Relationship between three-dimensional kinematics of knee and trunk motion during shuttle run cutting

Abstract

Female athletes are considered to exhibit knee and trunk motion that is characteristic of anterior cruciate ligament (ACL) injury. The aim of this study was to examine the in vivo motion of the trunk and knee during a cutting manoeuvre and determine the relationship between them. All participants (10 male and 10 female college athletes) performed a shuttle run cutting task with the left limb. Trunk inclination (forward and lateral) and knee joint angles (flexion/extension, abduction/adduction, and internal/external tibial rotation) were calculated. Differences between the sexes and associations between knee motion and trunk inclination were examined. An increase in trunk forward inclination was strongly correlated with an increase in knee flexion angle and moderately correlated with a decrease in the excursion of internal tibial rotation. An increase in right trunk lateral inclination was moderately correlated with an increase in excursion of internal tibial rotation. The results also showed differences between the sexes in trunk forward inclination, lateral inclination, and knee flexion angle, but no such differences in knee abduction or internal tibial rotation. Trunk inclination is related to knee flexion and excursion of internal tibial rotation. Female athletes demonstrate a low trunk forward inclination and knee flexion angle, a posture that resembles that of ACL injury.     

Effects of latissimus dorsi length on shoulder flexion in canoeists,swimmers, rugby players,and controls

BackgroundShoulder flexion requires an optimal length of the latissimus dorsi muscle in order to allow full lateral rotation of the humerus and upward scapular rotation. If shoulder flexion (in an externally rotated position) is restricted, this may predispose the individual to shoulder pathology. Sports such as swimming and canoeing have increased shoulder injuries and require high levels of latissimus dorsi muscle activity, which may create muscle hypertrophy and increased stiffness, resulting in a loss of muscle length. The objective of this study was to investigate if differences are present in shoulder flexion in internally and externally rotated positions across different sports (swimming, canoeing, and rugby) and a non-sporting control group.MethodsOne hundred subjects (40 physically active controls, 25 professional Rugby Union players, 20 elite, national-level canoeists (slalom), and 15 elite, national-level swimmers) participated in this study. Shoulder flexion range of motion was measured using a standard goniometer, with the arm elevated in either full external or internal rotation.ResultsA significant difference in shoulder flexion range was observed between canoeists and swimmers, canoeists and controls, rugby players and canoeists, rugby players and swimmers, and controls and swimmers in the external rotation position (p < 0.017), but not between controls and rugby players (p = 0.12). For the internal rotation position, swimmers significantly differed from canoeists, rugby players, and controls (p < 0.017), but there were no significant differences between rugby players, canoeists, and controls (p > 0.07).ConclusionThis study found that the length of the latissimus dorsi differs between sports and controls in accordance with the specific physical demands of their sport.     

A lateral ankle sprain during a lateral backward step in badminton: A case report of a televised injury incident

BackgroundThis study presents a kinematic analysis of an acute lateral ankle sprain incurred during a televised badminton match. The kinematics of this injury were compared to those of 19 previously reported cases in the published literature.MethodsFour camera views of an acute lateral ankle sprain incurred during a televised badminton match were synchronized and rendered in 3-dimensional animation software. A badminton court with known dimensions was built in a virtual environment, and a skeletal model scaled to the injured athlete's height was used for skeletal matching. The ankle joint angle and angular velocity profiles of this acute injury were compared to the summarized findings from 19 previously reported cases in the published literature.ResultsAt foot strike, the ankle joint was 2° everted, 33° plantarflexed, and 18° internally rotated. Maximum inversion of 114° and internal rotation of 69° was achieved at 0.24 s and 0.20 s after foot strike, respectively. After the foot strike, the ankle joint moved from an initial position of plantarflexion to dorsiflexion—from 33° plantarflexion to 53° dorsiflexion (range = 86°). Maximum inversion, dorsiflexion, and internal rotation angular velocity were 1262°/s, 961°/s, and 677°/s, respectively, at 0.12 s after foot strike.ConclusionA forefoot landing posture with a plantarflexed and internally rotated ankle joint configuration could incite an acute lateral ankle sprain injury in badminton. Prevention of lateral ankle sprains in badminton should focus on the control and stability of the ankle joint angle during forefoot landings, especially when the athletes perform a combined lateral and backward step.     

