BIOMECHNICAL STRATEGY DURING PLYOMETRIC BARRIER JUMP- INFLUENCE OF DROP-JUMP HEIGHTS ON JOINT STIFFNESS

The purpose of this study was to explore the joint stiffness of lower-extremity during plyometric barrier jump. Fourteen power-oriented track and field men of collegiate and national level volunteered to participate in the study. All performed 3 maximal effort drop jumps where they landed and immediately jumped over a 60 cm barrier after dropping from 30, 60 and 90 cm. The results showed both knee and ankle joint stiffness became progressively and significantly lower with the increment of drop heights. Modulating knee and ankle joint stiffness, mainly by the joint angles during touchdown, is the biomechanical strategy to accommodate for changes in different drop heights. Our findings suggest the increment of drop heights during plyometric barrier jump diminished the benefit from stretch-shortening cycle

THE EFFECT OF DRIBBLING ON KNEE LOADING WHEN FEMALE BASKETBALL PLAYERS PERFORM SIDE STEP CUTTING MANEUVERS

Knee injuries in females seem related to movements during sports specific, high risk activities such as cutting. Loading on knee when the players make side step cutting maneuvers has been considered to be a factor related to Anterior Cruciate Ligament (ACL) injuries. Our purpose was to examine differences in female players performing a side step cutting with and without dribbling. Using 10 elite female basketball players, three dimensional kinematic and kinetic data were assessed. Based on our investigation, elite female basketball players performing a side step cut with dribbling exhibited greater knee valgus angles and moments. Sport-specific neuromuscular training programs for basketball players could consider may adding ball control tasks

A review of recent perspectives on biomechanical risk factors associated with anterior cruciate ligament injury

There is considerable evidence to support a number of biomechanical risk factors associated with non-contact anterior cruciate ligament (ACL) injury. This paper aimed to review these biomechanical risk factors and highlight future directions relating to them. Current perspectives investigating trunk position and relationships between strength, muscle activity and biomechanics during landing/cutting highlight the importance of increasing hamstring muscle force during dynamic movements through altering strength, muscle activity, muscle length and contraction velocity. In particular, increased trunk flexion during landing/cutting and greater hamstring strength are likely to increase hamstring muscle force during landing and cutting which have been associated with reduced ACL injury risk. Decision making has also been shown to influence landing biomechanics and should be considered when designing tasks to assess landing/cutting biomechanics. Coaches should therefore promote hamstring strength training and active trunk flexion during landing and cutting in an attempt to reduce ACL injury risk.Peer reviewe

Gender Dimorphic ACL Strain in Response to Combined Dynamic 3D Knee Joint Loading: Implications for ACL Injury Risk

While gender-based differences in knee joint anatomies/laxities are well documented, the potential for them to precipitate gender-dimorphic ACL loading and resultant injury risk has not been considered. To this end, we generated gender-specific models of ACL strain as a function of any six degrees of freedom (6DOF) knee joint load state via a combined cadaveric and analytical approach. Continuously varying joint forces and torques were applied to five male and five female cadaveric specimens and recorded along with synchronous knee flexion and ACL strain data. All data (~10,000 samples) were submitted to specimen-specific regression analyses, affording ACL strain predictions as a function of the combined 6 DOF knee loads. Following individual model verifications, generalized gender-specific models were generated and subjected to 6 DOF external load scenarios consistent with both a clinical examination and a dynamic sports maneuver. The ensuing model-based strain predictions were subsequently examined for gender-based discrepancies. Male and female specimen-specific models predicted ACL strain within 0.51%±0.10% and 0.52%±0.07% of the measured data respectively, and explained more than 75% of the associated variance in each case. Predicted female ACL strains were also significantly larger than respective male values for both simulated 6 DOF load scenarios. Outcomes suggest that the female ACL will rupture in response to comparatively smaller external load applications. Future work must address the underlying anatomical/laxity contributions to knee joint mechanical and resultant ACL loading, ultimately affording prevention strategies that may cater to individual joint vulnerabilities

