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1.
Abstract

Anterior cruciate ligament (ACL) rupture, during ski-landing, is caused by excessive knee joint forces and kinematics, like anterior tibial translation, internal tibial rotation, and valgus rotation. It is not well understood how these forces/kinematics are directly related to ski-landing impact. In the present study, we applied simulated ski-landing impact to knee specimens, and examined joint force/kinematic responses and their correlations with impact force. Ten human cadaveric knees were subjected to axial impact loading at 70° of flexion to simulate ski-landing impact. Impact was repeated with incremental magnitude until ACL failure. Axial impact forces, anterior-posterior and medial-lateral tibial forces were measured using a tri-axial load cell. Anterior-posterior tibial translation, internal-external tibial rotation, and valgus-varus rotation were determined using a motion-capture system. We found positive correlations of axial impact force with anterior tibial force, medial tibial force, anterior tibial translation, internal tibial rotation, and valgus joint rotation. Axial impact forces were more strongly correlated with anterior tibial forces (R 2 = 0.937 ± 0.050), anterior tibial translation (R 2 = 0.916 ± 0.059), and internal tibial rotation (R 2 = 0.831 ± 0.141) than medial tibial force (R 2 = 0.677 ± 0.193) and valgus joint rotation (R 2 = 0.630+0.271). During ski-landing, these joint forces/kinematics can synergistically act to increase ACL injury risk, whereby the failure mechanism would be dominated by anterior tibial forces, anterior tibial translation, and internal tibial rotation.  相似文献   

2.
Limited evidence showed that higher workload increases knee forces without effects from changes in pedalling cadence. This study assessed the effects of workload and cadence on patellofemoral and tibiofemoral joint forces using a new model. Right pedal force and lower limb joint kinematics were acquired for 12 competitive cyclists at two levels of workload (maximal and second ventilatory threshold) at 90 and 70 rpm of pedalling cadence. The maximal workload showed 18% larger peak patellofemoral compressive force PFC (large effect size, ES) than the second ventilatory threshold workload (90 rpm). In the meantime, the 90-rpm second ventilatory threshold was followed by a 29% smaller PFC force (large ES) than the 70-rpm condition. Normal and anterior tibiofemoral compressive forces were not largely affected by changes in workload or pedalling cadence. Compared to those of previous studies, knee forces normalized by workload were larger for patellofemoral (mean = 19 N/J; difference to other studies = 20–45%), tibiofemoral compressive (7.4 N/J; 20–572%), and tibiofemoral anterior (0.5 N/J; 60–200%) forces. Differences in model design and testing conditions (such as workload and pedalling cadence) may affect prediction of knee joint forces.  相似文献   

3.
The purpose of this study was to compare the lower extremity inter-joint coordination of different collision forces runners during running braking phase. A dynamical system approach was used to analyse the inter-joint coordination parameters. Data were collected with six infra-red cameras and two force plates. According to the impact peak of the vertical ground reaction force, twenty habitually rearfoot-strike runners were categorised into three groups: high collision forces runners (HF group, n = 8), medium collision forces runners (MF group, n = 5), and low collision forces runners (LF group, n = 7). There were no significant differences among the three groups in the ankle and knee joint angle upon landing and in the running velocity (p > 0.05). The HF group produced significantly smaller deviation phase (DP) of the hip flexion/extension-knee flexion/extension during the braking phase compared with the MF and LF groups (p < 0.05). The DP of the hip flexion/extension-knee flexion/extension during the braking phase correlated negatively with the collision force (p < 0.05). The disparities regarding the flexibility of lower extremity inter-joint coordination were found in high collision forces runners. The efforts of the inter-joint coordination and the risk of running injuries need to be clarified further.  相似文献   

4.
The aim of this study was to determine whether sex differences and effect of drop heights exist in stiffness alteration of the lower extremity during a landing task with a drop height increment. Twelve male participants and twelve female participants performed drop landings at two drop heights (DL40 and DL60; in cm). The leg and joint stiffnesses were calculated using a spring–mass model, and the joint angular kinematics were calculated using motion capture. Ground reaction forces (GRFs) were recorded using a force plate. The peak vertical GRF of the females was significantly increased when the drop height was raised from 40 to 60 cm. Significantly less leg and knee stiffness was observed for DL60 in females. The ankle, knee, and hip angular displacement during landing were significantly increased with drop height increment in both sexes. The knee and hip flexion angular velocities at contact were significantly greater for the 60 cm drop height relative to the 40 cm drop height in males. These sex disparities regarding the lower extremity stiffness and kinematics alterations during drop landing with a drop height increment would predispose females to lower extremity injury.  相似文献   

