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Eythorsdottir I, Gløersen Ø, Rice H, Werkhausen A, Ettema G, Mentzoni F, Solberg P, Lindberg K, Paulsen G. The Battle of the Equations: A Systematic Review of Jump Height Calculations Using Force Platforms. Sports Med 2024:10.1007/s40279-024-02098-x. [PMID: 39425876 DOI: 10.1007/s40279-024-02098-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2024] [Indexed: 10/21/2024]
Abstract
Vertical jump height measures our ability to oppose gravity and lower body neuromuscular function in athletes and various clinical populations. Vertical jump tests are principally simple, time-efficient, and extensively used for assessing athletes and generally in sport science research. Using the force platform for jump height estimates is increasingly popular owing to technological advancements and its relative ease of use in diverse settings. However, ground reaction force data can be analyzed in multiple ways to estimate jump height, leading to distinct outcome values from the same jump. In the literature, four equations have been commonly described for estimating jump height using the force platform, where jump height can vary by up to ∼ 15 cm when these equations are used on the same jump. There are advantages and disadvantages to each of the equations according to the intended use. Considerations of (i) the jump type, (ii) the reason for testing, and (iii) the definition of jump height should ideally determine which equation to apply. The different jump height equations can lead to confusion and inappropriate comparisons of jump heights. Considering the popularity of reporting jump height results, both in the literature and in practice, there is a significant need to understand how the different mathematical approaches influence jump height. This review aims to investigate how different equations affect the assessment of jump height using force platforms across various jump types, such as countermovement jumps, squat jumps, drop jumps, and loaded jumps.
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Affiliation(s)
- Ingrid Eythorsdottir
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
- Norwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway
| | - Øyvind Gløersen
- Smart Sensors and Microsystems, SINTEF Digital, Oslo, Norway
| | - Hannah Rice
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Amelie Werkhausen
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
- Intelligent Health Initiative, Section for Pharmacy, Department of Life Sciences and Health, Oslo Metropolitan University, Oslo, Norway
| | - Gertjan Ettema
- Department of Neuromedicine and Movement Science, Center for Elite Sports Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Fredrik Mentzoni
- Norwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway
| | - Paul Solberg
- Norwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway
| | - Kolbjørn Lindberg
- Norwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway
- Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Gøran Paulsen
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.
- Norwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway.
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Kraszewski A, Harris K, Argentieri E, Toresdahl B, Drakos M, Hillstrom H, Allen A, Nwawka OK. Association Between Longitudinal Changes in Patellar Tendon Abnormality and Land-Jump Biomechanics in Male Collegiate Basketball Players. Orthop J Sports Med 2024; 12:23259671241261354. [PMID: 39253290 PMCID: PMC11382219 DOI: 10.1177/23259671241261354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 01/10/2024] [Indexed: 09/11/2024] Open
Abstract
Background The relationship between self-reported symptoms and the severity of patellar tendon abnormality (PTA) as seen on magnetic resonance imaging and ultrasound is unclear, but biomechanical testing may resolve this. Purpose To (1) compare land-jump limb biomechanics between pre- and postseason timepoints, (2) assess whether seasonal changes in biomechanics are associated with seasonal changes in PTA and symptom severity, and (3) explore models that identify seasonal changes in PTA and symptoms with seasonal changes in biomechanics in collegiate basketball players. Study Design Cohort study; Level of evidence, 2. Methods Victorian Institute of Sport Assessment Scale - Patellar Tendon (VISA-P) scores and bilateral measurements from 18 National Collegiate Athletic Association Division I and II male basketball players (n = 36 limbs) at the preseason (visit 1) and postseason (visit 2) timepoints were collected. PTA was graded with ultrasound and magnetic resonance imaging morphology measurements proximally and distally, and 3-dimensional lower extremity sagittal kinematics and kinetics were measured during a land-jump test. Multivariate and chi-square analyses assessed timepoint differences. The association of seasonal (Δ = visit 2 - visit 1) biomechanics with seasonal morphology (ΔPTA: no change/worsened) and symptoms (ΔVISA-P: improved/no change/worsened) was tested with multivariate models. Logistic regressions modeled the accuracy of seasonal biomechanics to classify seasonal PTA and symptoms. Results Three athletes (6 limbs) at visit 1 and 2 athletes (4 limbs) at visit 2 were symptomatic. VISA-P scores were not significantly different between preseason and postseason. Regarding PTA, multivariate analyses found differences among grouped ground-reaction force variables (P < .05); univariate analyses found that worsened PTA was associated with seasonal decreases in peak vertical jumping force and with seasonal increases in knee flexion velocity at contact and maximum knee flexion velocity (P < .05 for all). Regarding VISA-P scores, multivariate analyses found differences among grouped hip (P < .01) and ankle (P < .05) kinematic variables; univariate analyses found that worsened VISA-P was associated with seasonal increases in hip (P < .01) and knee (P < .01) flexion velocity at contact and seasonal increases in ankle range of motion (P < .05). Conclusion The findings demonstrated an association between seasonal changes in dynamic lower extremity biomechanics and seasonal changes in patellar tendon imaging signals as well as self-reported symptoms.
