Biomechanical Changes During a 90º Cut in Collegiate Female Soccer Players With Participation in the 11+

# Background Valgus collapse and high knee abduction moments have been identified as biomechanical risk factors for ACL injury. It is unknown if participation in the 11+, a previously established, dynamic warm-up that emphasizes biomechanical technique and reduces ACL injury rates, reduces components of valgus collapse during a 90º cut. # Hypothesis/Purpose To determine whether participation in the 11+ during a single soccer season reduced peak knee abduction moment and components of valgus collapse during a 90º cut in collegiate female soccer players. # Study Design Prospective cohort study # Methods Forty-six participants completed preseason and postseason motion analysis of a 90º cut. During the season, 31 players completed the 11+ and 15 players completed their typical warm-up (control group). Peak knee abduction moment, components of valgus collapse (hip adduction, internal rotation, and knee abduction angles), and a novel measure of knee valgus collapse were analyzed with repeated-measures ANOVAs to determine differences between preseason and postseason. Smallest detectable change (SDC) and minimal important difference (MID) values were applied to contextualize results. # Results There was a significant main effect of time for non-dominant knee valgus collapse (p=0.03), but decreases in non-dominant knee valgus collapse only exceeded the SDC in the intervention team. # Conclusions Clinically meaningful decreases in knee valgus collapse may indicate a beneficial biomechanical effect of the 11+. Participation in the 11+ may lower ACL injury risk by reducing valgus collapse during a 90º cut. # Level of Evidence 2

Recruitment and derecruitment characteristics of motor units in a hand muscle of young and old adults

The significant decline in motor neuron number after ∼60 yr of age is accompanied by a remodeling of the neuromuscular system so that average motor unit force increases and the ability of old adults to produce an intended force declines. One possible explanation for the loss of movement precision is that the remodeling increases the difference in recruitment forces between successively recruited motor units in old adults and this augments force variability at motor unit recruitment. The purpose of the study was to compare the forces and discharge characteristics of motor units in a hand muscle of young and old adults at motor unit recruitment and derecruitment. The difference in recruitment force between pairs of motor units did not differ between young (n = 54) and old adults (n = 56; P = 0.702). However, old adults had a greater proportion of contractions in which motor units discharged action potentials transiently before discharging continuously during the ramp increase in force (young: 0.32; old: 0.41; P = 0.045). Force variability at motor unit recruitment was greater for old adults compared with young adults (P ≤ 0.010), but discharge rate and discharge variability did not differ between age groups (P ≥ 0.729). These results suggest that the difference in force between the recruitment of successive motor units does not differ between age groups, but that motor unit recruitment may be more transient and could contribute to the greater variability in force observed in old adults during graded ramp contractions