SOFT TISSUE LOADS AT THE HUMAN KNEE DURING RUNNING AND CUTTING MANOEUVRES

Tensile forces on the ACL increase when the knee is in an extended posture and required to accommodate applied moments in flexion, varus, valgus and/or internal rotation. However, the loading of knee joint support structures during sporting actions that are related to non-contact injuries are largely unknown. We studied external loading of the knee during running, side-stepping and cross-over cutting in 10 male subjects under both pre-planned and unanticipated conditions. Soft tissue structures of the knee were exposed to high FE, VV and IE applied moments during the cutting tasks, especially when performed in the unanticipated condition. Whilst muscle activation could accommodate some of this applied load, soft tissue structures were particularly vulnerable during the cross-over cut task where the residual loads were high

The creation of goal scoring opportunities at the 2015 women’s world cup

Women’s international football is growing in terms of popularity, but to date there is limited published research in women’s football and even less that describes effective attacking strategies and the creation of goal scoring opportunities (GSO). The purpose of this research was to investigate and assess the factors related to the creation of GSO that led to a Top 4 position Canada Women’s World Cup 2015. Video footage of each match (n = 52) from the Women’s World Cup (Canada 2015) was analysed using SportsCode Software. The results revealed that the middle third of the pitch was the most effective area for gaining possession and creating GSO. The average time taken to create a GSO was under twelve seconds. The findings of the study can be used by coaches to design training sessions and interventions to successfully create GSO in women’s football. The data from the research may influence the tactical set up of women’s international football teams and help to evolve the game in the same way that research into the men’s game has

Using the trajectory of the shuttlecock as a measure of performance accuracy in the badminton short serve

Accuracy of a projectile is typically quantified as the proportion of successful target hits, or the distance an object finishes from the target. Serving in sports such as badminton differs since the shuttlecock is usually intercepted by the opponent before landing on the target (i.e. court surface). Therefore, landing accuracy measures are inappropriate and a new method of determining accuracy of the serve is needed. During interviews, elite coaches and players described an accurate short serve as crossing the net with low clearance and having an apex before the net. Three-dimensional trajectory of the shuttlecock was therefore tracked from eight national-level players who performed 30 short serves in simulated match conditions (i.e. with an opponent); 27% of all serves were classified as ‘accurate’, 27% of serves as ‘inaccurate’, 21% with a ‘good apex’ position, and 25% with a ‘good clearance’ height. The proposed method of assessing shuttlecock trajectory as a measure of accuracy could be adopted by coaches and players to assess and improve short serve accuracy. Furthermore, this method is more representative of a match environment since the shuttlecock rarely lands because the opponent returns the serve

Fatigue does not increase limb asymmetry or induce proximal joint power shift in habitual, multi-speed runners

During prolonged jogging, joint moment and work tend to decrease in the distal (ankle) joint but increase at proximal (hip/knee) joints as performance fatigue manifests, and such adaptations might be expected to occur in sprinting. Fatigue is also thought to increase inter-limb asymmetries, which is speculated to influence injury risk. However, the effects of fatigue on sprint running gait have been incompletely studied, so these hypotheses remain untested. Using statistical parametric mapping, we compared 3-D kinematics and ground reaction force production between the dominant (DL) and non-dominant (NDL) legs of 13 soccer players during both non-fatigued and fatigued sprint running. Contrary to the tested hypotheses, relative between-leg differences were greater in non-fatigued than fatigued sprinting. DL generated higher propulsive impulse due to increased ankle work, while NDL exhibited greater vertical impulse, potentially due to greater hip flexion prior to downward foot acceleration. Whilst few changes were detected in DL once fatigued, NDL shifted towards greater horizontal force production, largely resulting from an increase in plantar flexion (distal-joint) moments and power. After fatiguing running, inter-limb asymmetry was reduced and no distal-to-proximal shift in joint work was detected. These adaptations may attenuate decreases in running speed whilst minimising injury risk

THE EFFECT OF LOWER LIMB TRAINING ON MUSCULAR SUPPORT OF THE KNEE AND RISK OF ANTERIOR CRUCIATE LIGAMENT INJURY.

