Effect of gender on trunk and pelvis control during lateral movements with perturbed landing

In lateral reactive movements, core stability may influence knee and hip joint kinematics and kinetics. Insufficient core stabilisation is discussed as a major risk factor for anterior cruciate ligament (ACL) injuries. Due to the higher probability of ACL injuries in women, this study concentrates on how gender influences trunk, pelvis and leg kinematics during lateral reactive jumps (LRJs). Perturbations were investigated in 12 men and 12 women performing LRJs under three different landing conditions: a movable landing platform was programmed to slide, resist or counteract upon landing. Potential group effects on three-dimensional trunk, pelvic, hip and knee kinematics were analysed for initial contact (IC) and the time of peak pelvic medial tilt (PPT). Regardless of landing conditions, the joint excursions in the entire lower limb joints were gender-specific. Women exhibited higher trunk left axial rotation at PPT (women: 4.0 ± 7.5°, men: ?3.1 ± 8.2°; p = 0.011) and higher hip external rotation at both IC and PPT (p < 0.01). But women demonstrated higher knee abduction compared to men. Men demonstrated more medial pelvic tilt at IC and especially PPT (men: –5.8 ± 4.9°, women: 0.3 ± 6.3°; p = 0.015). Strategies for maintaining trunk, pelvis and lower limb alignment during lateral reactive movements were gender-specific; the trunk and hip rotations displayed by the women were associated with the higher knee abduction amplitudes and therefore might reflect a movement strategy which is associated with higher injury risk. However, training interventions are needed to fully understand how gender-specific core stability strategies are related to performance and knee injury.     

The hip control test is a valid and reliable measure of hip neuromuscular control

Abstract

Insufficient hip neuromuscular control may contribute to non-contact sport injuries. However, the current evaluative test of hip neuromuscular control, the single-leg squat, requires hip abductor muscle strength to complete. The purpose of this study was to develop the hip control test (HCT) and determine the test’s reliability and construct validity. Nineteen healthy adults visited the laboratory twice. The HCT is a 10-s test of reciprocal toe-tapping accuracy. Both automated and manual HCT ratings were recorded simultaneously during each visit. Additionally, eccentric hip abductor torque was measured. HCT reliability was assessed with intra-class correlation coefficients (ICC). Agreement between automated and manual ratings was determined with Bland–Altman plots. Construct validity was established if HCT performance significantly decreased with a secondary cognitive task (p < 0.05). Bivariate regression determined the relationship between HCT performance and eccentric hip abductor torque. Automated and manual HCT ratings both had moderate reliability (ICC = 0.72) and yielded similar results (limits of agreement = ?1 to 2 taps). The HCT had construct validity (p = 0.001), and no correlation with hip abductor muscle strength (r = 0.213). Thus, the HCT is a reliable and valid test. The HCT is simple to administer and measures hip neuromuscular control separately from strength.     

Textured insoles reduce vertical loading rate and increase subjective plantar sensation in overground running

The effect of textured insoles on kinetics and kinematics of overground running was assessed. 16 male injury-free-recreational runners attended a single visit (age 23?±?5 yrs; stature 1.78?±?0.06 m; mass 72.6?±?9.2?kg). Overground 15-m runs were completed in flat, canvas plimsolls both with and without textured insoles at self-selected velocity on an indoor track in an order that was balanced among participants. Average vertical loading rate and peak vertical force (F_peak) were captured by force platforms. Video footage was digitised for sagittal plane hip, knee and ankle angles at foot strike and mid stance. Velocity, stride rate and length and contact and flight time were determined. Subjectively rated plantar sensation was recorded by visual scale. 95% confidence intervals estimated mean differences. Smallest worthwhile change in loading rate was defined as standardised reduction of 0.54 from a previous comparison of injured versus non-injured runners. Loading rate decreased (?25 to ?9.3?BW?s^?1; 60% likely beneficial reduction) and plantar sensation was increased (46–58?mm) with the insole. F_peak (?0.1 to 0.14?BW) and velocity (?0.02 to 0.06?m?s^?1) were similar. Stride length, flight and contact time were lower (?0.13 to ?0.01 m; ?0.02 to?0.01?s; ?0.016 to ?0.006?s) and stride rate was higher (0.01–0.07 steps?s^?1) with insoles. Textured insoles elicited an acute, meaningful decrease in vertical loading rate in short distance, overground running and were associated with subjectively increased plantar sensation. Reduced vertical loading rate could be explained by altered stride characteristics.     

