The effects of an unanticipated side-cut on lower extremity kinematics and ground reaction forces during a drop landing

Unanticipated direction to cut after landing may alter the lower extremity landing biomechanics when performing landing motions. These alterations may potentially increase the risk of ACL injury. The purpose of this study was to determine if an unanticipated side-cut affects lower extremity landing biomechanics in females. Eighteen recreational female athletes participated in two blocks of testing: the first block of testing consisted of three acceptable trials of anticipated dominant limb and non-dominant limb 45-degree diagonal cutting after landing, which were performed in a counterbalanced order. The second block of testing consisted of three acceptable trials of unanticipated dominant limb and non-dominant limb diagonal cutting after landing. Data analysis mainly focused on the dominant limb landing biomechanics. Unanticipated side-cut landing, compared (paired t-test, p < 0.05) to the anticipated landings, resulted in less hip abduction and tibial internal rotation angle at initial contact (IC) and a lower maximum ankle inversion angle and a greater maximum knee abduction angle, and knee and hip displacement. Also, greater posterior GRF and a longer time to peak medial GRF were exhibited. These outcomes indicate that athletes may adapt their landing mechanics to land unsafely when encountering an unanticipated event.     

A functional agility short-term fatigue protocol changes lower extremity mechanics

The purpose of this study was to evaluate the effects of a functional agility fatigue protocol on lower extremity biomechanics between two unanticipated tasks (stop-jump and sidestep). The subjects consisted of fifteen female collegiate soccer athletes (19±0.7 years, 1.67±0.1 m, 61.7±8 kg) free of lower extremity injury. Participants performed five trials of stop-jump and sidestep tasks. A functional short-term agility protocol was performed, and immediately following participants repeated the unanticipated running tasks. Lower extremity kinematic and kinetic values were obtained pre and post fatigue. Repeated measures analyses of variance were conducted for each dependent variable with an alpha level set at 0.05. Knee position post-fatigue had increased knee internal rotation (11.4±7.5° vs. 7.9±6.5° p=0.011) than pre-fatigue, and a decreased knee flexion angle (-36.6±6.2° vs. ?40.0±6.3°, p = 0.003), as well as hip position post-fatigue had decreased hip flexion angle (35.5±8.7° vs. 43.2±9.5°, p = 0.002). A quick functional fatigue protocol altered lower extremity mechanics of Division I collegiate soccer athletes during landing tasks. Proper mechanics should be emphasized from the beginning of practice/game to aid in potentially minimizing the effects of fatigue in lower extremity mechanics.     

External ankle taping does not alter lower extremity side-step cut and straight sprint biomechanics in young adult males

Abstract

Lateral ankle sprains (LAS) are one of the most common musculoskeletal injuries and as a response, clinicians often use external ankle taping prophylactically to reduce the prevalence of injuries. External ankle taping techniques have been shown to significantly reduce passive ankle range of motion; however, there is limited research on the effects of external ankle taping on lower extremity kinematics or kinetics during sport specific tasks. Therefore, our objective was to compare the effects of external ankle taping on ankle, knee and hip kinematics and kinetics compared to no taping during an anticipated sidestep cutting task and a straight sprint task. We conducted a cross-over laboratory study with 16 healthy males. Three-dimensional kinematics and kinetics were collected with a motion capture system and in-ground force plate during 5 trials of a sprint and anticipated side-step cut with or without external ankle taping. Group means and associated 90% confidence intervals were plotted across 100 data points for each task, significance being identified when the confidence intervals did not overlap for three consecutive data points. No significant kinetic or kinematic differences were identified between conditions for the tasks. External ankle taping does not influence lower extremity biomechanics during a control cutting task.     

Biomechanical analysis of the different classifications of the Functional Movement Screen deep squat test

The purpose of this study is to examine the peak sagittal plane joint angles and joint moments of the lower extremity during the deep squat (DS) movement of the Functional Movement Screen (FMS) to assess differences between the classifications (1,2,3). Twenty-eight participants volunteered for the study and were screened to assess their FMS score on the DS task. All participants underwent a quantitative movement analysis performing the FMS DS movement at a self-selected speed. The participants in Group 3 exhibited greater dorsiflexion excursion compared to those in Group 1. Participants in Group 3 had greater peak knee flexion and knee flexion excursion than those in Group 2 who exhibited more than the participants in Group 1. Group 3 also exhibited a greater peak knee extension moment compared to Group 1. At the hip, Groups 3 and 2 exhibited greater peak hip flexion, hip flexion excursion and peak hip extension moment compared to Group 1. Thus, it appears that individuals who score differently on the deep squat as determined by the FMS exhibit differences in mechanics that may be beneficial in assessing strategies for interventions. Future research should assess how fundamental changes in mobility and stability independently affect DS performance.     

