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Richardson MC, Chesterton P, Taylor A, Evans W. The effect of surface on knee landing mechanics and muscle activity during a single-leg landing task in recreationally active females. Phys Ther Sport 2024; 69:22-32. [PMID: 38996759 DOI: 10.1016/j.ptsp.2024.07.001] [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: 10/09/2023] [Revised: 07/04/2024] [Accepted: 07/05/2024] [Indexed: 07/14/2024]
Abstract
OBJECTIVE Investigate the effect of surface on frontal plane knee angle, knee moment and muscle activity. DESIGN Randomised cross over. SETTING University Laboratory. METHODS Twenty females performed single-leg hop-landings onto sand, grass and firm surfaces. Kinematic, kinetic and muscle activity data were obtained. Compatibility curves were used to visualise parameter estimates alongside P- values, and S-value transforms. RESULTS Knee angle for firm-sand (mean difference (d)‾ = -2.2°; 95% compatibility interval (CI): -4.6 to 0.28, p = 0.083, s = 3.6) and firm-grass (d‾ = -1.9; 95% CI: -4.3 to 0.5, p = 0.125, S = 3) yielded <4 bits of reputational information against the null hypothesis (H). 5 bits (p = 0.025) of information against H were observed for knee moment between firm-sand (d‾ = 0.17 N m/kg-1. m-1; 95% CI: 0.02 to 0.31) with similar effects for firm-grass (d‾ = 0.14 N m/kg-1. m-1; 95% CI: -0.02 to 0.29, p = 0.055, S = 4). Muscle activity across surfaces ranged from almost no (S = 1) reputational evidence against H (Quadriceps and Hamstrings) to 10-13 'bits' against H for lateral gastrocnemius (lower on sand). CONCLUSIONS Our study provides valuable information for practitioners of the observed effect sizes for lower-limb landing mechanics across surfaces in asymptomatic females.
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Affiliation(s)
- Mark C Richardson
- Allied Health Professions Department, School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.
| | - Paul Chesterton
- Allied Health Professions Department, School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.
| | - Abigail Taylor
- Faculty of Health Sciences and Wellbeing, Sunderland University, Sunderland, United Kingdom.
| | - William Evans
- Faculty of Health Sciences and Wellbeing, Sunderland University, Sunderland, United Kingdom.
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Zaheri RM, Majlesi M, Fatahi A. The effects of fatigue on the relationship between ankle angle at initial contact and the knee and hip joints in landing: Assessing the risk of ACL injury. Gait Posture 2024; 113:462-467. [PMID: 39126958 DOI: 10.1016/j.gaitpost.2024.07.299] [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: 05/29/2024] [Revised: 07/09/2024] [Accepted: 07/28/2024] [Indexed: 08/12/2024]
Abstract
BACKGROUND Anterior cruciate ligament (ACL) injuries may correlate with lower limb angles and biomechanical factors in both dominant and non-dominant legs at initial contact (IC) post-landing. This study aims to investigate the correlation between ankle angles in three axes at IC and knee and hip joint angles during post-spike landings in professional volleyball players, both pre- and post-fatigue induction. RESEARCH QUESTION To what extent does fatigue influence lower limb joint angles, and what is the relationship between ankle joint angles and hip and knee angles at IC during the landing phase following a volleyball spike? METHODS Under conditions involving the peripheral fatiguing protocol, the lower limb joint angles at IC following post-spike landings were measured in 28 professional male volleyball players aged between 19 and 28 years, who executed the Bosco fatigue protocol both before and after inducing fatigue. A paired t-test was utilized to compare the joint angles pre- and post-fatigue in both dominant and non-dominant legs. Furthermore, Pearson's correlation test was conducted to explore the relationship between ankle angles at IC and the corresponding knee and hip joint angles. RESULTS The findings of the study revealed that fatigue significantly increased hip external rotation and decreased knee joint flexion and external rotation in both the dominant and non-dominant legs (p < 0.05). Additionally, correlation analysis demonstrated that the ankle joint's positioning in the frontal and horizontal planes was significantly associated with hip flexion and external rotation at the IC, as well as with knee flexion and rotation (0.40 < r < 0.80). CONCLUSION Fatigue increased hip external rotation and ankle internal rotation, weakening the correlation between these joints while strengthening the ankle-knee relationship, indicating a reduced hip control in jumps. This suggests a heightened ACL injury risk in the dominant leg due to the weakened ankle-hip connection, contrasting with the non-dominant leg.
