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VISA-P · Victorian Institute of Sport Assessment - Patella

8 items · 4 min · 0–100 · higher is better

1 Before you use it

What it is

The patellar tendinopathy measure and the original VISA questionnaire. Eight items — pain with daily activities, function, and current sport participation, including a single-leg decline squat item.

When to reach for it

Patellar tendinopathy, at baseline and through the loading progression — isometric, heavy slow resistance, energy-storage.

Also used for Osgood-Schlatter and Sinding-Larsen-Johansson by extension, though it wasn't validated in a paediatric population — say so if you use it there.

2 Giving it

Scoring

Eight items to 0–100. Higher is better. An asymptomatic athlete scores 100.

What it doesn’t measure

Tendon structure, and it doesn't tell you the stage. And it doesn't measure the decline-squat pain that drives your loading dose — measure that separately as an asterisk.

Repeat it

Intake and each 4-week block through the season. Read the final item on its own every time.

3 Reading the score

Interpreting it

Interpret against baseline.

The final item — what sport are you doing and at what level of pain — is the return-to-play item, and it is the one that stops a student clearing an athlete on a good total.

Is the change real?

MCID 13 points, or a 15.4–27% relative change. MDC 12.2 points at 90% confidence. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in patellar tendinopathy.

On placement

Patellar tendinopathy, volleyballer, 8 weeks in. VISA-P 51 at intake, 66 today; final item still 'training with pain'.

Read it as 15 points up, over the 12.2-point MDC and the 13-point MCID (a 29% relative change; measured in patellar tendinopathy). Real and meaningful. But the last item — what sport, at what level of pain — hasn't changed.

Do don't clear the athlete on the total. The return-to-play item is the one that decides, and it says not yet.

Student trap. Using a VISA-P total to clear a jumper. Read the last item — it tells you what they're actually doing.

Official source: null. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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