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Updated: May 4, 2026

Subject-specific Musculoskeletal Model for Studying Bone Strain During Dynamic Motion
Published on: April 11, 2018
Variations in jump height explain the between-sex difference in patellar tendon loading during landing.
I Janssen1, N A T Brown, B J Munro
1Biomechanics Research Laboratory, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia; AIS Movement Science, Australian Institute of Sport, Canberra, Australia.
Jump height, not sex, is the primary driver of patellar tendon loading in volleyball players. This finding is crucial for understanding and preventing patellar tendinopathy, a common knee injury in athletes.
Area of Science:
- Sports Medicine
- Biomechanics
- Orthopedics
Background:
- Patellar tendinopathy is a prevalent overuse knee injury in volleyball.
- Men exhibit higher injury rates than women, suggesting potential sex-based biomechanical differences.
- High patellar tendon loading is implicated in patellar tendinopathy development.
Purpose of the Study:
- To investigate sex-based differences in landing technique and patellar tendon loading during a volleyball-specific movement.
- To determine if variations in landing biomechanics contribute to higher patellar tendon loading in male versus female players.
- To test the hypothesis that male players generate greater patellar tendon loading due to distinct landing techniques.
Main Methods:
- Collected landing technique and patellar tendon loading data from 20 male and 20 female volleyball players.
- Utilized a lateral stop-jump block movement simulation.
- Employed independent t-tests, controlling for jump height and anthropometric variations.
Main Results:
- Male players were taller, heavier, and jumped from greater heights.
- Significant differences in landing kinematics and knee extensor moments were observed between sexes.
- Unadjusted comparisons showed higher patellar tendon loading in males, but this difference disappeared when matched for jump height.
Conclusions:
- Jump height is a more significant determinant of patellar tendon loading than sex in volleyball players.
- Landing technique differences between sexes do not independently lead to higher patellar tendon loading when jump height is normalized.
- Future research should focus on jump height management to mitigate patellar tendon loading and prevent tendinopathy.
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