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Affiliation(s)
| | - Kindred Harris
- University of Arizona College of Medicine, Tucson, Arizona, USA
| | - Erin Argentieri
- University of California, Berkeley, Berkeley, California, USA
| | | | - Mark Drakos
- Hospital for Special Surgery, New York, New York, USA
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Grosklos M, Perry J, Elwood M, Jochimsen K, Di Stasi S. Dynamic joint stiffness in individuals with femoroacetabular impingement syndrome pre- and post-hip arthroscopy. Clin Biomech (Bristol, Avon) 2024; 112:106187. [PMID: 38280259 DOI: 10.1016/j.clinbiomech.2024.106187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 01/12/2024] [Accepted: 01/23/2024] [Indexed: 01/29/2024]
Abstract
BACKGROUND Patients with hip-related pain often fail to return to their desired level of activity following hip arthroscopy. Lasting biomechanics alterations may be one potential explanation. Dynamic joint stiffness assesses the mechanistic controls of the lower limb during high impact movements, and thus, may provide valuable clinical targets to improving movement and optimizing return to activity after surgery. METHODS Twenty-five participants (13 females) with hip-related pain underwent 3D motion capture during a drop jump task before surgery and six months post-operatively. Nineteen healthy controls (9 females) were collected for comparison. Sagittal plane dynamic joint stiffness was calculated during the initial landing phase. Baseline and 6-month dynamic joint stiffness data were compared 1) between males and females with hip-related pain and 2) between individuals with hip-related pain and controls using Wilcoxon Signed-Rank and Mann Whitney U tests. Sexes were analyzed separately. FINDINGS From baseline to 6 months post-operatively, females with hip-related pain demonstrated decreased dynamic ankle stiffness (2.26 Nm/deg. [0.61] to 1.84 Nm/deg. [0.43]) (p = .005) and males with hip-related pain demonstrated increased dynamic hip stiffness (2.73 [0.90] to 3.88 [1.73]) (p = .013). There were no differences in dynamic stiffness at any joint between individuals with hip-related pain at either timepoint when compared to controls (p ≥ .099). INTERPRETATION Females and males with hip-related pain may demonstrate unique changes in dynamic joint stiffness after surgery, indicating return to activity may follow different trajectories for each sex. Additional work should examine the relationship between hip joint stiffness and treatment outcomes and identify additional movement-related rehabilitation targets.
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Affiliation(s)
- Madeline Grosklos
- Department of Biomedical Engineering, The Ohio State University, 140 W 19th Ave, Columbus, OH 43210, USA; Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA.
| | - Jennifer Perry
- Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA; Department of Mechanical Engineering, The Ohio State University, 201 W 19th Ave, Columbus, OH 43210, USA.
| | - Megan Elwood
- Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Ave, Columbus, OH 43210, USA
| | - Kate Jochimsen
- Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
| | - Stephanie Di Stasi
- Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA; Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Ave, Columbus, OH 43210, USA
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VanZile A, Snyder M, Jones D, Gus Almonroeder T. Athletes with a History of ACL Reconstruction Exhibit Greater Inter-Limb Asymmetry in Impact Forces During the First Landing of a Drop Vertical Jump Compared to the Second Landing. J Electromyogr Kinesiol 2023; 72:102809. [PMID: 37556873 DOI: 10.1016/j.jelekin.2023.102809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 07/24/2023] [Accepted: 08/02/2023] [Indexed: 08/11/2023] Open
Abstract
The primary objective of this study was to examine the degree of inter-limb asymmetry in impact force magnitudes and rates during the first and second landings of a drop vertical jump in adolescent athletes with a history of anterior cruciate ligament (ACL) reconstruction. We also compared the degree of asymmetry exhibited by the athletes who had undergone ACL reconstruction to a group of uninjured athletes. This study included 14 athletes who had undergone ACL reconstruction and 28 uninjured athletes, matched for age, sex, and sport. All athletes completed a double-leg drop vertical jump task. Peak vertical ground reaction forces (vGRFs) and loading rates were examined for both limbs during the first and second landings of the drop vertical jump. For the athletes who had undergone ACL reconstruction, peak vGRFs were 11.9% greater for the uninvolved limb vs. the involved limb during the first landing; however, peak vGRFs were only 2.4% greater for the uninvolved limb (vs. the involved limb) during the second landing. The athletes who had undergone ACL reconstruction exhibited greater asymmetry in peak vGRFs for the first landing compared to the uninjured athletes; however, there was no difference between the groups (ACL reconstruction, uninjured) for the second landing.