5.
High impact forces during gymnastic landings are thought to contribute to the high rate of injuries. Lower limb joint flexion is currently limited within gymnastic rules, yet might be an avenue for reduced force absorption. This study investigated whether lower limb flexion during three gymnastic landings was related to force. Differences between landings were also explored. Twenty-one elite women's artistic gymnasts performed three common gymnastic techniques: drop landing (DL), front and back somersaults. Ankle, knee, and hip angles, and vertical ground reaction force [(vGRF) magnitude and time to peak], were measured using three-dimensional motion analysis and force platform. The DL had significantly smaller peak vGRF, greater time to peak vGRF and larger lower limb flexion ranges than landing from either somersault. Peak vGRF and time to peak vGRF were inversely related. Peak vGRF was significantly reduced in gymnasts who landed with greater hip flexion, and time to peak was significantly increased with increasing ankle, knee, and hip flexion. Increased range of lower limb flexion should be encouraged during gymnastic landings to increase time to peak vGRF and reduce high impact force. For this purpose, judging criteria limitations on lower limb flexion should be reconsidered.  相似文献   

6.
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7.
ABSTRACT

Knee joint coordination during jump landing in different directions is an important consideration for injury prevention. The aim of the current study was to investigate knee and hip kinematics on the non-dominant and dominant limbs during landing. A total of 19 female volleyball athletes performed single-leg jump-landing tests in four directions; forward (0°), diagonal (30° and 60°) and lateral (90°) directions. Kinematic and ground reaction force data were collected using a 10-camera Vicon system and an AMTI force plate. Knee and hip joint angles, and knee angular velocities were calculated using a lower extremity model in Visual3D. A two factor repeated measures ANOVA was performed to explore limb dominance and jump direction. Significant differences were seen between the jump directions for; angular velocity at initial contact (p < 0.001), angular velocity at peak vertical ground reaction force (p < 0.001), and knee flexion excursion (p = 0.016). Knee coordination was observed to be poorer in the early phase of velocity-angle plot during landing in lateral direction compared to forward and diagonal directions. The non-dominant limb seemed to have better coordination than the dominant limb during multi-direction jump landing. Therefore, dominant limbs appear to be at a higher injury risk than non-dominant limbs.  相似文献   

8.
An analytical biomechanical model was developed to establish the relevant properties of the Smith squat exercise, and the main differences from the free barbell squat. The Smith squat may be largely patterned to modulate the distributions of muscle activities and joint loadings. For a given value of the included knee angle (θ(knee)), bending the trunk forward, moving the feet forward in front of the knees, and displacing the weight distribution towards the forefoot emphasizes hip and lumbosacral torques, while also reducing knee torque and compressive tibiofemoral and patellofemoral forces (and vice versa). The tibiofemoral shear force φ(t) displays more complex trends that strongly depend on θ(knee). Notably, for 180° ≥ θ(knee) ≥ 130°, φ(t) and cruciate ligament strain forces can be suppressed by selecting proper pairs of ankle and hip angles. Loading of the posterior cruciate ligament increases (decreases) in the range 180° ≥ θ(knee) ≥ 150° (θ(knee) ≤ 130°) with knee extension, bending the trunk forward, and moving the feet forward in front of the knees. In the range 150° > θ(knee) > 130°, the behaviour changes depending on the foot weight distribution. The conditions for the development of anterior cruciate ligament strain forces are explained. This work enables careful use of the Smith squat in strengthening and rehabilitation programmes.  相似文献   

9.
Our purpose was to compare joint loads between habitual rearfoot (hRF) and habitual mid/forefoot strikers (hFF), rearfoot (RFS) and mid/forefoot strike (FFS) patterns, and shorter stride lengths (SLs). Thirty-eight hRF and hFF ran at their normal SL, 5% and 10% shorter, as well as with the opposite foot strike. Three-dimensional ankle, knee, patellofemoral (PF) and hip contact forces were calculated. Nearly all contact forces decreased with a shorter SL (1.2–14.9% relative to preferred SL). In general, hRF had higher PF (hRF-RFS: 10.8 ± 1.4, hFF-FFS: 9.9 ± 2.0 BWs) and hip loads (axial hRF-RFS: ?9.9 ± 0.9, hFF-FFS: ?9.6 ± 1.0 BWs) than hFF. Many loads were similar between foot strike styles for the two groups, including axial and lateral hip, PF, posterior knee and shear ankle contact forces. Lateral knee and posterior hip contact forces were greater for RFS, and axial ankle and knee contact forces were greater for FFS. The tibia may be under greater loading with a FFS because of these greater axial forces. Summarising, a particular foot strike style does not universally decrease joint contact forces. However, shortening one’s SL 10% decreased nearly all lower extremity contact forces, so it may hold potential to decrease overuse injuries associated with excessive joint loads.  相似文献   