Hamstring rate of torque development is more affected than maximal voluntary contraction after a professional soccer match

Abstract

Match-induced fatigue of knee muscle strength and agonist-antagonist strength-ratios may affect both performance and risk of injury in soccer players. Once explosive tasks are imperative in soccer as well as hamstring strain injuries occur during high-velocity moments, rapid force capacity of this muscle group is especially important. This study evaluated the effect of match-induced fatigue on knee muscle strength and strength-ratio parameters after a single professional soccer match. Male professional soccer players (n?=?16; 24.2?±?3.9 years) were tested before and after a soccer match (56.2?±?22.6?min of playing) for knee flexors (hamstring) and extensors (quadriceps) isometric peak torque (MVC) and rate of torque development (RTD) – as well as the hamstring-to-quadriceps ratio (H:Q) – at 30° of knee flexion. Knee injuries often occur at this joint angle, which is common in sprinting, pivoting, sidecutting, and jumping. Match-induced fatigue caused a left shift in the knee extensors torque-time curve with no significant change in both early (i.e. 0–50?ms) and late (i.e. 0–200?ms) RTD, and a right shift in the knee flexors torque-time curve with a decrease in early RTD (～16%, p?=?.029) and late RTD (～11%, p?=?.011). Knee extensors and knee flexors peak torque remained unchanged (p?>?.05). Early RTD H:Q decreased by～24% (p?=?.027), while late RTD H:Q and MVC H:Q remained unchanged (p?>?.05). In conclusion, match-induced fatigue impaired the ability to rapidly produce force at an angle where injuries are most susceptible to occur. Important information is missed if only the traditional H:Q is considered.     

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.     

Effects of low volume isometric leg press complex training at two knee angles on force-angle relationship and rate of force development

This study compared knee angle-specific neuromuscular adaptations after two low-volume isometric leg press complex training programmes performed at different muscle lengths. Fifteen young males were divided into two groups and trained three times per week for 6 weeks. One group (n?=?8) performed 5–7 sets of 3 s maximum isometric leg press exercise, with 4?min recovery, with knee angle at 85°?±?2° (longer muscle-tendon unit length; L-MTU). The other group (n?=?7) performed the same isometric training at a knee angle of 145°?±?2° (180°^?=?full extension; shorter muscle-tendon unit length; S-MTU). During the recovery after each set of isometric exercise, participants performed two CMJ every minute, as a form of complex training. Maximum isometric force (MIF) and rate of force development (RFD) were measured over a wide range of knee angles. Countermovement jump (CMJ) performance and maximum half-squat strength (1RM) were also assessed. Training at S-MTU induced a large increase of MIF (22–58%, p?p?p?=?0.001). In contrast, training at L-MTU, resulted in a moderate and similar (≈12.3%, p?=?0.028) improvement of force at all knee angles. CMJ performance and 1RM were equally increased in both groups after training by 10.4%?±?8.3% and 7.8%?±?4.7% (p?相似文献   

Effects of load on ground reaction force and lower limb kinematics during concentric squats

The purpose of this study was to examine the effects of external load on vertical ground reaction force, and linear and angular kinematics, during squats. Eight males aged 22.1?±?0.8 years performed maximal concentric squats using loads ranging from 7 to 70% of one-repetition maximum on a force plate while linear barbell velocity and the angular kinematics of the hip, knee and ankle were recorded. Maximum, average and angle-specific values were recorded. The ground reaction force ranged from 1.67?±?0.20 to 3.21?±?0.29 times body weight and increased significantly as external load increased (P?<?0.05). Bar linear velocity ranged from 0.54?±?0.11 to 2.50?±?0.50?m?·?s^?1 and decreased significantly with increasing external load (P?<?0.05). Hip, knee and ankle angles at maximum ground reaction force were affected by external load (P?<?0.05). The force?–?barbell velocity curves were fitted using linear models with coefficients (r ²) ranging from 0.59 to 0.96. The results suggest that maximal force exertion during squat exercises is not achieved at the same position of the lower body as external load is increased. In contrast, joint velocity coordination does not change as load is increased. The force?–?velocity relationship was linear and independent from the set of data used for its determination.     