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Affiliation(s)
- Adam VanZile
- Optimum Performance Therapy, Fort Wayne, IN, USA
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Jia R, Wang F, Jiang J, Zhang H, Li J. The biomechanical effects of insoles with different cushioning on the knee joints of people with different body mass index grades. Front Bioeng Biotechnol 2023; 11:1241171. [PMID: 37781527 PMCID: PMC10540770 DOI: 10.3389/fbioe.2023.1241171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 08/29/2023] [Indexed: 10/03/2023] Open
Abstract
Background: Enhancing knee protection for individuals who are overweight and obese is crucial. Cushioning insoles may improve knee biomechanics and play a significant protective role. However, the impact of insoles with varying cushioning properties on knee joints in individuals with different body mass index (BMI) categories remains unknown. Our aim was to investigate the biomechanical effects of insoles with different cushioning properties on knee joints across different BMI grades. Methods: Gravity-driven impact tests were used to characterize the cushioning properties of three types of Artificial Cartilage Foam (ACF18, 28, and 38) and ethylene-vinyl acetate (EVA) insoles. Knee joint sagittal, coronal, and vertical axis angles and moments were collected from healthy-weight (BMI 18.5-23.9 kg/m2, n = 15), overweight (BMI 24.0-27.9 kg/m2, n = 16), and obese (BMI ≥28.0 kg/m2, n = 15) individuals randomly assigned four different insoles during a drop jump. The Kruskal-Wallis test and mixed model repeated measures analysis of variance were used to compare differences among cushioning and biomechanical data across various insoles, respectively. Results: ACF showed higher cushioning than EVA, and ACF38 was the highest among the three types of ACF (all p < 0.001). During the drop jump, the knee flexion angles and moments of the ACF insoles were lower than those of the EVA insoles, the knee adduction angles of the ACF18 and ACF28 insoles were lower than those of the EVA insoles, and ACF18 insoles increased the first cushion time (all p < 0.05) for all participants in whom biomechanical variables demonstrated no interactions between insoles and BMI. Regarding the BMI-dependent biomechanical variables, compared with the EVA insoles, ACF28 insoles decreased the knee flexion angle and ACF38 insoles decreased the knee adduction and rotation moment in the healthy-weight group; ACF18 insoles decreased the knee flexion angle and ACF38 insoles decreased the knee moment in the overweight group; ACF28 insoles decreased the knee flexion and adduction moment, and ACF38 insoles decreased the knee flexion angle and rotation moment in the obese group (all p < 0.05). Conclusion: Insoles with higher cushioning properties could improve knee biomechanics and provide better knee joint protection in people across different BMI ranges.
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Affiliation(s)
- Rui Jia
- Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China
| | - Fei Wang
- Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China
| | - Jiang Jiang
- Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China
| | - Hongtao Zhang
- Zhongshan Torch Development Zone People’s Hospital, Zhongshan, China
| | - Jianyi Li
- Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China
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Matsumoto Y, Ogihara N, Kosuge S, Hanawa H, Kokubun T, Kanemura N. Sex differences in the kinematics and kinetics of the foot and plantar aponeurosis during drop-jump. Sci Rep 2023; 13:12957. [PMID: 37563188 PMCID: PMC10415335 DOI: 10.1038/s41598-023-39682-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 07/28/2023] [Indexed: 08/12/2023] Open
Abstract
Plantar fasciitis is one of the most common musculoskeletal injuries in runners and jumpers, with a higher incidence in females. However, mechanisms underlying sex-associated differences in its incidence remain unclear. This study investigated the possible differences in landing and jumping kinematics and kinetics of the foot between sexes during drop-jump activities. Twenty-six participants, including 13 males and 13 females, performed drop-jumps from a platform onto force plates. Nineteen trials including ten males and nine females were selected for inverse dynamics analysis. The patterns of stretch and tensile force generated by the plantar aponeurosis (PA) were estimated using a multi-segment foot model incorporating the PA. Our results demonstrated that dorsiflexion, angular velocity, and normalized plantarflexion moment of the midtarsal joint right after the heel landed on the floor were significantly larger in females than in males. Consequently, the PA strain rate and tensile stress tended to be larger in females than in males. Such differences in the kinematics and kinetics of the foot and the PA between sexes could potentially lead to a higher prevalence of foot injuries such as plantar fasciitis in females.