10.
Lumbar-pelvic kinematics change in response to increasing rowing stroke rates, but little is known about the effect of incremental stroke rates on changes in joint kinetics and their implications for injury. The purpose of this study was to quantify the effects of incremental rowing intensities on lower limb and lumbar-pelvic kinetics. Twelve female rowers performed an incremental test on a rowing ergometer. Kinematic data of rowers’ ankle, knee, hip and lumbar-pelvic joints, as well as external forces at the handle, seat and foot-stretchers of the rowing machine were recorded. Inter-segmental moments and forces were calculated using inverse dynamics and were compared across stroke rates using repeated measures ANOVA. Rowers exhibited increases in peak ankle and L5/S1 extensor moments, reductions in peak knee moments and no change in peak hip moments, with respect to stroke rate. Large shear and compressive forces were seen at L5/S1 and increased with stroke rate (P < 0.05). This coincided with increased levels of lumbar-pelvic flexion. High levels of lumbar-pelvic loading at higher stroke rates have implications with respect to injury and indicated that technique was declining, leading to increased lumbar-pelvic flexion. Such changes are not advantageous to performance and can potentially increase the risk of developing injuries.  相似文献   

11.
Although landing in a plantarflexion and inversion position is a well-known characteristic of lateral ankle sprains, the associated kinematics of the knee and hip is largely unknown. Therefore, the purpose of this study was to examine the changes in knee and hip kinematics during landings on an altered landing surface of combined plantarflexion and inversion. Participants performed five drop landings from 30 cm onto a trapdoor platform in three different conditions: flat landing surface, 25° inversion, or a combined 25° plantarflexion and 25° inversion. Kinematic data were collected using a seven camera motion capture system. A 2 × 3 (leg × surface) repeated measures ANOVA was used for statistical analysis. The combined surface showed decreased knee and hip flexion range of motion (ROM) and increased knee abduction ROM (p < 0.05). The altered landing surface creates a stiff landing pattern where reductions in sagittal plane motion are transferred to the frontal plane, resulting in increased knee abduction. A stiff landing pattern is frequently related to increased risk of anterior cruciate ligament injury. It may be beneficial for athletes at risk to train for alternate methods of increasing their sagittal plane motion of the knee and hip with active knee or trunk flexion.  相似文献   

12.
The effectiveness of vertical drop jumps (VDJs) to screen for non-contact ACL injuries is unclear. This may be contributed to by discrete point analysis, which does not evaluate patterns of movement. Also, limited research exists on the second landing of VDJs, potential lower limb performance asymmetries and the effect of fatigue. Statistical parametric mapping investigated the main effects of landing, limb dominance and a high intensity, intermittent exercise protocol (HIIP) on VDJ biomechanics. Twenty-two male athletes (21.9 ± 1.1 years, 180.5 ± 5.5 cm, 79.4 ± 7.8 kg) performed VDJs pre- and post-HIIP. Repeated measures ANOVA identified pattern differences during the eccentric phases of the first and second landings bilaterally. The first landing displayed greater (internal) knee flexor (η2 = 0.165), external rotator (η2 = 0.113) and valgus (η2 = 0.126) moments and greater hip (η2 = 0.062) and knee (η2 = 0.080) flexion. The dominant limb generated greater knee flexor (η2 = 0.062), external rotator (η2 = 0.110) and valgus (η2 = 0.065) moments. The HIIP only had one effect, increased thoracic flexion relative to the pelvis (η2 = 0.088). Finally, the dominant limb demonstrated greater knee extensor moments during the second landing (η2 = 0.100). ACL injury risk factors were present in both landings of VDJs with the dominant limb at potentially greater injury risk. Therefore, VDJ screenings should analyse both landings bilaterally.  相似文献   

13.
Jump landing tasks have been used to assess landing characteristics and require significant sensorimotor feedback to maintain functional joint stability (FJS) throughout the task. Postural stability (PS) also requires significant sensorimotor feedback and control and would seemingly involve similar sensory feedback pathways. However, previous literature clarifying the relationship between these two processes, maintaining FJS and PS, is limited. 80 Special Tactics Operators. PS was assessed using the Sensory Organization Test (SOT). SOT variables included: Composite, Somatosensory, Visual, Vestibular, and Preference scores. Landing characteristics were assessed using motion analysis during a double-legged (DLSJ) and single-legged (SLSJ) stop jump task. Pearson’s correlation coefficients were calculated to assess the relationship between SOT scores and landing characteristics (α < .05). For the DLSJ, significant correlations were found between: Composite and peak posterior ground reaction forces (?.257), Vestibular and peak knee abduction moment (?.237), and Preference and initial contact hip flexion (?.297), peak hip flexion (?.249). For the SLSJ, significant correlations were found between: Somatosensory and peak vertical ground reaction forces (?.246); Preference and initial contact hip flexion (?.295), peak hip flexion (?.262). The results indicate that the SOT may not be a sensitive enough tool to assess sensorimotor control in a healthy, athletic population.  相似文献   