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Affiliation(s)
- Rafe Mohammad Zaheri
- Department of Sports Biomechanics, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
| | - Mahdi Majlesi
- Department of Sport Biomechanics, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
| | - Ali Fatahi
- Department of Sports Biomechanics, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
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Huang Y, Li W, Shi X, Wang W, Xu C, Adams RD, Lyu J, Han J, He Y. Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity. Front Bioeng Biotechnol 2024; 12:1372679. [PMID: 38699433 PMCID: PMC11063258 DOI: 10.3389/fbioe.2024.1372679] [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: 01/18/2024] [Accepted: 04/03/2024] [Indexed: 05/05/2024] Open
Abstract
Background: Knee osteoarthritis (KOA) is a common musculoskeletal condition that affects dynamic balance control and increases the risk of falling during walking. However, the mechanisms underlying this are still unclear. Diminished ankle proprioception during walking has been found to be related to fear of falling in older adults, with a gender difference in incidence of falling. This study aimed to determine 1) whether ankle inversion proprioceptive acuity during walking is impaired in patients with KOA; and 2) whether there is any difference between genders. Methods: Thirty-two patients with KOA (F:M = 17:15, Median age = 52.5, BMI = 22.3 ± 3.0) and 34 healthy controls without KOA (HC) (F:M = 17:17; median age = 49.0, BMI = 22.5 ± 2.7) were recruited. In patients with KOA, ankle inversion proprioceptive acuity was measured on the affected side using the ankle inversion discrimination apparatus for walking (AIDAW), whilst HC were assessed on a randomly selected side. Two-way (2*2) analysis of variance (ANOVA) was performed to determine the main effects and interaction between gender and KOA condition. Results: Two-way ANOVA showed a significant KOA main effect (F = 26.6, p < 0.001, ƞp 2 = 0.3) whereby AIDAW scores during walking for individuals with KOA were significantly lower than those without KOA (KOA vs. HC: 0.746 ± 0.057 vs. 0.807 ± 0.035). There was neither a gender main effect nor interaction (both p > 0.05). Conclusion: Individuals with KOA demonstrated lower ankle proprioception scores during walking compared to their healthy counterparts, with a similar level of impairment in ankle proprioceptive acuity between male and female patients. A low score may contribute to an increased risk of falling in the KOA population. The current findings suggest the need for global concern about lower limb proprioception in the clinical management of KOA.
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Affiliation(s)
- Yanfeng Huang
- Department of Orthopedics, Jinshan District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Wanjuan Li
- Department of Orthopedics, Jinshan District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Xiaojian Shi
- School of Health Science, Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Wenchao Wang
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Chengshuo Xu
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Roger David Adams
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Jie Lyu
- Department of Orthopedics, Jinshan District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
| | - Jia Han
- Department of Orthopedics, Jinshan District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Yaohua He
- Department of Orthopedics, Jinshan District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China
- Department of Orthopedic Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Toussaint TD, Schepens B. Biomechanical behavior of the lower limbs and of the joints when landing from different heights. J Biomech 2024; 165:112014. [PMID: 38422773 DOI: 10.1016/j.jbiomech.2024.112014] [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: 09/05/2023] [Revised: 02/13/2024] [Accepted: 02/19/2024] [Indexed: 03/02/2024]
Abstract
Landing from a jump is a challenging task as the energy accumulated during the aerial phase of the jump must be fully dissipated by the lower limbs during landing; the higher the jump height, the greater the amount of energy to be dissipated. In the present study, we aim to understand (1) how the biomechanical behavior is tuned as a function of the mechanical demand, and (2) the relationship between the self-selected landing strategy and the behavior of the joints. Fourteen subjects were asked to drop off a box of 10 to 60 cm height and land on the ground. The ground reaction forces and the kinematics were recorded using force plates and a motion capture system. A model was used to estimate the properties, i.e. stiffness and damping, of the lower limbs and of the joints. Our results show that, whatever the amount of energy to be dissipated (i.e. height of the jump), the lower limbs and the anke and knee joints behave first as a spring, then as a spring-damper system. However each joint plays a specific role: during the spring phase, the behaviour of the lower limb is associated with the stiffness of the ankle and with the landing constraints (i.e. force peak and loading rate), while during the spring-damper phase, it is associated with the stiffness of the knee and with the amount of energy to be dissipated. Our findings suggest that constraints and performance result from a distinct control of biomechanical parameters at the joints.
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Affiliation(s)
- Thibaut D Toussaint
- Laboratoire de Physiologie et Biomécanique de la Locomotion, Insitute of NeuroScience, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Bénédicte Schepens
- Laboratoire de Physiologie et Biomécanique de la Locomotion, Insitute of NeuroScience, Université catholique de Louvain, Louvain-la-Neuve, Belgium.
