51) and poor for SCMJ (ICC = 0.49). Bland–Altman analysis identified fixed bias for N-SCMJ height and proportional bias for SLH DTC.</div></div><div><h3>Conclusion</h3><div>Single-leg hop/jump performance and reaction time under a simple visual reaction-time stimulus were reproducible across sessions; however, DTC showed moderate–poor reliability. Interpretation of the proposed DTC ≤10 % threshold should be guided by SEM and MDC estimates, particularly for values near the threshold and when proportional bias is present.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101886"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145908872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationships between single-leg hop for distances of four types at 6 Months after anterior cruciate ligament reconstruction and knee joint function, disturbed body perception, and movement-specific fear","authors":"Shinya Fujita , So Tanaka , Yuta Tomooka , Hirofumi Yamashita , Akira Mibu , Masami Tokunaga , Takaaki Yoshimoto , Tomohiko Nishigami","doi":"10.1016/j.ptsp.2025.10.040","DOIUrl":"10.1016/j.ptsp.2025.10.040","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the relationship between three types of single-leg hop for distance (SLHD), the triple hop for distance (TPD), and clinical variables at 6 months after anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Participants</h3><div>A total of 114 knees from 114 patients (53 males, 61 females; mean age: 23.6 ± 9.2 years) who underwent primary unilateral ACLR were assessed at 6 months postoperatively.</div></div><div><h3>Main outcome measures</h3><div>Outcome measures included a four-hop test battery, isokinetic knee strength, pain intensity during movement, disturbed body perception, and intensity of fear during each hop test. Multiple regression analyses were conducted, using the limb symmetry index (LSI) of each hop test as the dependent variable and clinical factors as independent variables.</div></div><div><h3>Results</h3><div>Multiple regression analysis showed that the LSIs of the three SLHD types were independently associated with disturbed body perception, fear during SLHD, and knee extensor strength, respectively. For triple hop for distance (THD), disturbed body perception, fear during SLHD, and knee flexor strength were independently related to performance.</div></div><div><h3>Conclusions</h3><div>These findings highlight the need to integrate not only muscle strengthening but also assessments addressing disturbed body perception and movement-specific fear into rehabilitation programs aimed at facilitating return-to-sport after ACLR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 21-27"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Harry-Leite , Manuel Paquete , Gonçalo Araújo , Daniel Oliveira , José António Fraiz , Fernando Ribeiro
{"title":"Effects of combined kinesiology taping and proprioceptive training on balance and proprioception in athletes with chronic ankle instability: A randomized controlled trial","authors":"Pedro Harry-Leite , Manuel Paquete , Gonçalo Araújo , Daniel Oliveira , José António Fraiz , Fernando Ribeiro","doi":"10.1016/j.ptsp.2025.12.005","DOIUrl":"10.1016/j.ptsp.2025.12.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate if combining kinesiology taping (KT) with proprioceptive training improves proprioception and balance in athletes with CAI. We hypothesized that adding KT would be more effective than proprioceptive training alone.</div></div><div><h3>Design</h3><div>This was a two-group randomized controlled study in which both groups underwent a six-week intervention consisting of three sessions per week.</div></div><div><h3>Setting</h3><div>Sports/clinical training environment.</div></div><div><h3>Participants</h3><div>Fifty amateur athletes (mean age: 20.7 ± 3.6 years) with CAI.</div></div><div><h3>Main outcome measures</h3><div>Ankle joint position sense (proprioception), static balance (Balance Error Scoring System - BESS), and dynamic balance (Y-Balance Test).</div></div><div><h3>Results</h3><div>At baseline, no significant differences were found between groups. Following the six-week intervention (3 sessions/week), both groups showed significant improvements (p < 0.05). However, no significant between-group differences were observed for ankle position sense (MD: −0.5° [95 % CI: −1.6, 0.6], p = 0.347), Y-Balance Test (MD: 0.4 [95 % CI: −3.3, 4.1], p = 0.831), or BESS scores (MD: −2.0 [95 % CI: −5.0, 1.1], p = 0.207), indicating similar outcomes for both interventions.</div></div><div><h3>Conclusions</h3><div>A six-week proprioceptive program enhanced proprioception and balance in CAI athletes, but KT offered no additional benefit. Findings confirm proprioceptive exercise as a key intervention and question KT's functional value in this context.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 113-122"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren Butler , Alexa Martinez , Jeffrey Fernandez , Gabriel Cardenas , Margaret Wright , Dai Sugimoto