14.
This study presents the kinematics and plantar pressure characteristics of eight elite national-level badminton athletes and eight recreational college-level badminton players while performing a right-forward lunge movement in a laboratory-simulated badminton court. The hypothesis was that recreational players would be significantly different from elite players in kinematics and plantar pressure measures. Vicon® motion capture and Novel® insole plantar pressure measurement were simultaneously taken to record the lower extremity kinematics and foot loading during stance. Recreational players showed significantly higher peak pressure in the lateral forefoot (P = 0.002) and force time integral in the lateral forefoot (P = 0.013) and other toes (P = 0.005). Elite athletes showed higher peak pressure in the medial forefoot (P = 0.003), hallux (P = 0.037) and force time integral in the medial forefoot (P = 0.009). The difference in landing techniques for the lunge step between elite athletes and recreational players was observed with peak ankle eversion (?38.2°±2.4° for athletes and ?11.1°±3.9° for players, P = 0.015); smaller knee range of motion in the coronal and transverse planes, with differences in peak knee adduction (28.9°±6.8° for athletes and 15.7°±6.2° for players, P = 0.031); peak knee internal rotation (20.3°±1.3° for athletes and 11.8°±3.2° for players, P = 0.029) and peak hip flexion (77.3°±4.1° for athletes and 91.3°±9.3° for players, P = 0.037).  相似文献   

15.
We evaluated the efficacy of an in-field gait retraining programme using mobile biofeedback to reduce cumulative and peak tibiofemoral loads during running. Thirty runners were randomised to either a retraining group or control group. Retrainers were asked to increase their step rate by 7.5% over preferred in response to real-time feedback provided by a wrist mounted running computer for 8 routine in-field runs. An inverse dynamics driven musculoskeletal model estimated total and medial tibiofemoral joint compartment contact forces. Peak and impulse per step total tibiofemoral contact forces were immediately reduced by 7.6% and 10.6%, respectively (P < 0.001). Similarly, medial tibiofemoral compartment peak and impulse per step tibiofemoral contact forces were reduced by 8.2% and 10.6%, respectively (P < 0.001). Interestingly, no changes were found in knee adduction moment measures. Post gait retraining, reductions in medial tibiofemoral compartment peak and impulse per step tibiofemoral contact force were still present (P < 0.01). At the 1-month post-retraining follow-up, these reductions remained (P < 0.05). With these per stance reductions in tibiofemoral contact forces in mind, cumulative tibiofemoral contact forces did not change due to the estimated increase in number of steps to run 1 km.  相似文献   

16.
Landing with a low knee flexion angle after volleyball block jumps may be associated with an increased risk of anterior cruciate ligament (ACL) injury. The aim of the present study was to identify the types of volleyball landings after blocks where the knee flexion angle is found to be under a critical knee flexion angle value of 30° at the instant of the first peak of the ground reaction force (GRF). Synchronized kinematic and kinetic data were collected for each trial. T-tests were used to determine if each knee flexion angle at the instant of the peak GRF was significantly different from the critical value of 30°. A repeated measures ANOVA was used to compare knee flexion angle, time to first peak and the magnitude of the first peak of the resultant GRF and knee stiffness. Significantly lower knee flexion angles were found in the “go” landing (p?=?.01, ES?=?0.6) and the “reverse” landing (p?=?.02, ES?=?0.6) only. The results for knee flexion angle and GRF parameters indicated a significant difference between a “reverse” and “go” and other types of landings, except the “side stick” landing for GRF. The “reverse” and “go” landings may present a risk for ACL injury due to the single-leg landing of these activities that have an associated mediolateral movement.  相似文献   

