You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Foot Posture and Patellar Tendon Pain Among Adult Volleyball Players

de Groot, Reinier MSc*; Malliaras, Peter PhD; Munteanu, Shannon PhD‡,§; Payne, Craig PhD; Morrissey, Dylan PhD; Maffulli, Nicola PhD

Clinical Journal of Sport Medicine:
doi: 10.1097/JSM.0b013e31824714eb
Brief Report

Objective: We hypothesized that individuals with a normal foot posture would be less likely to experience patellar tendon pain and pathology than those with a pronated or supinated foot.

Design: Observational study.

Setting: Field-based study among competing athletes.

Participants: Volleyball players competing in the Victorian State League, Australia.

Assessment of Risk Factors: Patellar tendinopathy (PT) is common in sports involving running and jumping and can severely limit athletes' ability to compete. Several studies have investigated potential etiological factors for the development of PT, but little is known about the association between PT and foot posture.

Main Outcome Measures: Static foot posture index (FPI), patellar tendon pain during single-leg decline squatting, and gray scale ultrasound imaging were measured in 78 recreational to elite volleyball players (48 men and 30 women).

Results: Men with patellar tendon pain were more likely to have a normal foot posture and men without pain were more likely to be pronated according to the FPI (P < 0.05). Women showed no association between FPI and pain or imaging (P > 0.05).

Conclusions: Men with a normal foot posture were more likely to have PT compared to men with a pronated foot type.

Author Information

*University of Groningen, Groningen, the Netherlands

Queen Mary, University of London, Centre for Sports and Exercise Medicine, Mile End Hospital, London, United Kingdom

Department of Podiatry

§Musculoskeletal Research Centre, La Trobe University, Melbourne, Australia.

Corresponding Author: Peter Malliaras, PhD, Queen Mary, University of London, Centre for Sports and Exercise Medicine, Mile End Hospital, London, E1 4DG, United Kingdom (

The authors report no conflicts of interest.

Received June 5, 2011

Accepted December 16, 2011

© 2012 Lippincott Williams & Wilkins, Inc.