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Affiliation(s)
- Yuka Matsumoto
- Department of Biological Sciences, The University of Tokyo, Tokyo, Japan
- Graduate Course of Health and Social Services, Graduate School of Saitama Prefectural University, Saitama, Japan
| | - Naomichi Ogihara
- Department of Biological Sciences, The University of Tokyo, Tokyo, Japan
| | - Sachiko Kosuge
- Graduate Course of Health and Social Services, Graduate School of Saitama Prefectural University, Saitama, Japan
- Maeda Seikeigeka, Saitama, Japan
| | - Hiroki Hanawa
- Department of Health Science, University of Human Arts and Sciences, Saitama, Japan
| | - Takanori Kokubun
- Department of Health and Social Services, Saitama Prefectural University, 820 Sannomiya, Koshigaya, Saitama, 343-8540, Japan
| | - Naohiko Kanemura
- Department of Health and Social Services, Saitama Prefectural University, 820 Sannomiya, Koshigaya, Saitama, 343-8540, Japan.
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Bassa E, Adamopoulos I, Panoutsakopoulos V, Xenofondos A, Yannakos A, Galazoulas C, Patikas DA. Optimal Drop Height in Prepubertal Boys Is Revealed by the Performance in Squat Jump. Sports (Basel) 2022; 11:1. [PMID: 36668705 PMCID: PMC9864797 DOI: 10.3390/sports11010001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/09/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022] Open
Abstract
Drop jump (DJ) performance gain with increasing drop height is well documented in adults, but there is still no clear evidence of such gain in children. This study aimed to examine the differences in DJ performance gain in male adults and prepubescent boys by comparing drop heights tailored to each individual's performance and expressed as a percentage of their squat jump (SJ) performance. Fifteen boys (9-11 y) and 15 men (19-27 y) executed DJs from drop heights that were set at 75%, 100%, 125%, and 150% of their best performance in SJ (DJ75, DJ100, DJ125, and DJ150, respectively). Vertical ground reaction force (vGRF), contact time and kinematics of the lower extremities were captured. The results showed that boys jumped significantly lower than adults in DJs, and both age groups presented jumping gain with increasing drop height, up to DJ125. Boys demonstrated longer total contact time, lower angular velocity and vGRF during the propulsive phase, as well as smaller knee flexion at touchdown and lower reactive strength index. vGRF in DJ75 and DJ100 was lower than in DJ125 and DJ150. The highest value for maximum knee flexion was also presented at DJ150. It is concluded that in prepubescent boys, the appropriate drop height for an effective DJ is linked to their performance in SJ and might be between 75% and 125% of their maximum SJ performance.
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Affiliation(s)
- Eleni Bassa
- Laboratory of Evaluation of Human Biological Performance, Department of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Ilias Adamopoulos
- Laboratory of Evaluation of Human Biological Performance, Department of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Vassilios Panoutsakopoulos
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Anthi Xenofondos
- Department of Education, Frederick University, Limassol 3080, Cyprus
| | - Athanasios Yannakos
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Christos Galazoulas
- Laboratory of Evaluation of Human Biological Performance, Department of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Dimitrios A. Patikas
- School of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, 62110 Serres, Greece
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Panoutsakopoulos V, Chalitsios C, Nikodelis T, Kollias IA. Kinetic time-curves can classify individuals in distinct levels of drop jump performance. J Sports Sci 2022; 40:2143-2152. [PMID: 36309478 DOI: 10.1080/02640414.2022.2140921] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This study examined whether analysing kinetic features of drop jumps (DJ) as one-dimensional biomechanical curves can reveal specific patterns that are consistent and can cluster DJ performance. Hierarchical clustering analysis on DJ from 40 cm data performed by 128 physically active male participants (23.0 ± 4.5 yrs, 1.84 ± 0.07 m, 79.1 ± 10.8 kg) was performed on the derived time-normalised force, power and vertical stiffness curves to unmask the underlying patterns and to explore the dissimilarities identified from the subgroup (cluster) analysis. Results revealed poor, average and top DJ performers. Top performers exhibited larger peak force, power and vertical stiffness compared to the other two groups, and the poor performers had lower values compared to the average performers (p < .05). The time curves of force, power and vertical stiffness exhibited between cluster dissimilarities from ~25% to ~70%, and ~20% to 40% plus ~55% to 70% from the beginning of the ground contact, respectively. The force and power time-curves distinguished DJ ability similarly since they shared 69% of the cases in the top performers' cluster. The content of cases (membership) for vertical stiffness was different from the membership for the force and power time-curve clusters. In conclusion, stiffness should be considered during plyometric training, but does not distinctly define DJ performance.