Differential neuromuscular training effects onACL injury risk factors in"high-risk" versus "low-risk" athletes

<p>Abstract</p> <p>Background</p> <p>Neuromuscular training may reduce risk factors that contribute to ACL injury incidence in female athletes. Multi-component, ACL injury prevention training programs can be time and labor intensive, which may ultimately limit training program utilization or compliance. The purpose of this study was to determine the effect of neuromuscular training on those classified as "high-risk" compared to those classified as "low-risk." The hypothesis was that high-risk athletes would decrease knee abduction moments while low-risk and control athletes would not show measurable changes.</p> <p>Methods</p> <p>Eighteen high school female athletes participated in neuromuscular training 3×/week over a 7-week period. Knee kinematics and kinetics were measured during a drop vertical jump (DVJ) test at pre/post training. External knee abduction moments were calculated using inverse dynamics. Logistic regression indicated maximal sensitivity and specificity for prediction of ACL injury risk using external knee abduction (25.25 Nm cutoff) during a DVJ. Based on these data, 12 study subjects (and 4 controls) were grouped into the high-risk (knee abduction moment >25.25 Nm) and 6 subjects (and 7 controls) were grouped into the low-risk (knee abduction <25.25 Nm) categories using mean right and left leg knee abduction moments. A mixed design repeated measures ANOVA was used to determine differences between athletes categorized as high or low-risk.</p> <p>Results</p> <p>Athletes classified as high-risk decreased their knee abduction moments by 13% following training (Dominant pre: 39.9 ± 15.8 Nm to 34.6 ± 9.6 Nm; Non-dominant pre: 37.1 ± 9.2 to 32.4 ± 10.7 Nm; p = 0.033 training X risk factor interaction). Athletes grouped into the low-risk category did not change their abduction moments following training (p > 0.05). Control subjects classified as either high or low-risk also did not significantly change from pre to post-testing.</p> <p>Conclusion</p> <p>These results indicate that "high-risk" female athletes decreased the magnitude of the previously identified risk factor to ACL injury following neuromuscular training. However, the mean values for the high-risk subjects were not reduced to levels similar to low-risk group following training. Targeting female athletes who demonstrate high-risk knee abduction loads during dynamic tasks may improve efficacy of neuromuscular training. Yet, increased training volume or more specific techniques may be necessary for high-risk athletes to substantially decrease ACL injury risk.</p

Reliability of the TekScan MatScan® system for the measurement of plantar forces and pressures during barefoot level walking in healthy adults

<p>Abstract</p> <p>Background</p> <p>Plantar pressure systems are increasingly being used to evaluate foot function in both research settings and in clinical practice. The purpose of this study was to investigate the reliability of the TekScan MatScan^®system in assessing plantar forces and pressures during barefoot level walking.</p> <p>Methods</p> <p>Thirty participants were assessed for the reliability of measurements taken one week apart for the variables maximum force, peak pressure and average pressure. The following seven regions of the foot were investigated; heel, midfoot, 3^rd-5^thmetatarsophalangeal joint, 2^ndmetatarsophalangeal joint, 1^stmetatarsophalangeal joint, hallux and the lesser toes.</p> <p>Results</p> <p>Reliability was assessed using both the mean and the median values of three repeated trials. The system displayed moderate to good reliability of mean and median calculations for the three analysed variables across all seven regions, as indicated by intra-class correlation coefficients ranging from 0.44 to 0.95 for the mean and 0.54 to 0.97 for the median, and coefficients of variation ranging from 5 to 20% for the mean and 3 to 23% for the median. Selecting the median value of three repeated trials yielded slightly more reliable results than the mean.</p> <p>Conclusions</p> <p>These findings indicate that the TekScan MatScan^®system demonstrates generally moderate to good reliability.</p