Kinetics and kinematics analysis of incremental cycling to exhaustion

Technique changes in cyclists are not well described during exhaustive exercise. Therefore the aim of the present study was to analyze pedaling technique during an incremental cycling test to exhaustion. Eleven cyclists performed an incremental cycling test to exhaustion. Pedal force and joint kinematics were acquired during the last three stages of the test (75%, 90% and 100% of the maximal power output). Inverse dynamics was conducted to calculate the net joint moments at the hip, knee and ankle joints. Knee joint had an increased contribution to the total net joint moments with the increase of workload (5–8% increase, p < 0.01). Total average absolute joint moment and knee joint moment increased during the test (25% and 39%, for p < 0.01, respectively). Increases in plantar flexor moment (32%, p < 0.01), knee (54%, p < 0.01) and hip flexor moments (42%, p = 0.02) were found. Higher dorsiflexion (2%, for p = 0.03) and increased range of motion (19%, for p = 0.02) were observed for the ankle joint. The hip joint had an increased flexion angle (2%, for p < 0.01) and a reduced range of motion (3%, for p = 0.04) with the increase of workload. Differences in joint kinetics and kinematics indicate that pedaling technique was affected by the combined fatigue and workload effects.     

Kinematic and EMG activities during front and back squat variations in maximum loads

The aim of this study was to compare the musculature activity and kinematics of knee and hip joints during front and back squat with maximal loading. Two-dimensional kinematical data were collected and electromyographic activities of vastus lateralis, vastus medialis, rectus femoris, semitendinosus, biceps femoris, gluteus maximus and erector spinae were measured while participants (n = 12, 21.2 ± 1.9 years old) were completing front and back squat exercises with maximum loading. Paired sample t-test was used for comparisons between two techniques. Results showed that the electromyographic activity of vastus medialis was found to be greater in the front squat compared to the back squat during the ascending phase (P < 0.05, d = 0.62; 95% CI, ?15.0/?4.17) and the whole manoeuvre (P < 0.05, d = 0.41; 95% CI, ?12.8/?0.43), while semitendinosus (P < 0.05, d = ?0.79; 95% CI, 0.62/20.59) electromyographic activity was greater in the back squat during the ascending phase. Compared to the front squat version, back squat exhibited significantly greater trunk lean, with no differences occurring in the knee joint kinematics throughout the movement. Results may suggest that the front squat may be preferred to the back squat for knee extensor development and for preventing possible lumbar injuries during maximum loading.     

Targeting associated mechanisms of anterior cruciate ligament injury in female community-level athletes

This study aims to determine if biomechanically informed injury prevention training can reduce associated factors of anterior cruciate ligament injury risk among a general female athletic population. Female community-level team sport athletes, split into intervention (n = 8) and comparison groups (n = 10), completed a sidestepping movement assessment prior to and following a 9-week training period, in which kinetic, kinematic and neuromuscular data were collected. The intervention group completed a biomechanically informed training protocol, consisting of plyometric, resistance and balance exercises, adjunct to normal training, for 15–20 min twice a week. Following the 9-week intervention, total activation of the muscles crossing the knee (n = 7) decreased for both the training (? ?15.02%, d = 0.45) and comparison (? ?9.68%, d = 0.47) groups. This decrease was accompanied by elevated peak knee valgus (? +27.78%, d = ?0.36) and internal rotation moments (? +37.50%, d = ?0.56) in the comparison group, suggesting that female community athletes are at an increased risk of injury after a season of play. Peak knee valgus and internal rotation knee moments among athletes who participated in training intervention did not change over the intervention period. Results suggest participation in a biomechanically informed training intervention may mitigate the apparent deleterious effects of community-level sport participation.     

Evaluating the contribution of lower extremity kinetics to whole body power output during the power snatch

This study evaluated the contribution of lower extremity (hip, knee and ankle) net joint torques (NJT) to whole body power (WBP) output during the power snatch (PS). Ten experienced weightlifters (five males and five females) performed five trials of the PS with 60% of one repetition maximum. Lower extremity NJT and WBP were extracted through a three-dimensional motion analyses and used for data analyses. Pearson correlation coefficients were obtained to observe the relationship between lower extremity NJT and WBP. Multiple-regression (stepwise) analyses was also conducted to evaluate the contribution of lower extremity NJT to WBP during the PS with the hip, knee and ankle NJT being the independent variables. Hip NJT was characterised as a significant positive correlation with WBP (r = 0.47, p < 0.01), while knee NJT showed a significant negative correlation with WBP (r = ?0.34, p < 0.05). A significant inter-correlation was also observed between hip NJT and knee NJT (r = ?0.66, p < 0.01). Hip NJT was identified as a significant contributor to WBP during the PS. Practically, this study suggested that training skills allowing weightlifters to utilise hip extensor muscle action would help to improve WBP during the PS.     

