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March 3, 2026Journal of Clinical Medicine0 citationsOpen Access

Soft Tissue Stiffness and Functional Knee Outcomes in Female Handball Players Following a Knee Injury: A Cross-Sectional Study

JMJoanna MencelANAlicja NoculakTSTomasz Sipko

Key Points

  • Only patellar tendon stiffness showed significant differences between the groups, indicating specialized adaptations for athletes.
  • ANOVA revealed a significant effect of group and position on muscle stiffness, with patellar tendon stiffness detected during lying down.
  • The MyotonPRO device quantified transverse stiffness of the patellar tendon and related muscle groups in both groups while assessing knee outcomes.
  • Negative correlations between stiffness and clinical assessments imply that increased stiffness may be linked to poorer functional outcomes.

Abstract

Background/Objectives: The aim of our study was to evaluate the transverse stiffness of selected soft tissues in the knee joint region on the previously injured and uninjured sides of female handball players and non-athlete women, in the lying and standing positions, and to investigate the relationship between stiffness, age, sporting practice, and clinical assessments of the knees. Methods: A total of 25 young female handball players (the SPORT group) and 27 healthy non-athletic individuals (the CONTROL group) were examined. The MyotonPRO device was used to measure the stiffness of the patellar tendon (PT), rectus femoris (RF), and biceps femoris (BF) muscles on both sides and in both positions. The function of the knee joints was clinically assessed using the Knee Outcome Survey-Sports Activities Scale and the Lysholm Knee Scoring Scale. Results: ANOVA indicated a significant effect of group (p p p p > 0.05), compared to the CONTROL group. Significant negative correlations were found between PT stiffness and both clinical scales in the SPORT group (rho from -0.39 to -0.71, p Conclusions: In female handball players, only the patellar tendon transverse stiffness was higher than in the control group. While this higher stiffness could indicate an adaptive rebuilding process, it was negatively correlated with the clinical assessment of joint function, meaning poorer knee joint function.

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Cite This Study

Mencel et al. (2026) studied this question.

synapsesocial.com/papers/69a75b94c6e9836116a23190https://doi.org/10.3390/jcm15020891
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