{"title":"Mastering the movement, not the mind: The relationship between quality of movement and kinesiophobia after ACL reconstruction in young athletes","authors":"Lauren Butler , Alexa Martinez , Jeffrey Fernandez , Gabriel Cardenas , Margaret Wright , Dai Sugimoto","doi":"10.1016/j.ptsp.2025.12.002","DOIUrl":"10.1016/j.ptsp.2025.12.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the relationship between kinesiophobia and quality of movement at return-to-sport (RTS) testing after primary anterior cruciate ligament reconstruction (ACLR) in youth athletes.</div></div><div><h3>Design</h3><div>Retrospective case-control.</div></div><div><h3>Setting</h3><div>Pediatric Hospital.</div></div><div><h3>Participants</h3><div>114 participants (77.2 % male; 16.1 ± 2.3 years, 10.3 ± 4.4 months post ACLR).</div></div><div><h3>Main outcome measures</h3><div>Tampa Scale of Kinesiophobia (TSK-11), quantitative and qualitative results of RTS test including triple hop for distance (THD), triple crossover hop for distance (TCHD), and a sidestep cut (SSC).</div></div><div><h3>Results</h3><div>During the THD, the high kinesiophobia group demonstrated fewer significant valgus faults on the involved limb (p = 0.027) and lower propensities of stiff landing on the uninvolved limb (p = 0.030) compared to the low kinesiophobia group. The high kinesiophobia group showed fewer stiff landing errors on the involved limb during the TCHD (p = 0.031) and fewer total sagittal plane errors on the involved limb during the SSC (p = 0.012). No significant differences in limb symmetry indices were observed.</div></div><div><h3>Conclusion</h3><div>Participants with high kinesiophobia showed fewer quality of movement errors in both the frontal and sagittal plane at RTS testing after ACLR. Despite better movement quality, high fear may be an unresolved problem that still needs to be addressed during rehabilitation after ACLR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 79-86"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hang Pan, Shengxing Fu, Yulin Zhou, Hanjun Li, Huijuan Shi
{"title":"Relationship between quadriceps strength performance and knee joint function during single-leg hop test in runners with patellofemoral pain","authors":"Hang Pan, Shengxing Fu, Yulin Zhou, Hanjun Li, Huijuan Shi","doi":"10.1016/j.ptsp.2025.11.009","DOIUrl":"10.1016/j.ptsp.2025.11.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate differences in isokinetic quadriceps strength and knee joint function during single-leg hop test between runners with patellofemoral pain (PFP) and healthy runners, and their relationship.</div></div><div><h3>Design</h3><div>Controlled and correlational study.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>24 runners with PFP and 17 healthy individuals.</div></div><div><h3>Main outcome measures</h3><div>Quadriceps torque and power were assessed by the isokinetic dynamometer. Kinematics and kinetics, including joint moment, power, and joint work were collected via 3D motion capture and force plates during the hop test. Group differences were tested with Two-way ANOVA, and Partial correlation assessed the relationship between quadriceps strength and hop biomechanics.</div></div><div><h3>Results</h3><div>No group differences in quadriceps strength were identified (p ≥ 0.618). PFP group displayed increased hip work (p = 0.020) and contribution (p = 0.016), but reduced knee work contribution (p = 0.029) during single-leg hop test. Quadriceps strength correlated with knee function during the hop test in controls (r ≥ 0.485, p ≤ 0.048) but not in PFP group (r ≤ 0.287, p ≥ 0.208).</div></div><div><h3>Conclusions</h3><div>Runners with PFP exhibited no quadriceps weakness but used a more hip-dominant strategy. Quadriceps strength was correlated with hop biomechanics in healthy individuals, but this relationship was disrupted in runners with PFP.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 37-43"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hayden Price , Sonu Bae , Gabriel Alain , Laura Schmitt , Tyler Barker
{"title":"Prognostic indicators of lower extremity functional recovery after anterior cruciate ligament reconstruction","authors":"Hayden Price , Sonu Bae , Gabriel Alain , Laura Schmitt , Tyler Barker","doi":"10.1016/j.ptsp.2025.11.006","DOIUrl":"10.1016/j.ptsp.2025.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>To create a predictive model of early post-operative function after anterior cruciate ligament reconstruction (ACLR) using demographic and surgical prognostic indicators.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Outpatient academic hospital.</div></div><div><h3>Participants</h3><div>962 adult patients with ACLR.</div></div><div><h3>Main outcome measure</h3><div>The longitudinal trajectory of Lower Extremity Functional Scale (LEFS) scores over the first 26 weeks post-ACLR was modeled using a negative exponential function with three parameters: an initial functional status immediately after ACLR (pseudo-intercept), a recovery rate constant, and a recovery plateau (asymptote). Associations of demographic (age, sex, body mass index [BMI]) and surgical factors (graft type, concomitant surgical procedures) with each of the parameters were evaluated. A multivariate model was created from significant prognostic indicators identified.