17.
Abstract

Lateral movements like cutting are essential in many team sport disciplines. The aim of the present study was to analyse adaptations in motor control in response to task unpredictability during lateral movement execution. Twelve subjects performed lateral jumps with different landing modalities (stable, sliding or counteracting) that were either known (predictable setting) or unknown (unpredictable setting) prior to movement execution. Results revealed that regardless of the landing modality, hip joint abduction was significantly greater in the unpredictable compared to predictable setting. Furthermore, during the sliding landing modality, hip flexion decreased from 211 ± 7° to 207 ± 7° and knee flexion decreased from 26 ± 4° to 24 ± 4° at the instant of ground contact in the unpredictable compared to predictable condition. During the stable landing modality, the knee joint abduction increased from ?0.3 ± 6° to ?3 ± 6° after initial ground contact in the unpredictable compared to predictable setting. The present results support our hypothesis that pre-programmed motor activity depends on the predictability of the landing modality during lateral movements. According to its adaptation in the frontal plane and in some extent in the sagittal plane, the hip joint seems to play the major role in the modulation of the pre-programmed activity for successful lateral jump execution in an unpredictable setting. However, these kinematic adaptations are concerning since these changes were associated with higher knee abduction during the stable landing modality and therefore with possible higher risk of injury.  相似文献   

18.
Abstract

The present study investigated the acute effects of static stretching on peak force, peak rate of force development and integrated electromyography (iEMG) in 27 older women (65 ± 4 years; 69 ± 9 kg; 157 ± 1 cm; 28 ± 4 kg · m?2). The participants were tested during two exercises (leg press and knee extension) after two conditions: stretching and control. The data were collected on four days (counterbalanced with a 24-hour rest period). In the stretching condition, the quadriceps muscle was stretched (knee flexion) for three sets of 30 s with 30 s rest intervals. No significant difference was detected for peak force and peak rate of force development during the single- and multiple-joint exercises, regardless of the following interactions: condition (stretching and control) vs. time (pre x post x 10 x 20 x 30 minutes post; P > 0.05) and exercise vs. time (P > 0.05). Additionally, no significant interaction was found for the iEMG activity (condition vs. time; P > 0.05) in the single- and multiple-joint exercises. In conclusion, a small amount of stretching of an agonist muscle (quadriceps) did not affect the peak force, peak rate of force development and EMG activity in older women during single- and multiple-joint exercises.  相似文献   

19.
Many sports associated with anterior cruciate ligament (ACL) injury require athletes attend to a ball during participation. We investigated effects of attending to a ball on lower extremity mechanics during a side-cut maneuver and if these effects are consistent for males and females. Sagittal and frontal plane hip and knee kinematics and joint moments were measured during side-cut maneuvers in 19 male and 19 female National Collegiate Athletic Association division III basketball players. Participants also experienced two side-cut conditions that required attention to a ball. Our results did not indicate that the effect of attention varies with gender. However, during side-cut conditions while attending to a ball, internal knee adductor moment was 20% greater (p = 0.03) and peak knee flexion angle was 4° larger (p < 0.01). Females demonstrated 5° less hip flexion (p = 0.046), 12° less knee flexion (p < 0.01), and 4° more knee abduction (p = 0.026) at initial contact during all side-cut conditions than males. Attention to a ball may affect lower extremity mechanics relevant to ACL injury. The validity of laboratory studies of lower extremity mechanics for sports that include attention to a ball may be increased if participants are required to attend to a ball during the task.  相似文献   

20.
In lateral reactive movements, core stability may influence knee and hip joint kinematics and kinetics. Insufficient core stabilisation is discussed as a major risk factor for anterior cruciate ligament (ACL) injuries. Due to the higher probability of ACL injuries in women, this study concentrates on how gender influences trunk, pelvis and leg kinematics during lateral reactive jumps (LRJs). Perturbations were investigated in 12 men and 12 women performing LRJs under three different landing conditions: a movable landing platform was programmed to slide, resist or counteract upon landing. Potential group effects on three-dimensional trunk, pelvic, hip and knee kinematics were analysed for initial contact (IC) and the time of peak pelvic medial tilt (PPT). Regardless of landing conditions, the joint excursions in the entire lower limb joints were gender-specific. Women exhibited higher trunk left axial rotation at PPT (women: 4.0 ± 7.5°, men: ?3.1 ± 8.2°; p = 0.011) and higher hip external rotation at both IC and PPT (p < 0.01). But women demonstrated higher knee abduction compared to men. Men demonstrated more medial pelvic tilt at IC and especially PPT (men: –5.8 ± 4.9°, women: 0.3 ± 6.3°; p = 0.015). Strategies for maintaining trunk, pelvis and lower limb alignment during lateral reactive movements were gender-specific; the trunk and hip rotations displayed by the women were associated with the higher knee abduction amplitudes and therefore might reflect a movement strategy which is associated with higher injury risk. However, training interventions are needed to fully understand how gender-specific core stability strategies are related to performance and knee injury.  相似文献   

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