Effect of turf on the cutting movement of female football players

PurposeThe globalisation of artificial turf and the increase in player participation has driven the need to examine injury risk in the sport of football. The purpose of this study was to investigate the surface–player interaction in female football players between natural and artificial turf.MethodsEight university level female football players performed an unanticipated cutting manoeuvre at an angle of 30° and 60°, on a regulation natural grass pitch (NT) and a 3G artificial turf pitch (AT). An automated active maker system (CodaSport CXS System, 200 Hz) quantified 3D joint angles at the ankle and knee during the early deceleration phase of the cutting, defined from foot strike to weight acceptance at 20% of the stance phase. Differences were statistically examined using a two-way (cutting angle, surface) ANOVA, with an α level of p < 0.05 and Cohen's d effect size reported.ResultsA trend was observed on the AT, with a reduction in knee valgus and internal rotation, suggesting a reduced risk of knee injury. This findings highlight that AT is no worse than NT and may have the potential to reduce the risk of knee injury. The ankle joint during foot strike showed large effects for an increase dorsiflexion and inversion on AT. A large effect for an increase during weight acceptance was observed for ankle inversion and external rotation on AT.ConclusionThese findings provide some support for the use of AT in female football, with no evidence to suggests that there is an increased risk of injury when performing on an artificial turf. The ankle response was less clear and further research is warranted. This initial study provides a platform for more detailed analysis, and highlights the importance of exploring the biomechanical changes in performance and injury risk with the introduction of AT.     

Comparison of three-dimensional lower extremity running kinematics of young adult and elderly runners

Abstract

The objective of this study was to compare the three-dimensional lower extremity running kinematics of young adult runners and elderly runners. Seventeen elderly adults (age 67–73 years) and 17 young adults (age 26–36 years) ran at 3.1 m · s^?1 on a treadmill while the movements of the lower extremity during the stance phase were recorded at 120 Hz using three-dimensional video. The three-dimensional kinematics of the lower limb segments and of the ankle and knee joints were determined, and selected variables were calculated to describe the movement. Our results suggest that elderly runners have a different movement pattern of the lower extremity from that of young adults during the stance phase of running. Compared with the young adults, the elderly runners had a substantial decrease in stride length (1.97 vs. 2.23 m; P = 0.01), an increase in stride frequency (1.58 vs. 1.37 Hz; P = 0.002), less knee flexion/extension range of motion (26 vs. 33°; P = 0.002), less tibial internal/external rotation range of motion (9 vs. 12°; P < 0.001), larger external rotation angle of the foot segment (toe-out angle) at the heel strike (?5.8 vs. ?1.0°; P = 0.009), and greater asynchronies between the ankle and knee movements during running. These results may help to explain why elderly individuals could be more susceptible to running-related injuries.     

Kinematic differences in upper limb joints between flat and topspin forehand drives in competitive male tennis players

Abstract

The topspin tennis forehand drive has become a feature of modern game; yet, as compared to the serve, there has been little research analysing its kinematics. This is surprising given that there is considerably more variation in the execution of the topspin forehand. Our study is the first to examine the amplitude of upper limb joint rotations that produce topspin in the forehand drives of 14 male competitive tennis players using video-based motion analysis. Humerothoracic abduction (-)/adduction (+), extension (-) /flexion (+), and external (-)/internal (+) rotation, elbow extension (-) /flexion (+) and forearm supination (-)/pronation (+), wrist extension (-)/flexion (+) and ulnar (-)/radial (-) deviation were computed. Our findings revealed that the generation of topspin demanded more humeral extension and forearm pronation but less humeral internal rotation angular displacement during the forwardswing. The follow-through phase of the topspin shot was characterised by greater humeral internal rotation and forearm pronation, and reduced humeral horizontal adduction when compared to the flat shot. This study provides practitioners with a better understanding of the upper limb kinematics associated with the topspin tennis forehand drive production to help guide skill acquisition interventions and physical training.     