</div></div><div><h3>Results</h3><div>Lower initial function was associated with quadriceps tendon autografts and concomitant procedures. Female sex, quadriceps tendon autografts, and concomitant procedures were associated with slower recovery rates. Older age and higher BMI were associated with lower recovery plateaus. Inclusion of demographic and surgical predictors improved model performance compared to time post-ACLR alone.</div></div><div><h3>Conclusions</h3><div>Demographic and surgical factors are prognostic of early post-operative function after ACLR, and a predictive model for postoperative LEFS scores created using these factors may provide insights useful for rehabilitation planning.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 70-78"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xin Liang , Bin Shen , Songlin Xiao , Zhen Xu , Chuyi Zhang , Xuekai Zong , Jingjing Li , Jia Han , Weijie Fu
{"title":"Males with chronic ankle instability exhibit sex-specific force sense deficits","authors":"Xin Liang , Bin Shen , Songlin Xiao , Zhen Xu , Chuyi Zhang , Xuekai Zong , Jingjing Li , Jia Han , Weijie Fu","doi":"10.1016/j.ptsp.2025.11.005","DOIUrl":"10.1016/j.ptsp.2025.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether there are differences in sensorimotor function between sexes in individuals with and without chronic ankle instability (CAI).</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Laboratory.</div></div><div><h3>Participants</h3><div>50 (26 males/24 females) individuals with CAI and 40 (17 males/23 females) healthy controls (HC).</div></div><div><h3>Main outcome measures</h3><div>Ankle muscle strength and proprioception were assessed using an isokinetic dynamometer. Static balance performance was assessed by a one-leg standing task, and dynamic balance performance was tested using the Y-Balance test.</div></div><div><h3>Results</h3><div>Compared with healthy controls, both males and females with CAI exhibited worse proprioception and balance control, but no difference in muscle strength. A significant group and sex interaction effect was observed of force sense in the dorsiflexion direction (<em>F</em> = 5.14, <em>p</em> = 0.026, <span><math><mrow><msubsup><mi>η</mi><mi>p</mi><mn>2</mn></msubsup></mrow></math></span> = 0.057). <em>Post-hoc</em> analysis showed that, the absolute error of force sense in males was significantly larger than females in the CAI group (<em>p</em> < 0.001), while there was no difference in the HC (<em>p</em> = 0.536).</div></div><div><h3>Conclusion</h3><div>This finding indicated that among individuals with CAI, males are more likely to experience a greater impairment in the dorsiflexion direction of force sense than females. Future rehabilitation programs should consider targeted proprioceptive interventions for males to address this deficit effectively.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 28-36"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F.J. Molina-Payá , S. Montero-Navarro , C. Orts-Ruiz , C. Salar-Andreu , J.R. Brotons-Mas , J. Sánchez-Mas
{"title":"Diagnostic accuracy of infrared thermography and textural features in patellar tendinopathy: optimizing ROI selection in athletes","authors":"F.J. Molina-Payá , S. Montero-Navarro , C. Orts-Ruiz , C. Salar-Andreu , J.R. Brotons-Mas , J. Sánchez-Mas","doi":"10.1016/j.ptsp.2025.12.003","DOIUrl":"10.1016/j.ptsp.2025.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the diagnostic accuracy of infrared thermography (IT) using temperature difference (ΔT) and gray-level co-occurrence matrix (GLCM)-based textural parameters for detecting patellar tendinopathy (PT) in athletes, and to determine the optimal region of interest (ROI) size for analysis.</div></div><div><h3>Design</h3><div>Cross-sectional study following STARD criteria.</div></div><div><h3>Setting</h3><div>Physical therapy center with controlled environmental conditions.</div></div><div><h3>Participants</h3><div>54 athletes (27 with unilateral PT; 27 healthy controls).</div></div><div><h3>Main outcome measures</h3><div>Temperature differences (ΔT) and GLCM features (energy, homogeneity, contrast, correlation, entropy) from thermal images of tendon and knee ROIs.</div></div><div><h3>Results</h3><div>Athletes with PT showed higher ΔT in the tendon ROI (0.5 ± 0.36 °C vs. 0.2 ± 0.20 °C; d = 0.77; p = 0.013). Among GLCM parameters, tendon ROI correlation (TCOR) differed significantly between groups (p = 0.042). Diagnostic performance analysis identified ΔT as the best single variable (AUC 0.83; sensitivity 78 %; specificity 78 %). The ΔT + GLCM combination achieved highest accuracy for tendon ROI (AUC 0.93). The patellar tendon-specific ROI provided better discrimination than the knee ROI.</div></div><div><h3>Conclusions</h3><div>IRT combined with GLCM enhances PT diagnostic precision, with the tendon ROI optimal for detecting local physiological differences. This accessible multimodal approach could complement clinical diagnosis in athletes.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"77 ","pages":"Pages 87-94"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}