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Affiliation(s)
- Vassilios Panoutsakopoulos
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Christos Chalitsios
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Thomas Nikodelis
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Iraklis A Kollias
- Biomechanics Laboratory, School of Physical Education and Sports Sciences at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
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Hirohata K, Aizawa J, Ohmi T, Ohji S, Mitomo S, Ohara T, Koga H, Yagishita K, Jinno T, Okawa A. Reactive strength index during single-limb vertical continuous jumps after anterior cruciate ligament reconstruction: cross-sectional study. BMC Sports Sci Med Rehabil 2022; 14:150. [PMID: 35918729 PMCID: PMC9344617 DOI: 10.1186/s13102-022-00542-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 07/26/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND The association of the reactive strength index (RSI) during single-limb vertical continuous jumps (SVCJs) with single-limb hop tests in athletes after anterior cruciate ligament reconstruction (ACLR) is unclear. Thus, this study aimed to confirm the measurement properties of the RSI during SVCJs in athletes with ACLR at the phase of determining the timing of their return to sport. METHODS RSI during SVCJs and single-limb hop (single, triple, and crossover) tests were measured for post-ACLR and healthy athletes. The limb symmetry index (LSI) was calculated using the measurements of each parameter. For each test, patients were divided into two subgroups according to their LSI score (≥ 90%, satisfactory; < 90%, unsatisfactory). Fisher's exact test was used to examine the association of single-limb hop tests with RSI during the SVCJs. RESULTS A total of 21 post-ACLR and 17 healthy athletes completed all the tests. RSI during SVCJs was significantly lower on the involved limb than on the uninvolved limb in post-ACLR athletes (P < 0.001). The LSI of RSI during SVCJs of post-ACLR athletes was significantly lower than that of the healthy athletes (P < 0.01). Among the post-ACLR athletes, < 30% of those with LSIs > 90% in the single-limb hop tests had an LSI > 90% of the RSI during SVCJs. CONCLUSIONS RSI during SVCJs of post-ACLR athletes was significantly lower on the involved limb than on the uninvolved limb, and the asymmetry was more remarkable in the SVCJs than in the single-limb hop tests.
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Affiliation(s)
- Kenji Hirohata
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
| | - Junya Aizawa
- Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.,Department of Rehabilitation Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takehiro Ohmi
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan
| | - Shunsuke Ohji
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan
| | - Sho Mitomo
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan
| | - Toshiyuki Ohara
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan
| | - Hideyuki Koga
- Department of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Kazuyoshi Yagishita
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan
| | - Tetsuya Jinno
- Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Saitama, Japan
| | - Atsushi Okawa
- Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Choi J, Song K, Kim H, Lee SY, Park J. Effects of Unilateral Lower-extremity Joint Cooling on Movement Biomechanics during Two-legged Jumping and Landing. THE ASIAN JOURNAL OF KINESIOLOGY 2022. [DOI: 10.15758/ajk.2022.24.2.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study examined the immediate effect of unilateral ankle or knee joint cooling on the low-erextremity kinematics and kinetics during two-legged jumping and landing.METHODS Twenty healthy adults randomly completed three data collection sessions for ankle or knee joint cooling, or control. For each session, participants performed two-legged countermovement jumps and lands. For joint cooling, two ice bags were directly placed to the right side and secured with a compression bandage. A three-dimensional motion analysis system (200 Hz) with two floor-embedded force platforms (2000 Hz) was employed to capture the jumping and landing. The cooling effects on kinematical (flight time, and sagittal plane joint angles) and kinetical (peak vertical ground reaction force (vGRF), impulse, and sagittal plane joint moments) variables were examined. A mixed-model analysis of variance was performed for each dependent variable (<i>p</i>≤0.0001 for all tests).RESULTS We did not observe any interactions (flight time: F<sub>2,95</sub>=0.67, <i>p</i>=0.52; joint angles: F<sub>2,209</sub>≤2.26, <i>p</i>≥0.10; peak vGRF: F<sub>2,209</sub>≤1.76, <i>p</i>≥0.20; impulse: F<sub>2,209</sub>≤2.54, <i>p</i>≥0.10; joint moments: F<sub>2,209</sub>≤4.80, <i>p</i>≥0.01 for all interactions). Regardless of condition and time (side effect), subjects showed a dominant-leg predominant movement strategy. Specifically, the right side showed a greater peak vGRF (2%), and greater ankle (7%), knee (6%), and hip (11%) joint moments, as compared with the left side during jumping. The same movement pattern was observed during landing that there was greater peak vGRF (11%) and impulse (8%), and greater ankle and knee joint moments (15%). Regardless of time and side (condition effect), subjects with ankle joint cooling showed 5% lesser ankle joint moment during jumping, compared with those who received knee joint cooling (<i>p</i>=0.0001).CONCLUSIONS A 20-min of unilateral ankle or knee joint cooling seems to neither alter vertical jump height nor change movement biomechanics during two-legged jumping and landing.