An intervention study was performed to investigate the effect of lower-limb training programs on knee muscle activation patterns and their potential to support the knee load during running and cutting manoeuvres. It is known that balance training can reduce ACL injury but the underlying mechanisms are unknown. The effects that strength training has on support for the knee joint during sporting manoeuvres are also not known. Analysis of activation levels and patterns of leg muscles during running, sidestepping and crossover-cutting manoeuvres prior to and following 12-week training programs revealed important results in terms of potential support of load on the ACL. Balance training increased co-contraction and supportive muscle activation patterns, as did the combination of machine and balance training to a lesser extent. The strength training programs tended to reduce co-contraction and were associated with changes which would lead to less stability of the knee during sporting manoeuvres. It is recommended that balance training should be implemented to reduce an athlete’s risk of ACL injury

The effect of isokinetic dynamometer deceleration phase on maximum ankle joint range of motion and plantar flexor mechanical properties tested at different angular velocities

During range of motion (max-ROM) tests performed on an isokinetic dynamometer, the mechanical delay between the button press (by the participant to signal their max-ROM) and the stopping of joint rotation resulting from system inertia induces errors in both max-ROM and maximum passive joint moment. The present study aimed to quantify these errors by comparing data when max-ROM was obtained from the joint position data, as usual (max-ROMPOS), to data where max-ROM was defined as the first point of dynamometer arm deceleration (max-ROMACC). Fifteen participants performed isokinetic ankle joint max-ROM tests at 5, 30 and 60°·s-1. Max-ROM, peak passive joint moment, end range musculo-articular (MAC) stiffness and area under the joint moment-position curve were calculated. Greater max-ROM was observed in max-ROMPOS than max-ROMACC (P < 0.01) at 5 (0.2 ± 0.15%), 30 (1.8 ± 1.0%) and 60°·s-1 (5.9 ± 2.3%), with the greatest error at the fastest velocity. Peak passive moment was greater and end-range MAC stiffness lower in max-ROMPOS than in max-ROMACC only at 60°·s-1 (P < 0.01), whilst greater elastic energy storage was found at all velocities. Max-ROM and peak passive moment are affected by the delay between button press and eventual stopping of joint rotation in an angular velocity-dependent manner. This affects other variables calculated from the data. When high data accuracy is required, especially at fast joint rotation velocities (≥30°·s-1), max-ROM (and associated measures calculated from joint moment data) should be taken at the point of first change in acceleration rather than at the dynamometer’s ultimate joint position

Neuromuscular fatigue and muscle damage following a simulated singles badminton match

Purpose: To understand muscle damage in badminton, changes in neuromuscular function were investigated after simulated badminton singles matches performed by ten state-level male players. Methods: Each participant played eight matches and measurements were taken before, immediately after, and 1 and 24 h after each match. Maximal voluntary isometric contraction (MVC) torque of the knee extensors and flexors, voluntary activation (VA) during MVC and torques generated by doublet (TDoublet), 20 (T20) and 80 Hz (T80) electrical stimulations of the knee extensors were measured from the dominant leg (the racket-hold arm side). Muscle soreness was assessed by a 100-mm visual analogue scale from both legs. The number of lunges performed by each participant in each match was analysed by videos, and its relations to other measures were examined. Results: Pre-match knee extensor and flexor MVC torques were 278.4 ± 50.8 Nm and 143.0 ± 36.2 Nm, respectively. Knee extensor MVC torque of the dominant leg decreased immediately (12.0 ± 2.9 %) and 1 h post-match (16.0 ± 3.2 %), but returned to baseline at 24 h post-match. VA (11.4 ± 2.9 %), TDoublet (13.1 ± 6.0 %), T20 (31.1 ± 12.3 %) and T80 (25.5 ± 7.9 %) decreased (p \u3c 0.01) immediately post-match but recovered by 24 h post-match. A significant correlation (r = − 0.64, p \u3c 0.01) was observed between the total number of lunges performed in a match (160 – 240 times) and the magnitude of decrease in MVC torque (6.4 – 14.7 %). Muscle soreness developed more (p \u3c 0.05) for the dominant (51.5 ± 11.6 mm) than the non-dominant leg (18.8 ± 8.6 mm). Conclusion: Muscle damage induced by singles badminton matches was minimal, but the more the lunges are performed, the greater the neuromuscular fatigue

Segmental musculoskeletal examinations using dual-energy X-ray absorptiometry (DXA): Positioning and analysis considerations