The biomechanical effect of warm-up stretching strategies on landing mechanics in female volleyball athletes

ABSTRACT

Female volleyball athletes incorporate dynamic and static stretching into a warm-up, with evidence generally supporting dynamic stretching to improve performance. However, the effects of these stretching practices on injury risk during subsequent volleyball manoeuvres have yet to be fully elucidated in the warm-up literature. Three-dimensional kinematic data associated with non-contact, lower extremity injury were recorded on 12 female collegiate club volleyball athletes during unilateral landing tasks on the dominant and non-dominant limb. Participants performed landings as part of a volleyball-simulated manoeuvre prior to and post-dynamic (DWU) and combined dynamic-static (CDS) warm-ups. A significant reduction in non-dominant hip adduction angle was found at 15 min post CDS warm-up (p = 0.016; d = 0.38), however, no other warm-up differences were detected. The non-dominant limb demonstrated greater knee abduction (p = 0.006; d = 0.69) and internal rotation angle (p = 0.004; d = 0.88), suggesting that this limb demonstrates more risky landing patterns that are potentially due to altered trunk positioning upon landing. The results show that the majority of selected landing kinematics are unaffected by additional static stretching to a dynamic warm-up and that the non-dominant limb may be at a higher injury risk in female volleyball athletes.     

Glenohumeral internal rotation deficit in table tennis players

ABSTRACT

Table tennis requires rapid and extreme movements that may result in shoulder adaptations, such as glenohumeral internal rotation deficit, which is a risk factor for several injuries. This study compared range of motion of internal and external rotation and total rotation motion of glenohumeral joint between dominant and non-dominant shoulders of table tennis players. This is a cross-sectional observational study. Twenty healthy male table tennis players that were enrolled in an official table tennis league took part in this study (mean age: 22.9 ± 12.9 years, time of sports practice: 6.2 ± 7.12 years). Measurements of passive glenohumeral external rotation and internal rotation were taken with the individuals in the supine and sidelying positions. Total rotation motion was calculated by summing external and internal rotations. The dominant side showed decreased internal rotation when compared to non-dominant side in both supine (mean difference: 14.9°, p = 0.02) and sidelying positions (mean difference: 16.3°, p = 0.01). No significant difference (p > 0.05) was found for external rotation and total rotation motion between dominant and non-dominant shoulders. The findings indicate that table tennis players exhibit glenohumeral internal rotation deficit of dominant shoulder.     

Correlation of axial impact forces with knee joint forces and kinematics during simulated ski-landing

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.     

Stressors,social support,and effects upon performance in golf

Abstract

In this study, we investigated the effect of eccentric exercise on position sense and reaction angle of the elbow and knee flexors. Twelve males underwent two eccentric exercise sessions involving a randomized crossover design. In the first session participants used their elbow flexors and in the other session their knee flexors. Muscle damage indices, position sense, and joint reaction angle to release of the elbow and knee flexors were measured before, immediately after, and up to 7 days after exercise. Exercise induced greater muscle damage in the elbow flexors than knee flexors. Exercise disturbed position sense of the elbow and knee joint. For both limbs, the participants adopted a more extended position than the reference angle. The elbow and knee joint reaction angles to release increased after exercise for both the elbow and knee flexors. The disturbances in position sense and reaction angle after exercise were greater in the elbow flexors than knee flexors. The elbow flexors remained more accurate and faster than the knee flexors at all time points. These results may be explained by the higher density of muscle spindles and the lower innervation ratio of the elbow flexors compared with the knee flexors, as well as the fact that the arms are more accustomed than the legs to perform fast and accurate movements.     