Biomechanical analysis of the different classifications of the Functional Movement Screen deep squat test

The purpose of this study is to examine the peak sagittal plane joint angles and joint moments of the lower extremity during the deep squat (DS) movement of the Functional Movement Screen (FMS) to assess differences between the classifications (1,2,3). Twenty-eight participants volunteered for the study and were screened to assess their FMS score on the DS task. All participants underwent a quantitative movement analysis performing the FMS DS movement at a self-selected speed. The participants in Group 3 exhibited greater dorsiflexion excursion compared to those in Group 1. Participants in Group 3 had greater peak knee flexion and knee flexion excursion than those in Group 2 who exhibited more than the participants in Group 1. Group 3 also exhibited a greater peak knee extension moment compared to Group 1. At the hip, Groups 3 and 2 exhibited greater peak hip flexion, hip flexion excursion and peak hip extension moment compared to Group 1. Thus, it appears that individuals who score differently on the deep squat as determined by the FMS exhibit differences in mechanics that may be beneficial in assessing strategies for interventions. Future research should assess how fundamental changes in mobility and stability independently affect DS performance.     

A biomechanical comparison of dominant and non-dominant limbs during a side-step cutting task

Abstract

Numerous studies have investigated anterior cruciate ligament (ACL) injury risk by examining gender differences in knee and hip biomechanics during a side-step cutting manoeuvre since it is known that ACL injury often occurs during such a task. Recent investigations have also examined lower extremity (LE) biomechanics during side-step cutting in individuals following ACL reconstruction (ACLR). Common research practice is to compare knee and hip biomechanics of the dominant limb between groups but this can add considerable complexity for clinicians and researchers. At this time, it is not known if there is a difference in LE biomechanics between the dominant and non-dominant limb during side-step cutting. Three-dimensional kinematics and kinetics were collected while 31 healthy participants performed five, side-step cutting manoeuvres with the dominant and non-dominant limbs. Knee and hip variables examined are those commonly investigated in ACL injury literature. There were no differences between limbs in all but one variable (knee internal rotation). These results demonstrate that healthy individuals exhibit little side-to-side differences in certain LE biomechanics when performing a side-step cutting manoeuvre. These findings can be utilised by clinicians when conducting dynamic evaluations of their ACLR patients and when developing injury prevention and rehabilitation programmes.     

Intra-limb coordinative adaptations in cycling

This study aimed to establish the nature of lower extremity intra-limb coordination variability in cycling and to investigate the coordinative adaptations that occur in response to changes in cadence and work rate. Six trained and six untrained males performed nine pedalling bouts on a cycle ergometer at various cadences and work rates (60, 90, and 120 revolutions per minute (rpm) at 120, 210, and 300W). Three-dimensional kinematic data were collected and flexion/extension angles of the ankle, knee, and hip joints were subsequently calculated. These data were used to determine two intra-limb joint couplings [hip flexion/extension-knee flexion/extension (HK) and knee flexion/extension-ankle plantar-flexion/dorsi-flexion (KA)], which were analysed using continuous relative phase analysis. Trained participants displayed significantly (p < 0.05) lower coordination variability (6.6 +/- 4.0 degrees) than untrained participants (9.2 +/- 4.7 degrees). For the trained subjects, the KA coupling displayed significantly more in-phase motion in the 120 rpm (19.2 +/- 12.3 degrees) than the 60 (30 +/- 7.1 degrees) or 90 rpm (33.1 +/- 7.4 degrees) trials and the HK coupling displayed significantly more in-phase motion in the 90 (33.3 +/- 3.4 degrees) and 120 rpm (27.9 +/- 13.6 degrees) than in the 60 rpm trial (36.4 +/- 3.5 degrees). The results of this study suggest that variability may be detrimental to performance and that a higher cadence is beneficial. However, further study of on-road cycling is necessary before any recommendations can be made.     

Effect of attending to a ball during a side-cut maneuver on lower extremity biomechanics in male and female athletes

Many sports associated with anterior cruciate ligament (ACL) injury require athletes attend to a ball during participation. We investigated effects of attending to a ball on lower extremity mechanics during a side-cut maneuver and if these effects are consistent for males and females. Sagittal and frontal plane hip and knee kinematics and joint moments were measured during side-cut maneuvers in 19 male and 19 female National Collegiate Athletic Association division III basketball players. Participants also experienced two side-cut conditions that required attention to a ball. Our results did not indicate that the effect of attention varies with gender. However, during side-cut conditions while attending to a ball, internal knee adductor moment was 20% greater (p = 0.03) and peak knee flexion angle was 4 degrees larger (p < 0.01). Females demonstrated 5 degrees less hip flexion (p = 0.046), 12 degrees less knee flexion (p < 0.01), and 4 degrees more knee abduction (p = 0.026) at initial contact during all side-cut conditions than males. Attention to a ball may affect lower extremity mechanics relevant to ACL injury. The validity of laboratory studies of lower extremity mechanics for sports that include attention to a ball may be increased if participants are required to attend to a ball during the task.     