The Effects of Running Cadence Manipulation on Plantar Loading in Healthy Runners

Our purpose was to evaluate effects of cadence manipulation on plantar loading during running. Participants (n=38) ran on a treadmill at their preferred speed in 3 conditions: preferred, 5% increased, and 5% decreased while measured using in-shoe sensors. Data (contact time [CT], peak force [PF], force time integral [FTI], pressure time integral [PTI] and peak pressure [PP]) were recorded for 30 right footfalls. Multivariate analysis was performed to detect differences in loading between cadences in the total foot and 4 plantar regions. Differences in plantar loading occurred between cadence conditions. Total foot CT and PF were lower with a faster cadence, but no total foot PP differences were observed. Faster cadence reduced CT, pressure and force variables in both the heel and metatarsal regions. Increasing cadence did not elevate metatarsal loads; rather, total foot and all regions were reduced when healthy runners increased their cadence. If a 5% increase in cadence from preferred were maintained over each mile run the impulse at the heel would be reduced by an estimated 565 body weightss (BWs) and the metatarsals 140-170 BWs per mile run despite the increased steps taken. Increasing cadence may benefit overuse injuries associated with elevated plantar loading

Biomechanical analysis of a change of direction task in college soccer players

This study aimed to investigate biomechanical parameters during a change-of-direction task in college soccer players. Fourteen male and 12 female players performed a 10-m sprint with a 60° change of direction at 5 m. Vertical and mediolateral groundreaction force (GRF) and contact time were measured by having the subjects run in both directions while contacting a force plate with either their preferred (kicking) or nonpreferred leg. Using the midpoint between 2 pelvic markers, further parameters were evaluated: performance cutting angle and horizontal distance. Relationships between parameters, sex, and leg preference were analyzed. Significant correlations emerged between vertical and mediolateral GRF (r =.660-.909) and between contact time and performance cutting angle (r =-.598 to-.793). Sex differences were found for mediolateral GRF (P =.005), performance cutting angle (P =.043), and horizontal distance (P =.020). Leg differences were observed for vertical GRF (P =.029), performance cutting angle (P =.011), and horizontal distance (P =.012). This study showed that a sharper change of direction corresponded to a longer contact time, while no relationships were found with GRF. Moreover, measuring the angle revealed that the real path traveled was different from the theoretical one, highlighting the performance of sharper or more rounded execution. In conclusion, this study showed that specific biomechanical measurements can provide details about the execution of a change of direction, highlighting the ability of the nonpreferred leg to perform better directional changes

Gender differences in lower limb frontal plane kinematics during landing

Original article can be found at: http://www.informaworld.com/ Copyright Informa / Taylor and Francis Group. DOI: 10.1080/14763140802233215The study aimed to investigate gender differences in knee valgus angle and inter-knee and inter-ankle distances in university volleyball players when performing opposed block jump landings. Six female and six male university volleyball players performed three dynamic trials each where subjects were instructed to jump up and block a volleyball suspended above a net set at the height of a standard volleyball net as it was spiked against them by an opposing player. Knee valgus/varus, inter-knee distance and inter-ankle distance (absolute and relative to height) were determined during landing using 3D motion analysis. Females displayed significantly greater maximum valgus angle and range of motion than males. This may increase the risk of ligament strain in females compared with males. Minimum absolute inter-knee distance was significantly smaller in females and absolute and relative inter-knee displacement during landing was significantly greater in females compared with males. Both absolute and relative inter-ankle displacement during landing was significantly greater in males than females. These findings suggest that the gender difference in the valgus angle of the knee during two-footed landing is influenced by gender differences in the linear movement of the ankles as well as the knees. Coaches should therefore develop training programmes to focus on movement of both the knee and ankle joints in the frontal plane in order to reduce the knee valgus angle during landing which in turn may reduce the risk of non-contact ACL injury.Peer reviewe