Relationships of hip abductor strength,neuromuscular control,and hip width to femoral length ratio with peak hip adduction angle in healthy female runners

ABSTRACT

A large peak hip adduction angle during running is a risk factor for several overuse injuries in women. The purpose of this study was to determine if female runners with a large peak hip adduction angle have differences in eccentric hip abductor muscle strength, hip neuromuscular control, and/or hip width to femoral length ratio (HW:FL) compared to those with a small angle. Hip adduction during running, hip strength, hip control, and HW:FL were measured in sixty healthy female runners (1.66 ± 0.06 m; 63.2 ± 8.3 kg; 27 ± 6 years). Data from twenty runners with the largest and twenty with the smallest peak hip adduction angles were analysed. Between-group differences in hip strength, control, and HW:FL were determined using independent t-tests (p < 0.05). Variables that were significantly different between groups were entered into a regression model. Runners in both groups had similar hip strength (p = 0.90) and control (p = 0.65). HW:FL was greater in the large peak angle group (p = 0.04), but only explained a small amount of peak hip adduction angle variance for all sixty runners (R² = 0.05). Alarge peak hip adduction angle in some healthy female runners may simply be instinctive as there were no deficiencies in the strength or neuromuscular control constructs assessed.     

Effects of leg dominance on performance of ballet turns (pirouettes) by experienced and novice dancers

Turns (pirouettes) are an important movement in ballet and may be affected by “lateral bias”. This study investigated physiological differences exhibited by experienced and novice dancers, respectively, when performing pirouette with dominant and non-dominant leg supports, respectively. Thirteen novice and 13 experienced dancers performed turns on dominant or non-dominant legs. The maximum ankle plantarflexion, knee extension and hip extension were measured during the single-leg support phase. The inclination angle of rotation axis is the angle between instantaneous rotation axis and global vertical axis in the early single-leg support phase. Both groups exhibited a greater hip extension, knee extension, and ankle plantarflexion when performing a turn on the non-dominant leg. For experienced dancers, the inclination angle of rotation axis during the pre-swing phase was generally smaller for dominant leg support than non-dominant leg. However, no significant difference was found in inclination angle of rotation axis of novice dancers. For experienced dancers, an improved performance is obtained when using the dominant leg for support. By contrast, for novice dancers, the performance is independent of choice of support leg. The significant lateral bias in experienced dancers indicates the possible influence of training. That is, repetitive rehearsal on the preferred leg strengthens the impact of side dominance in experienced dancers.     

Kinematics of table tennis topspin forehands: effects of performance level and ball spin

Abstract

The purpose of this study was to investigate whether performance level and ball spin affect arm and racket kinematics of the table tennis topspin forehand. Nine advanced and eight intermediate male table tennis players hit topspin forehands against light and heavy backspins. Five high-speed video cameras were used to record their strokes at 200 fps. Contributions of joint rotations to the racket speed, the racket kinematics at ball impact, the time required for racket acceleration and the maximum slope of the racket speed-time curve (s _max) were determined. The advanced players showed a significantly larger contribution of lower trunk axial rotation to the racket speed at impact and a significantly larger value of s_max, and tended to require a less time for racket acceleration than the intermediate players. The racket speed at impact was not significantly different between the two player groups. The players adjusted the racket face angle rather than the inclination of the racket path at impact to the different ball spins. The results suggest that the ability to accelerate the racket in less time in the topspin forehand against backspin balls may be an important factor that affects the performance level.     