The effect of high intensity exercise and anticipation on trunk and lower limb biomechanics during a crossover cutting manoeuvre

We investigated the effects of high intensity, intermittent exercise (HIIP) and anticipation on trunk, pelvic and lower limb biomechanics during a crossover cutting manoeuvre. Twenty-eight male, varsity athletes performed crossover cutting manoeuvres in anticipated and unanticipated conditions pre- and post-HIIP. Kinematic and kinetic variables were captured using a motion analysis system. Statistical parametric mapping (repeated-measures ANOVA) was used to identify differences in biomechanical patterns. Results demonstrated that both unanticipation and fatigue (HIIP) altered the biomechanics of the crossover cutting manoeuvre, whereas no interactions effects were observed. Unanticipation resulted in less trunk and pelvic side flexion in the direction of cut (d = 0.70 – 0.79). This led to increased hip abductor and external rotator moments and increased knee extensor and valgus moments with small effects (d = 0.24–0.42), potentially increasing ACL strain. The HIIP resulted in trivial to small effects only with a decrease in internal knee rotator and extensor moment and decreased knee power absorption (d = 0.35), reducing potential ACL strain. The effect of trunk and hip control exercises in unanticipated conditions on the crossover cutting manoeuvre should be investigated with a view to refining ACL injury prevention programmes.     

Is soccer kick performance better after a "faking" (cutting) maneuver task?

Cutting in soccer is a common skill used to avoid the opponent's pressure but the potential effects of such a skill on instep kicking performance have not been previously investigated. The purpose of this study was to examine the differences in lower limb biomechanics between straight approach soccer kicks and kicks performed following a cutting maneuver task. Ten young amateur soccer players performed, in a random order, instep kicks after a two-step straight approach run and kicks after a double "faking" cutting maneuver task. The results showed that kicking after a cutting maneuver task displayed significantly lower ball speed values compared with the straight approach instep kicking (16.73 vs. 19.78 m/s, respectively; p < 0.05). Moreover, analysis of variance showed significant differences between the two kicking conditions in ankle, knee and hip joint displacements. The present study indicated that performing instep kicks after a double-cutting maneuver reduces ball and foot speed probably due to increasing joint frontal and transverse plane rotations. Improvements in the performance of the cutting maneuver task through training might result in better transfer of energy and speed to the kicking task thus permitting players to perform more powerful kicks under realistic game conditions.     

Divided attention during cutting influences lower extremity mechanics in female athletes

Anterior cruciate ligament (ACL) injuries in basketball appear to be more common when players are in possession of the ball. The greater risk of ACL injury when in possession of the ball may result from the athlete’s inability to fully attend to their movement. However, it is also possible that having to carry/manipulate the ball restricts the athlete’s ability to utilise their upper extremities for stability during a manoeuvre. The purpose of this study was to explore how possession of a basketball and divided attention influence lower extremity mechanics during cutting and landing. Twenty uninjured females with basketball experience performed a baseline lateral cutting task, as well as lateral cuts while carrying a basketball, with and without a subsequent chest pass. Requiring participants to carry the basketball in isolation (i.e., without the additional pass) had minimal influence on lower extremity mechanics compared to baseline. However, participants demonstrated less knee flexion (40.9° vs. 47.3°) and greater knee abduction (12.2° vs. 10.1°) for trials that included the additional pass (divided attention condition) compared to trials conducted while carrying the basketball in isolation. Athletes may be at greater risk for ACL injury when they are unable to solely attend to their movement.     

Whole-body control of anticipated and unanticipated sidestep manoeuvres in female and male team sport athletes

ABSTRACT

The purpose of this study was to investigate the influence of sex and planning time on spatial and temporal aspects of the whole-body centre of mass (CoM) mechanics during sidestepping performance. Seventeen female and 17 male collegiate team sport athletes completed seven anticipated and seven unanticipated sidestep trials during which three-dimensional CoM data were recorded. Female athletes had a reduced ability to reorient their CoM towards the desired direction of travel (lower medio-lateral and anterior-posterior CoM velocity) than their male counterparts, with reduced medial (closer to stance foot) and increased posterior positioning of CoM relative to the stance foot (p < 0.05). When planning time was limited, female and male athletes performed sidestepping with CoM further from the stance foot (more medial) and more anterior than in the anticipated condition (p < 0.05) at reduced medio-lateral velocities. Sex and condition control strategy differences were evident both in the preparatory phase and the stance phase. The current research draws attention to the foreseen benefits of training athletes, with particular emphasis on females, to direct CoM towards the desired direction of travel in the preparatory and stance phases within temporally constrained situations for improved performance.     

