The assessment of single-leg drop jump landing performance by means of ground reaction forces: A methodological study

Background: Time to stabilization (TTS) and dynamic postural stability index (DPSI) are outcome measures based on ground reaction force (GRF) that are often used to quantify dynamic postural stability performance following a drop jump landing. However, their interrelations, as well as the overlap with other dynamic measures and static single-leg postural sway, are unknown. Research question: What is the relation among TTS and DPSI, how are they related to impact forces and dynamic postural sway, and how are all these dynamic measures related to static postural sway? Methods: A sample of 190 elite soccer players performed four single-leg drop jump landings. TTS in three directions (vertical, anteroposterior, and mediolateral), and DPSI were intercorrelated (Pearson's r), and related to impact forces and the magnitude of horizontal GRF (HGRF) from 0.4 to 2.4 s and 3.0–5.0 s following landing. All these measures were also correlated to HGRF in the static phase (i.e., 5.3–11.7 s). Results: The TTS measures were significantly interrelated (r = 0.28-0.53), but were not significantly correlated to DPSI. TTS was more strongly related to HGRF0.4–2.4 s (r = 0.54-0.75) than to HGRF3.0–5.0 s (r = 0.32-0.54) or impact forces (r=-0.28-0.36). Vertical TTS was not significantly related to impact forces. The DPSI was most strongly related to the vertical peak force (r = 0.85), and was not significantly related to HGRF of the dynamic periods. Furthermore, TTS and dynamic HGRF were significantly related to static HGRF (r = 0.34-0.80), while DPSI and impact forces were not. Significance: TTS and DPSI do not represent similar aspects of single-leg jump landing performance. The ability to stabilize posture seems to be represented by TTS and dynamic postural sway, which partly overlaps with static postural sway. In contrast, DPSI and vertical peak force mainly reflect the kinetic energy absorption during impact. The findings can help to better understand the meaning of the outcome measures, and to translate results to rehabilitation or prevention programs

Time to stabilization in single leg drop jump landings: An examination of calculation methods and assessment of differences in sample rate, filter settings and trial length on outcome values

Time to stabilization (TTS) is the time it takes for an individual to return to a baseline or stable state following a jump or hop landing. A large variety exists in methods to calculate the TTS. These methods can be described based on four aspects: (1) the input signal used (vertical, anteroposterior, or mediolateral ground reaction force) (2) signal processing (smoothed by sequential averaging, a moving root-mean-square window, or fitting an unbounded third order polynomial), (3) the stable state (threshold), and (4) the definition of when the (processed) signal is considered stable. Furthermore, differences exist with regard to the sample rate, filter settings and trial length. Twenty-five healthy volunteers performed ten 'single leg drop jump landing' trials. For each trial, TTS was calculated according to 18 previously reported methods. Additionally, the effects of sample rate (1000, 500, 200 and 100 samples/s), filter settings (no filter, 40, 15 and 10 Hz), and trial length (20, 14, 10, 7, 5 and 3 s) were assessed. The TTS values varied considerably across the calculation methods. The maximum effect of alterations in the processing settings, averaged over calculation methods, were 2.8% (SD 3.3%) for sample rate, 8.8% (SD 7.7%) for filter settings, and 100.5% (SD 100.9%) for trial length. Differences in TTS calculation methods are affected differently by sample rate, filter settings and trial length. The effects of differences in sample rate and filter settings are generally small, while trial length has a large effect on TTS values. (C) 2014 Elsevier B.V. All rights reserve

Age-Matched Z-Scores for Longitudinal Monitoring of Center of Pressure Speed in Single-Leg Stance Performance in Elite Male Youth Soccer Players