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Marchant A, Wallwork SB, Ball N, Witchalls J, Waddington G. The effect of compression and combined compression-tactile stimulation on lower limb somatosensory acuity. Front Sports Act Living 2023; 5:1235611. [PMID: 37927453 PMCID: PMC10622748 DOI: 10.3389/fspor.2023.1235611] [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: 06/06/2023] [Accepted: 10/03/2023] [Indexed: 11/07/2023] Open
Abstract
Background Lower limb somatosensation and proprioception are important for maintaining balance. Research has shown that compression garments or exposure to textured surfaces, can enhance somatosensation however, little is known about the effect of combined compression and texture on somatosensory acuity in the lower limb. This study aimed to assess the effects of combined compression socks with a plantar textured sole, on lower limb somatosensory acuity. Methods Thirty participants completed a somatosensory acuity task (active movement extent discrimination apparatus; AMEDA) under three conditions: barefoot (control condition), standard knee-high compression sock (compression sock), and knee-high compression sock with internal rubber nodules situated on the sole (textured-compression sock). Somatosensory acuity was assessed between the different sock conditions for the (i) entire group, (ii) high performers, and (iii) low performers. It was hypothesized that low performers would see gains wearing either sock, but the greatest improvement would be in the textured-compression sock condition. Results AMEDA scores were not significantly different between conditions when the entire group was analyzed (p = 0.078). The low performers showed an improvement in somatosensory acuity when wearing the compression sock (p = 0.037) and the textured compression sock (p = 0.024), when compared to barefoot, but there was no difference between the two sock conditions (p > 0.05). The high performers did not show any improvement (p > 0.05 for all). Conclusion These findings demonstrate that additional sensory feedback may be beneficial to individuals with lower baseline somatosensory acuity but is unlikely to provide benefit for those with higher somatosensory acuity.
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Affiliation(s)
- Ashleigh Marchant
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Sarah B. Wallwork
- IIMPACT in Health, University of South Australia, Adelaide, SA, Australia
| | - Nick Ball
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
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Shi X, Cao Z, Ganderton C, Tirosh O, Adams R, Ei-Ansary D, Han J. Ankle proprioception in table tennis players: Expertise and sport-specific dual task effects. J Sci Med Sport 2023; 26:429-433. [PMID: 37419713 DOI: 10.1016/j.jsams.2023.06.010] [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: 12/06/2022] [Revised: 06/14/2023] [Accepted: 06/19/2023] [Indexed: 07/09/2023]
Abstract
OBJECTIVES To compare ankle proprioception between professional adolescent table tennis players at national and regional levels and age-matched non-athletes, and, in a nominally upper-limb sport, to explore the relationships between single- and dual-task ankle proprioception, years of training and sport-specific performance. DESIGN Cross-sectional observational study. METHODS Fifty-five participants (29 professional adolescent table tennis players and 26 non-athletic peers) volunteered. Ankle proprioception was first assessed using the active movement extent discrimination apparatus (AMEDA-single) for all; yet only the players were then re-assessed while executing a secondary ball-hitting task (AMEDA-dual). The mean Area Under the Receiver Operating Characteristic Curve was calculated as the proprioceptive score, and years of training and hitting rate were recorded. RESULTS National-level players had significantly better ankle proprioception as shown by higher AMEDA-single scores than the other groups (all p < 0.05). Ankle proprioceptive performance was significantly impaired while ball-hitting (F1,28 = 58.89, p ≤ 0.001, ηp2 = 0.69). National-level players outperformed the regional-level significantly on the AMEDA-dual task (F1,27 = 21.4, p ≤ 0.001, ηp2 = 0.44). Further, ankle proprioceptive performance was related to expertise, in that both AMEDA-single and AMEDA-dual proprioceptive scores were correlated with years of training and ball-hitting rate (r from 0.40 to 0.54, all p < 0.05). CONCLUSIONS Ankle proprioception is a promising measure that may be used to identify different ability levels among adolescent table tennis players. Superior ankle proprioception may arise from rigorous training and contribute to stroke accuracy. Dual-task proprioceptive assessment suggests how elite table tennis players perform differently from lower-ranked players in complex and changeable sports circumstances.
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Affiliation(s)
- Xiaojian Shi
- School of Exercise and Health, Shanghai University of Sport, China; School of Health Science, Swinburne University of Technology, Australia.
| | - Ziwei Cao
- China Table Tennis College, Shanghai University of Sport, China
| | - Charlotte Ganderton
- School of Health Science, Swinburne University of Technology, Australia; School of Biomedical Science and Health, Royal Melbourne Institute of Technology University, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China
| | - Oren Tirosh
- School of Exercise and Health, Shanghai University of Sport, China; School of Health Science, Swinburne University of Technology, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China
| | - Roger Adams
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Research Institute for Sport and Exercise, University of Canberra, Australia
| | - Doa Ei-Ansary
- School of Biomedical Science and Health, Royal Melbourne Institute of Technology University, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Department of Surgery, School of Medicine, University of Melbourne, Australia
| | - Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Research Institute for Sport and Exercise, University of Canberra, Australia.