The relationship between torque and joint angle during knee extension in boys and men.

The length-tension relationship of muscle contraction is well documented in adults. However, research on this relationship in children has been limited. The aim of this study was to compare differences in the torque-joint angle relationship of the quadriceps muscle in children and adults. Eight boys aged 8-10 years and eight men aged 20-26 years performed two maximal voluntary isometric contractions at six knee joint angles (20 degrees, 40 degrees, 60 degrees, 80 degrees, 90 degrees, 100 degrees). The mean of the two trials was used as the performance measure. Both groups demonstrated an expected increase in relative torque as the joint angle increased (P< 0.05). The men produced significantly greater relative torque at 20 degrees, 40 degrees and 60 degrees knee flexion (P < 0.05). The percentage of maximal torque at these angles for the men and boys respectively were: 35.2+/-4.3 vs 15.2+/-12%, 63.6+/-9.1 vs 51.8+/-16.8% and 93.6+/-6.5 vs 84.4+/-14.4%. There were no group differences at 80 degrees or 90 degrees. Peak torque was attained at 80 degrees in men, but decreased significantly (P< 0.05) at 90 degrees and 100 degrees. For boys, peak torque was attained at joint angles of 80 degrees and 90 degrees. The reduction in peak torque at 100 degrees was not statistically significant, but the relative torque at this angle was lower in men than in boys (77.9+/-13.7 vs 87.1+/-10.4%; P< 0.05). In conclusion, the relationship between torque and joint angle appears to be affected by age.     

Cushioning and lateral stability functions of cloth sport shoes

In this study, we evaluated the protective functions of cloth sport shoes, including cushioning and lateral stability. Twelve male students participated in the study (mean +/- s: age 12.7 +/- 0.4 years, mass 40.7 +/- 5.9kg, height 1.50 +/- 0.04m). Cloth sport shoes, running shoes, basketball shoes, crosstraining shoes, and barefoot conditions were investigated in random sequence. Human pendulum and cutting movement tests were used to assess cushioning performance and lateral stability, respectively. For cushioning, the running shoes (2.06 body weight, BW) performed the best, while the cross-training shoes (2.30 BW) and the basketball shoes (2.37 BW) both performed better than the cloth sport shoes (2.55 BW) and going barefoot (2.63 BW). For the lateral stability test, range of inversion--eversion was found to be from 3.6 to 4.9 degrees, which was far less than that for adult participants (> 20 degrees). No significant differences were found between conditions. All conditions showed prolonged durations from foot-strike to maximum inversion (66-95 ms), which was less vigorous than that for adult participants (< 40 ms) and was unlikely to evoke intrinsic stability failure. In conclusion, the cloth sport shoe showed inferior cushioning capability but the same lateral stability as the other sports shoes for children.     

Gender differences among sagittal plane knee kinematic and ground reaction force characteristics during a rapid sprint and cut maneuver

Women are more prone to anterior cruciate ligament (ACL) injury during cutting sports than men. The purpose of this study was to examine knee kinematic and ground reaction forces (GRF) differences between genders during cutting. Male and female athletes performed cutting trials while force platform and video data were recorded (180 Hz). Differences (p < . 05) were observed between groups for knee flexion at contact and GRF at maximum knee flexion. Women averaged 5.8 degrees less flexion at contact and 1.0 N. (kg x m x s(-1))(-1) greater GRF at maximum flexion. Knee range of motion and peak GRF variables were not significantly different, but women had greater values. Women exhibited technique characteristics believed to increase ACL injury risk, but men exhibiting similar characteristics were also observed and could also be at risk.     