Lower limb moments differ when towing a weighted sled with different attachment points

Sprinting while towing a sled improves sprinting parameters, however, only kinematic and temporal–spatial variables have been reported. The purpose of this study was to determine how lower extremity joint moment impulses alter when towing a sled compared to normal walking. Twelve participants walked normally, walked while towing a sled with a 50% body weight load attached at the waist, and with a 50% body weight load attached at the shoulders. Joint moment impulses were calculated for the hip, knee, and ankle. A mixed-model ANOVA with a between-subject factor of limb and repeated measures of condition was used to compare differences between limbs and towing conditions for each joint. Towing a sled increased joint moment impulses at the hip, knee, and non-dominant ankle. When compared with normal walking waist attachment increased hip extension moment impulse by 214.5% ( ? 3.31 vs. ? 10.41 Nms/kg), and shoulder attachment increased knee extension moment impulse by 166.9% (4.62 vs. 12.33 Nms/kg). The dominant limb produced greater knee extension moment impulse (p < 0.001), while the non-dominant limb produced greater hip extension (p < 0.001) and ankle plantarflexion moment impulse (p < 0.001) across all conditions. Results suggest that walking while towing may increase hip and knee extension strength.     

Association between knee-to-hip flexion ratio during single-leg vertical landings,and strength and range of motion in professional soccer players

Abstract

The aim of this study was to test the correlation between knee-to-hip flexion ratio during a single leg landing task and hip and knee strength, and ankle range of motion. Twenty-four male participants from a professional soccer team performed a continuous single leg jump-landing test during 10s, while lower limb kinematics data were collected using a motion analysis system. After biomechanical testing, maximal isometric hip (abduction, extension, external rotation), knee extension and flexion strength were measured. Maximum ankle dorsiflexion range of motion was assessed statically using the weight bearing lunge test. Pearson correlation coefficients were calculated to determine the associations between the predictor variables (knee and hip strength, and ankle ROM) and the main outcome measure (knee-to-hip flexion ratio). Correlation between knee-to-hip flexion ratio and hip abductors strength was significant (r = ?0.47; p = 0.019). No other significant correlations were observed among the variables (p > 0.05). These results demonstrated that a lower hip abductors strength in male soccer players was correlated with a high knee-to-hip flexion ratio during landing from a single leg jump, potentially increasing knee overload by decreasing energy absorption at the hip. The results provide a novel proposal for the functioning of hip muscles to control knee overload.     

Does maturation influence neuromuscular performance and muscle damage after competitive match-play in youth male soccer players?

Abstract

Poor neuromuscular control and fatigue have been proposed as a risk factor for non-contact injuries especially around peak height velocity (PHV). This study explored the effects of competitive soccer match-play on neuromuscular performance and muscle damage in male youth soccer players. 24 youth players aged 13-16y were split into a PHV group (?0.5 to 0.5y) and post PHV group (1.0–2.5y) based on maturity off-set. Leg stiffness, reactive strength index (RSI), muscle activation, creatine kinase (CK), and muscle soreness were determined pre and post a competitive soccer match. Paired t-tests were used to explore differences pre and post competitive match play and independent sample t-tests for between groups differences for all outcome measures. There was no significant fatigue-related change in absolute and relative leg stiffness or muscle activation in both groups, except for the gastrocnemius in the post PHV group. RSI, CK and perceived muscle soreness were significantly different after soccer match-play in both groups with small to large effects observed (ES:0.41–2.82). There were no significant differences between the groups pre match-play except for absolute and relative leg stiffness (P?<?0.001; ES?=?1.16 and 0.63 respectively). No significant differences were observed in the fatigue related responses to competitive match play between groups except for perceived muscle soreness. The influence of competitive match-play on neuromuscular function and muscle damage is similar in male youth around the time of PHV and those post-PHV indicating that other factors must contribute to the heightened injury risk around PHV.     

Three-dimensional kinematics of competitive and recreational cyclists across different workloads during cycling

Although the link between sagittal plane motion and exercise intensity has been highlighted, no study assessed if different workloads lead to changes in three-dimensional cycling kinematics. This study compared three-dimensional joint and segment kinematics between competitive and recreational road cyclists across different workloads. Twenty-four road male cyclists (12 competitive and 12 recreational) underwent an incremental workload test to determine aerobic peak power output. In a following session, cyclists performed four trials at sub-maximal workloads (65, 75, 85 and 95% of their aerobic peak power output) at 90?rpm of pedalling cadence. Mean hip adduction, thigh rotation, shank rotation, pelvis inclination (latero-lateral and anterior–posterior), spine inclination and rotation were computed at the power section of the crank cycle (12 o'clock to 6 o'clock crank positions) using three-dimensional kinematics. Greater lateral spine inclination (p?p?p?相似文献   