Foot strike pattern in preschool children during running: sex and shod–unshod differences

Purpose: This study aims to determine the foot strike patterns (FSPs) and neutral support (no inversion [INV]/eversion [EVE] and no foot rotation) in preschool children, as well as to determine the influence of shod/unshod conditions and sex. Methods: A total of 1356 children aged 3–6 years (673 boys and 683 girls) participated in this study. A sagittal and frontal-plane video (240?Hz) was recorded using a high-speed camcorder to record the following variables: rearfoot strike (RFS), midfoot strike (MFS), forefoot strike (FFS), inversion/ eversion (INV/EVE) and foot rotation on initial contact. Results: There were no between-sex significant differences in both shod and unshod conditions in RFS. In the unshod condition, there was a significant reduction (p?Conclusion: In preschool children, no between-sex differences were found in relation to prevalence of RFS and neutral support (no INV/EVE). Shod running alters FSP of running barefoot, producing a significant increase of RFS prevalence.     

The kinematic differences between skill levels in the squash forehand drive,volley and drop strokes

ABSTRACT

Knowledge of the kinematic differences that separate highly skilled and less-skilled squash players could assist the progression of talent development. This study compared trunk, upper-limb and racket kinematics between two groups of nine highly skilled and less-skilled male athletes for forehand drive, volley and drop strokes. A 15-camera motion analysis system recorded three-dimensional trajectories, with five shots analysed per participant per stroke. The highly skilled group had significantly (p < 0.05) larger forearm pronation/supination range-of-motion and wrist extension angles at impact than the less-skilled. The less-skilled group had a significantly more “open” racket face and slower racket velocities at impact than the highly skilled. Rates of shoulder internal rotation, forearm pronation, elbow extension and wrist flexion at impact were greater in the drive stroke than in the other strokes. The position of the racket at impact in the volley was significantly more anterior to the shoulder than in the other strokes, with a smaller trunk rotation angular velocity. Players used less shoulder internal/external rotation, forearm pronation/supination, elbow and wrist flexion/extension ranges-of-motions and angular velocities at impact in the drop stroke than in the other strokes. These findings provide useful insights into the technical differences that separate highly skilled from less-skilled players and provide a kinematic distinction between stroke types.     

Comparison of lower limb muscle architecture and geometry in distance runners with rearfoot and forefoot strike pattern

ABSTRACT

We examined the association between footfall pattern and characteristics of lower limb muscle function and compared lower limb muscle function between forefoot and rearfoot runners. Fifteen rearfoot and 16 forefoot runners were evaluated using ultrasonography of the gastrocnemii and tibialis anterior while strike index and heel strike angle quantified footfall pattern. Higher strike index was associated with lower medial gastrocnemius echo intensity (p = 0.05), lower lateral gastrocnemius echo intensity (p = 0.04), smaller tibialis anterior pennation angle (p = 0.05), and longer lateral gastrocnemius fascicle length (p = 0.04). Larger heel strike angle was associated with smaller medial gastrocnemius cross-sectional area (p = 0.04), shorter lateral gastrocnemius fascicle length (p < 0.01), and lower plantar flexion moment (p < 0.01). Larger plantar flexion moment was associated with lesser medial gastrocnemius echo intensity (p = 0.04), lesser lateral gastrocnemius echo intensity (p = 0.03), and greater lateral gastrocnemius fascicle length (p = 0.02). A smaller plantar flexion moment, larger heel strike angle, lower tibialis anterior echo intensity, larger tibialis anterior pennation angle, and smaller lateral gastrocnemius pennation angle were observed in rearfoot compared to forefoot runners (p < 0.05). Lower limb muscle architecture is associated with footfall pattern and ankle mechanics during running.

