Robotic assessment of proprioception in individuals with patellar tendinopathy: A feasibility and pilot study

[EN] Background: Individuals with patellar tendinopathy often exhibit impaired proprioception, which may contribute to symptom persistence and injury recurrence. A parallel robotic system based on a musculoskeletal knee model has shown valid and reliable performance for assessing joint position sens...

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Detalles Bibliográficos
Autores: Munoz-Gomez, Elena, Gonzalez-Pons, Hector, Ingles, Marta, Moreno-Segura, Noemi, Molla-Casanova, Sara, Serra-Añó, Pilar, Vallés Miquel, Marina|||0000-0002-6396-0098, Valera Fernández, Ángel|||0000-0001-6843-6394
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:dnet:riunet______::e7721d5078fa2cff2b8e598df8f8731c
Acceso en línea:https://riunet.upv.es/handle/10251/234415
Access Level:acceso abierto
Palabra clave:Rehabilitation robotics
Knee joint
Motion control
Parallel robots
Descripción
Sumario:[EN] Background: Individuals with patellar tendinopathy often exhibit impaired proprioception, which may contribute to symptom persistence and injury recurrence. A parallel robotic system based on a musculoskeletal knee model has shown valid and reliable performance for assessing joint position sense (JPS). This study aims to evaluate the feasibility of a protocol for the robotic assessment of knee proprioception in individuals with patellar tendinopathy and to compare their proprioceptive performance with that of healthy controls. Methods: Twenty-one participants with patellar tendinopathy (PTG) and fifteen healthy individuals (CG) (mean age: 32.36 (9.53) years) completed a single session of knee proprioception evaluation. JPS was assessed at 30 degrees and 50 degrees using passive (PJPS) and active (AJPS) repositioning tasks. Findings: The PTG exhibited greater absolute angular error than the CG during PJPS at 30 degrees (p = 0.04) and 50 degrees (p = 0.04), and during AJPS at 30 degrees (p = 0.01), with no differences detected in the 50 degrees AJPS task (p > 0.05). The feasibility analysis showed that perceived effort, difficulty, and pain were generally low, whereas comfort and satisfaction were rated highly. Interpretation: This study supports the use of a parallel robotic system as a viable instrument for assessing knee proprioception in people with patellar tendinopathy. Significant proprioceptive deficits were identified in this population compared to healthy controls, particularly in passive JPS at 30 degrees and 50 degrees, and in active JPS at 30 degrees.