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Methods: Athletes with patellar tendinopathy (tennis, Australian football and badminton) were invited via team physiotherapists to participate in a four week in-season trial. Baseline data included the VISA-P and single leg decline squat (SDLS)(numerical pain rating score/10). The exercise consisted of an isometric squat using the belt anchored around a pillar and the participant’s lower legs for 5× 45 s at the depth they could maintain with upright trunk. Instructions for the correct technique were provided with pictures and descriptions. Outcome measures were adherence during the four week period (number of days/week completing the exercise), mean weekly single leg decline squat pain, numbers of games or training sessions missed due to tendon pain and follow up VISA-P. No sham treatment was offered for comparison. Data were compared from baseline as patellar tendon pain is known to be recalcitrant and …