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Taylor JB, Wright ES, Waxman JP, Schmitz RJ, Groves JD, Shultz SJ. Ankle Dorsiflexion Affects Hip and Knee Biomechanics During Landing. Sports Health 2021; 14:328-335. [PMID: 34096370 DOI: 10.1177/19417381211019683] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Restricted ankle dorsiflexion range of motion (DFROM) has been linked to lower extremity biomechanics that place an athlete at higher risk for injury. Whether reduced DFROM during dynamic movements is due to restrictions in joint motion or underutilization of available ankle DFROM motion is unclear. HYPOTHESIS We hypothesized that both lesser total ankle DFROM and underutilization of available motion would lead to high-risk biomechanics (ie, greater knee abduction, reduced knee flexion). STUDY DESIGN Cross-sectional study. LEVEL OF EVIDENCE Level 3. METHODS Nineteen active female athletes (age, 20.0 ± 1.3 years; height, 1.61 ± 0.06 m; mass, 67.0 ± 10.7 kg) participated. Maximal ankle DFROM (clinical measure of ankle DFROM [DF-CLIN]) was measured in a weightbearing position with the knee flexed. Lower extremity biomechanics were measured during a drop vertical jump with 3-dimensional motion and force plate analysis. The percent of available DFROM used during landing (DF-%USED) was calculated as the peak DFROM observed during landing divided by DF-CLIN. Univariate linear regressions were performed to identify whether DF-CLIN or DF-%USED predicted knee and hip biomechanics commonly associated with injury risk. RESULTS For every 1.0° less of DF-CLIN, there was a 1.0° decrease in hip flexion excursion (r2 = 0.21, P = 0.05), 1.2° decrease in peak knee flexion angles (r2 = 0.37, P = 0.01), 0.9° decrease in knee flexion excursion (r2 = 0.40, P = 0.004), 0.002 N·m·N-1·cm-1 decrease in hip extensor work (r2 = 0.28, P = 0.02), and 0.001 N·m·N-1·cm-1 decrease in knee extensor work (r2 = 0.21, P = 0.05). For every 10% less of DF-%USED, there was a 3.2° increase in peak knee abduction angles (r2 = 0.26, P = 0.03) and 0.01 N·m·N-1·cm-1 lesser knee extensor work (r2 = 0.25, P = 0.03). CONCLUSION Lower levels of both ankle DFROM and DF-%USED are associated with biomechanics that are considered to be associated with a higher risk of sustaining injury. CLINICAL RELEVANCE While total ankle DFROM can predict some aberrant movement patterns, underutilization of available ankle DFROM can also lead to higher risk movement strategies. In addition to joint specific mobility training, clinicians should incorporate biomechanical interventions and technique feedback to promote the utilization of available motion.
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Affiliation(s)
- Jeffrey B Taylor
- Department of Physical Therapy, High Point University, High Point, North Carolina
| | - Elena S Wright
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, North Carolina.,Department of Implementation Science, Division of Public Health Science, Wake Forest School of Medicine, Winston-Salem, North Carolina.,Center for Healthcare Innovation, Wake Forest Baptist Health, Winston Salem, North Carolina
| | - Justin P Waxman
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, North Carolina
| | - Randy J Schmitz
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, North Carolina
| | - James D Groves
- Department of Physical Therapy, The University of Tennessee Health Science Center, Memphis, Tennessee
| | - Sandra J Shultz
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, North Carolina
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