Abbreviation: EMG: electromyographic; MG: medial gastrocnemius; LG: lateral gastrocnemius; TA: tibialis anterior; EI: echo intensity; CSA: cross-sectional area; PA: pennation angle; FL: fascicle length; FT: fat thickness     

Functional torque ratios and torque curve analysis of shoulder rotations in overhead athletes with and without impingement symptoms

Abstract

In this study, we evaluated the peak torque, functional torque ratios, and torque curve profile of the shoulder rotators in overhead athletes with impingement symptoms so as to examine possible alterations in response to sports training and shoulder pain. Twenty-one overhead athletes with impingement symptoms were compared with 25 overhead athletes and 21 non-athletes, none of whom were symptomatic for impingement. The participants performed five maximal isokinetic concentric and eccentric contractions of medial and lateral shoulder rotations at 1.57 rad · s^?1 and 3.14 rad · s^?1. Isokinetic peak torque was used to calculate the eccentric lateral rotation-to-concentric medial rotation and the eccentric medial rotation-to-concentric lateral rotation ratios. An analysis of the torque curve profiles was also carried out. The eccentric lateral rotation-to-concentric medial rotation torque ratio of asymptomatic athletes was lower than that of non-athletes at both test velocities. The concentric medial rotation isokinetic peak torque of the asymptomatic athletes, at 3.14 rad · s^?1, was greater than that of the non-athletes, and the peak appeared to occur earlier in the movement for athletes than non-athletes. These findings suggest that there may be adaptations to shoulder function in response to throwing practice. The eccentric medial rotation-to-concentric lateral rotation torque ratio was altered neither by the practice of university-level overhead sports nor impingement symptoms.     

Effect of Hand Spacing and Rear Knee Angle on the Sprinter's Start

Abstract

Twelve male subjects with no specialized training in sprint running were used to study effects upon the sprinter's start when hand spacing and rear knee angle were systematically altered. Results indicated that hand spacing had an effect on the start during the first 10 yd. of the sprint. The effect of rear knee angle was present at 10 yd. and the advantage gained at 10 yd. was still present at 30 yd.     

Does ankle joint flexibility affect underwater kicking efficiency and three-dimensional kinematics?

ABSTRACT

Ankle flexibility is critical to obtain a high swimming velocity in undulatory underwater swimming (UUS). The present study investigated the Froude (propelling) efficiency and three-dimensional (3D) kinematics of human UUS following the extrinsic restriction of the ankle by tape application. In Experiment 1, swimmers (9 male and 8 female college swimmers) performed UUS trials involving normal swimming (Normal) and swimming with tape application at the ankle (Tape). Kicking frequency was controlled in both settings. UUS kinematics were obtained with a two-dimensional motion analysis. Swimming velocity significantly decreased during swimming with tape application compared with that during normal swimming (Normal, 1.33 m·s^?1; Tape, 1.26 m·s^?1, p < 0.05). The Froude efficiency was not affected (Normal, 0.77; Tape, 0.76), and ankle plantar angle did not decrease during swimming (Normal, 159.02°; Tape, 160.38°). In Experiment 2, lower limb rotations of a male swimmer were analysed using 3D motion analysis under the same conditions as Experiment 1. An insufficient forefoot rotation was observed during downstroke kicks (the phase of the highest acceleration to forward direction). These findings suggest that UUS velocity is affected by the mobility of end effector.     

Trunk axial rotation in baseball pitching and batting

The purpose of this study was to quantify trunk axial rotation and angular acceleration in pitching and batting of elite baseball players. Healthy professional baseball pitchers (n = 40) and batters (n = 40) were studied. Reflective markers attached to each athlete were tracked at 240 Hz with an eight-camera automated digitizing system. Trunk axial rotation was computed as the angle between the pelvis and the upper trunk in the transverse plane. Trunk angular acceleration was the second derivative of axial rotation. Maximum trunk axial rotation (55 ± 6°) and angular acceleration (11,600 ± 3,100 °/s²) in pitching occurred before ball release, approximately at the instant the front foot landed. Maximum trunk axial rotation (46 ± 9°) and angular acceleration (7,200 ± 2,800 °/s²) in batting occurred in the follow-through after ball contact. Thus, the most demanding instant for the trunk and spine was near front foot contact for pitching and after ball contact for batting.