The effects of load on system and lower-body joint kinetics during jump squats

To investigate the effects of different loads on system and lower-body kinetics during jump squats, 12 resistance-trained men performed jumps under different loading conditions: 0%, 12%, 27%, 42%, 56%, 71%, and 85% of 1-repetition maximum (1-RM). System power output was calculated as the product of the vertical component of the ground reaction force and the vertical velocity of the bar during its ascent. Joint power output was calculated during bar ascent for the hip, knee, and ankle joints, and was also summed across the joints. System power output and joint power at knee and ankle joints were maximized at 0% 1-RM (p < 0.001) and followed the linear trends (p < 0.001) caused by power output decreasing as the load increased. Power output at the hip was maximized at 42% 1-RM (p = 0.016) and followed a quadratic trend (p = 0.030). Summed joint power could be predicted from system power (p < 0.05), while system power could predict power at the knee and ankle joints under some of the loading conditions. Power at the hip could not be predicted from system power. System power during loaded jumps reflects the power at the knee and ankle, while power at the hip does not correspond to system power.     

Alternative assessment of knee joint muscle balance of soccer players through total work-based hamstring: quadriceps ratios

Isokinetic hamstring-to-quadriceps (H:Q) ratios are frequently used to assess knee muscle strength imbalances and risk of injuries/re-injuries. The use of peak torque (PT) or total work (TW) to estimate joint stability may lead to different results because of the differences between these two neuromuscular variables. Thus, the current study aimed to compare the conventional and functional H:Q ratios calculated by PT and TW. Ninety-three male professional soccer players from Brazilian first division teams performed isokinetic concentric and eccentric contractions of the quadriceps and the hamstrings at 60°/s. Muscle strength balance was calculated using the conventional torque ratio (CTR) and conventional work ratio (CWR), functional torque ratio (FTR) and functional work ratio (FWR) were highly and moderately correlated between them (r?=?0.83 and r?=?0.73, respectively). The Wilcoxon statistical test revealed significant differences between CTR and CWR, as well as FTR and FWR (p?T-test demonstrated significant differences in mean CTR–CWR and FTR–FWR, whereas Bland–Altman plots showed non-consistent bias. In addition, the chi-square test demonstrated significant differences between players below the conventional reference values and functional reference values (p?相似文献   

Chain-loaded variable resistance warm-up improves free-weight maximal back squat performance

The acute influence of chain-loaded variable resistance exercise on subsequent free-weight one-repetition maximum (1-RM) back squat performance was examined in 16 recreationally active men. The participants performed either a free-weight resistance (FWR) or chain-loaded resistance (CLR) back squat warm-up at 85% 1-RM on two separate occasions. After a 5-min rest, the participants attempted a free-weight 1-RM back squat; if successful, subsequent 5% load additions were made until participants failed to complete the lift. During the 1-RM trials, 3D knee joint kinematics and knee extensor and flexor electromyograms (EMG) were recorded simultaneously. Significantly greater 1-RM (6.2?±?5.0%; p?p?p?>?.05) was found in concentric EMG, eccentric or concentric knee angular velocity, or peak knee flexion angle. Performing a CLR warm-up enhanced subsequent free-weight 1-RM performance without changes in knee flexion angle or eccentric and concentric knee angular velocities; thus a real 1-RM increase was achieved as the mechanics of the lift were not altered. These results are indicative of a potentiating effect of CLR in a warm-up, which may benefit athletes in tasks where high-level strength is required.     

The influence of shoe drop on the kinematics and kinetics of children tennis players

This study investigated the immediate effects of reducing the shoe drop (i.e. the difference between the heel and the forefoot height) on the kinematics and kinetics of the lower extremities of children tennis players performing a tennis-specific movement. Thirteen children tennis players performed a series of simulated open stance forehands wearing 3 pairs of shoes differing only in the drop: 0 (D0), 6 (D6) and the control condition of 12?mm (D12). Two embedded forceplates and a motion capture system were used to analyse the ground reaction forces and ankle and knee joint angles and moments of the leading lower limb. In D6 compared with D12, the peak impact force was reduced by 24% (p?=?.004) and the ankle was less dorsiflexed at foot strike (p?=?.037). In D0 compared with D12, the peak impact force was reduced by 17% (p?=?.049), the ankle was less dorsiflexed at foot strike (p?=?.045) and the knee was more flexed at foot strike (p?=?.007). In addition, 4 out of 13 participants (31%) presented a forefoot strike pattern for some of the trials in D0. No difference was observed across shoe conditions for the peak knee extensor moment (p?=?.658) or the peak ankle plantarflexor moment (p?=?.071). The results provide preliminary data supporting the hypothesis that for children tennis players, using a 6-mm lower shoe drop might reduce heel impact forces and thus limit potentially impact-related injuries.