Musculoskeletal examinations provide informative and valuable quantitative insight into muscle and bone health. DXA is one mainstream tool used to accurately and reliably determine body composition components and bone mass characteristics in-vivo. Presently, whole body scan models separate the body into axial and appendicular regions, however there is a need for localised appendicular segmentation models to further examine regions of interest within the upper and lower extremities. Similarly, in-consistencies pertaining to patient positioning exist in the litera-ture which influence measurement precision and analysis out-comes highlighting a need for standardised procedure. This paper provides standardised and reproducible: 1) positioning and analysis procedures using DXA and 2) reliable segmental exam-inations through descriptive appendicular boundaries. Whole-body scans were performed on forty-six (n = 46) football ath-letes (age: 22.9 ± 4.3 yrs; height: 1.85 ± 0.07 cm; weight: 87.4 ± 10.3 kg; body fat: 11.4 ± 4.5 %) using DXA. All segments across all scans were analysed three times by the main investiga-tor on three separate days, and by three independent investiga-tors a week following the original analysis. To examine intra-rater and inter-rater, between day and researcher reliability, coefficients of variation (CV) and intraclass correlation coeffi-cients (ICC) were determined. Positioning and segmental analy-sis procedures presented in this study produced very high, nearly perfect intra-tester (CV ≤ 2.0%; ICC ≥ 0.988) and inter-tester (CV ≤ 2.4%; ICC ≥ 0.980) reliability, demonstrating excellent reproducibility within and between practitioners. Standardised examinations of axial and appendicular segments are necessary. Future studies aiming to quantify and report segmental analyses of the upper- and lower-body musculoskeletal properties using whole-body DXA scans are encouraged to use the patient posi-tioning and image analysis procedures outlined in this paper

The agreement between a portable contact-mat and force-plates during bilateral vertical jumps

Force plates are commonly used when assessing vertical jumping performance but are not always affordable or practical tools for all testing situations. Twenty-four participants volunteered to take part in a study investigating the agreement between bilateral force plates and a new commercially available contact mat that records jump height, flight-time (FT), and FT of individual limbs during both countermovement (CMJ) and squat (SJ) jumps. Each participant performed six jumps of each type while standing on a contact mat placed upon a pair of in-ground force plates. When compared to the force plate via ordinary least products regression, the contact mat agreed with force plate CMJ and SJ jump height, individual limb FT during CMJs, and left-leg FT during SJs. The bilateral contact mat provided valid assessment of individual limb FT during CMJs, but not SJs. Practitioners can therefore use a bilateral contact mat interchangeably with bilateral force plates to measure SJ and CMJ performance

Shorter constant work rate cycling tests as proxies for longer tests in highly trained cyclists

Severe-intensity constant work rate (CWR) cycling tests simulate the high-intensity competition environment and are useful for monitoring training progression and adaptation, yet impose significant physiological and psychological strain, require substantial recovery, and may disrupt athlete training or competition preparation. A brief, minimally fatiguing test providing comparable information is desirable. Purpose To determine whether physiological variables measured during, and functional decline in maximal power output immediately after, a 2-min CWR test can act as a proxy for 4-min test outcomes. Methods Physiological stress (VO _2 kinetics, heart rate, blood lactate concentrations ([La-]b)) was monitored and performance fatigability was estimated (as pre-to-post-CWR changes in 10-s sprint power) during 2- and 4-min CWR tests in 16 high-level cyclists (VO _2peak ¼ 64:4 ± 6:0 ml·kg-1·min-1). The relationship between the 2- and 4-min CWR tests and the physiological variables that best relate to the performance fatigability were investigated. Results The 2-min CWR test evoked a smaller decline in sprint mechanical power (32% vs. 47%, p \u3c 0.001). Both the physiological variables (r = 0.66–0.96) and sprint mechanical power (r = 0.67–0.92) were independently and strongly correlated between 2- and 4-min tests. Differences in VO _2peak and [La-]b in both CWR tests were strongly associated with the decline in sprint mechanical power. Conclusion Strong correlations between 2- and 4-min severe-intensity CWR test outcomes indicated that the shorter test can be used as a proxy for the longer test. A shorter test may be more practical within the elite performance environment due to lower physiological stress and performance fatigability and should have less impact on subsequent training and competition preparation