Thermoregulatory responses to exercise: relative versus absolute intensity

The purpose of the present study was to re-examine the relationship between deep body temperature and relative exercise intensity, during running rather than cycling (Saltin and Hermansen, 1966). Twenty male competitive and recreational distance runners, aged 22 + 0.9 years (mean +/- sx), were selected to form two groups, one with high maximal oxygen uptake (VO2max) values (72.8 +/- 0.8 ml x kg(-1) x min(-1)) and the other with moderate values (59.4 +/- 0.7 ml x kg(-1) x min(-1)). The participants completed two 60 min constant-paced treadmill runs at a common speed (absolute intensity) of 10.5 km x h(-1) and at a relative exercise intensity at a speed equivalent to 65% of VO2max. During the relative exercise intensity trial, no differences were found in rectal temperature, skin temperature or heart rate between groups. However, when running at the common speed, differences were identified in rectal temperature. At 60 min, rectal temperature was 37.70 +/- 0.19 degrees C and 38.19 +/- 0.11 degrees C for the high and moderate VO2max groups, respectively (P < 0.05). Sweat lost was significantly higher in the moderate VO2max group (moderate: 1.05 +/- 0.06 kg x h(-1); high: 0.82 +/- 0.08 kg x h(-1); P < 0.05). Heart rates were also different between groups over the first 20 min during the common speed trial (P < 0.05). The results of the present study support the findings of Saltin and Hermansen (1966), in that the set-point at which temperature is maintained is related to the relative exercise intensity.     

Sex differences in lower extremity stiffness and kinematics alterations during double-legged drop landings with changes in drop height

The aim of this study was to determine whether sex differences and effect of drop heights exist in stiffness alteration of the lower extremity during a landing task with a drop height increment. Twelve male participants and twelve female participants performed drop landings at two drop heights (DL40 and DL60; in cm). The leg and joint stiffnesses were calculated using a spring–mass model, and the joint angular kinematics were calculated using motion capture. Ground reaction forces (GRFs) were recorded using a force plate. The peak vertical GRF of the females was significantly increased when the drop height was raised from 40 to 60 cm. Significantly less leg and knee stiffness was observed for DL60 in females. The ankle, knee, and hip angular displacement during landing were significantly increased with drop height increment in both sexes. The knee and hip flexion angular velocities at contact were significantly greater for the 60 cm drop height relative to the 40 cm drop height in males. These sex disparities regarding the lower extremity stiffness and kinematics alterations during drop landing with a drop height increment would predispose females to lower extremity injury.     

Relationship between performance-based and laboratory tests for lower-limb muscle strength and power assessment in healthy older women

The aim of the study was to assess the relationship between performance-based and laboratory tests for muscular strength and power assessment in older women. Thirty-two women aged 68.8 +/- 2.8 years were recruited. All participants were asessed for: (a) two performance-based tests--the box-stepping test (mean 296 +/- 51 J) and two-revolution maximum test (mean 7.1 +/- 2 kg) performed while pedalling on a cycle ergometer; and (b) muscular function tests--maximal instantaneous peak power jumping on a force platform (mean 1528 +/- 279 W); maximal voluntary contraction (MVC) during knee extension (mean 601 +/- 571 N) and leg press (mean 626 +/- 126 N), and leg press power (mean 483 +/- 98 W) on a dynamometer. Using univariate analysis, performance-based tests were compared with laboratory muscle strength and power measurements. Muscle power correlated most strongly with the performance-based tests for both jumping and leg press power (r-values between 0.67 and 0.75; P < 0.01). The correlation with muscle strength measures ranged between 0.48 and 0.61 (P < 0.01). The proposed tests may have particular relevance in geriatric and rehabilitation environments as they represent an easy, practical, and inexpensive alternative for the assessment of muscular strength and power.     

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.     

Isokinetic knee extension and vertical jumping: are they related?

The aim of this study was to examine joint power generation during a concentric knee extension isokinetic test and a squat vertical jump. The isokinetic test joint power was calculated using four different methods. Five participants performed concentric knee extensions at 0.52, 1.57, 3.14 and 5.23 rad x s(-1) on a Lido isokinetic dynamometer. The squat vertical jump was performed on a Kistler force plate. Kinematic data from both tests were collected and analysed using an ELITE optoelectronic system. An inverse dynamics model was applied to measure knee joint moment in the vertical jump. Knee angular position data from the kinematic analysis in the isokinetic test were used to derive the actual knee angular velocity and acceleration, which, in turn, was used to correct the dynamometer moment for inertial effects. Power was measured as the product of angular velocity and moment at the knee joint in both tests. Significant differences (P < 0.05) were found between mean (+/- s) peak knee joint power in the two tests (squat vertical jump: 2255 +/- 434 W; isokinetic knee extension: 771 +/- 81 W). Correlation analysis revealed that there is no relationship between the peak knee joint power during the vertical jump and the slow velocity isokinetic tests. Higher isokinetic velocity tests show better relationships with the vertical jump but only if the correct method for joint power calculation is used in the isokinetic test. These findings suggest that there are important differences in muscle activation and knee joint power development that must be taken into consideration when isokinetic tests are used to predict jumping performance.