Huurnink, A, Fransz, DP, de Boode, VA, Kingma, I, and van Dieën, JH. Age-matched z-scores for longitudinal monitoring of center of pressure speed in single-leg stance performance in elite male youth soccer players. J Strength Cond Res XX(X): 000-000, 2018-Coordination of corrective motor actions is considered important for soccer performance and injury prevention. A single-leg stance (SLS) test assesses the integrity and proficiency of the sensorimotor control system, quantified by center of pressure averaged speed (COPspeed). We aimed to provide age-matched z-scores for COPspeed in elite male youth soccer players. Second, we assessed a threshold for abnormal long-term change in performance, i.e., critical difference (CD). In a youth academy program, 133 soccer players of 9-18 years were tested twice for both legs (2 repetitions), and one repetition follow-up was conducted at 5.8 months (SD 2.7). Linear regression between age and COPspeed was performed to provide age-matched z-scores. Variance of differences in z-scores at baseline and between sessions was used to estimate the CD up to 5 repetitions. Intraclass correlation coefficients (ICCs) were assessed within and between sessions. The age significantly affected COPspeed (p < 0.0001), with lower values in older players (95% confidence interval; 3.45-9.17 to 2.88-5.13 cm·s, for 9 and 18 years, respectively). The z-score CD ranged from 1.72 (one repetition) to 1.34 (5 repetitions). The ICC of z-scores was 0.88 within session and 0.81 between sessions. In conclusion, the SLS performance in elite male youth soccer players improves with age. We determined age-matched z-scores of COPspeed, which reliably determined performance according to age. The CD allows for detection of abnormal variations in COPspeed to identify players with a (temporary) deterioration of sensorimotor function. This could be applied to concussion management, or to detect underlying physical impairments

Performance on a Single-Legged Drop-Jump Landing Test Is Related to Increased Risk of Lateral Ankle Sprains Among Male Elite Soccer Players:A 3-Year Prospective Cohort Study

BACKGROUND:: Soccer has a high injury rate, with lateral ankle sprains being a common injury. Therefore, an approach to prevent or at least reduce the occurrence is warranted. Injury prevention can be improved by identifying specific risk factors and individuals at risk. PURPOSE:: To assess drop-jump landing performance as a potential predictor of lateral ankle sprain within 3-year follow-up. STUDY DESIGN:: Case-control study; Level of evidence, 3. METHODS:: Single-legged drop-jump landing tests were performed by 190 elite soccer players. Based on ground-reaction forces, 6 outcome measures were calculated that aim to reflect the impact and stabilization phase. Lateral ankle sprains were registered during up to 3 years of follow-up. Following a z score correction for age, a multivariate regression analysis was performed. RESULTS:: During follow-up, 45 players (23.7%) suffered a primary lateral ankle sprain. Of those, 34 were regarded as severe (absence >7 days). Performance was related to increased risk of ankle sprain ( P = .005 for all sprains and P = .001 for severe sprains). Low mediolateral stability for the first 0.4 seconds after landing (a larger value indicates more force exerted in the mediolateral direction, resulting in rapid lateral stabilization) and high horizontal ground-reaction force between 3.0 and 5.0 seconds (a smaller value indicates less sway in the stabilization phase) were identified as risk factors. A player that scored 2 SD below average for both risk factors had a 4.4-times-higher chance of sustaining an ankle sprain than a player who scored average. CONCLUSION:: The current study showed that following a single-legged drop-jump landing, mediolateral force over 0 to 0.4 seconds and/or mean resultant horizontal ground-reaction force over 3 to 5 seconds has predictive value with regard to the occurrence of an ankle sprain among male elite soccer players within 3 years

Failure Mode Analysis of an Exeter Stem Fracture Initiated at the Introducer Hole:Time for a Design Change?

The fracturing of a hip prosthesis stem at its neck, in the absence of a trauma, is an extremely rare but serious adverse event. The patient in our case was young, active, and tall, thereby putting high mechanical loads on the prosthesis. Radiographs of the initial procedure and blood and synovium analysis showed no abnormalities. Analysis of the stem revealed niobium-rich precipitates, that is, alloy artifacts, at the introducer stud hole. The mechanically vulnerable location of the introducer stud hole, combined with alloy artifacts at that location and high mechanical stress, ultimately led to failure of the prosthesis. As younger and heavier patients will demand hip arthroplasty in the future, simple stem design adaptations should be considered to prevent stem fractures at the introducer stud hole