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Rodrigues R, Gonçalves V, Casagrande R, Cemin F, Nodari C, Borges I, Fitarelli L, Bianchesse J, Rocha ESD, Rabello R. Are proximal and distal neuromuscular parameters able to predict hip and knee frontal plane kinematics during single-leg landing? Phys Ther Sport 2023; 59:30-36. [PMID: 36481454 DOI: 10.1016/j.ptsp.2022.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 11/24/2022] [Accepted: 11/25/2022] [Indexed: 12/05/2022]
Abstract
OBJECTIVE To determine if proximal and distal neuromuscular parameters (EMG amplitude and median frequency - MDF) can predict frontal plane kinematics during single-leg landing. STUDY DESIGN Cross sectional study. SETTING Laboratory. PARTICIPANTS Fifteen participants (7 female) performed six single-leg landings with measures of frontal plane kinematics and EMG obtained 230 ms after first foot contact, totalizing 90 landings. MAIN OUTCOME MEASURES (i) 2D hip adduction [hip ADD] and knee frontal plane projection angle [knee FPPA]; (ii) EMG amplitude and MDF of gluteus medius [GMed], tensor fascia latae [TFL], peroneus longus [PL] and tibialis anterior [TA]. RESULTS We observed that MDF of TA was a significant predictor of hip ADD (p = 0.037; β = -0.049 Hz; R2c = 0.30). Also, MDF of PL was significant predictor of knee FPPA (p = 0.043; β = 0.042 Hz; R2c = 0.37). Hip muscles and EMG amplitude parameters were not considered predictors of frontal plane kinematics. CONCLUSION The firing frequency of ankle muscles predicted the variance of hip and knee frontal plane kinematics during single-leg landing.
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Affiliation(s)
- Rodrigo Rodrigues
- Institute of Education, Federal University of Rio Grande, Rio Grande, RS, Brazil.
| | - Vagner Gonçalves
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Rafael Casagrande
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Fabrício Cemin
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Camila Nodari
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Iury Borges
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Luan Fitarelli
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Jean Bianchesse
- Exercise Physiology and Physical Assessment Laboratory, Serra Gaucha University Center, Caxias do Sul, RS, Brazil
| | - Emmanuel Souza da Rocha
- Department of Physical Therapy, Integrated Colleges of Taquara, Taquara, RS, Brazil; Physical Activity, Sport and Health Research Group, Department of Physical Therapy, Sogipa Faculty, Porto Alegre, RS, Brazil
| | - Rodrigo Rabello
- Department of Biomedical Sciences for Health, University of Milan, Milan, MI, Italy
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A new Editor-in-Chief for JSAMS: A focus on continuity with some new targets. J Sci Med Sport 2022; 25:101-102. [PMID: 35042609 DOI: 10.1016/j.jsams.2021.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 11/08/2021] [Accepted: 12/13/2021] [Indexed: 11/22/2022]
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Nishizawa K, Hashimoto T, Hakukawa S, Nagura T, Otani T, Harato K. Effects of foot progression angle on kinematics and kinetics of a cutting movement. J Exp Orthop 2022; 9:11. [PMID: 35041099 PMCID: PMC8766617 DOI: 10.1186/s40634-022-00447-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 01/07/2022] [Indexed: 12/03/2022] Open
Abstract
Purpose Foot progression angle is a key factor for biomechanical knee load, which is associated with noncontact anterior cruciate ligament (ACL) injury during sports-specific tasks. The purpose of the present study was to assess the biomechanics of trunk, pelvis, and lower extremities during a cutting maneuver under different foot progression angles. Methods Nineteen male collegiate athletes (ages 18–24) participated in the present study. Cutting motion was analyzed using eight infrared cameras (250 Hz), two force plates (1250 Hz), and 44 reflective markers. Subjects performed 45-degree side cutting maneuvers under three foot progression angles, including 20 degrees (toe-out: TO), 0 degrees (neutral: TN), and − 20 degrees (toe-in: TI). Peak values of each biomechanical parameters in trunk, pelvis, hip, and knee within a first 40% stance phase and each parameter at the timing of the peak vertical ground reaction force were assessed. A statistical analysis was performed to compare data among the three-foot progression angles using the Friedman test. Results Peak angles of knee abduction, tibial internal rotation, hip internal rotation, and hip adduction were significantly greater for TI position than for TO position (p < 0.01). Peak moments of knee abduction and tibial internal rotation under TI position were also significantly larger than TO position (p < 0.01). Moreover, greater peak pelvis-trunk rotation was found for TI position than for TN and TO positions (p < 0.01). Conclusion From the present study, TI position could lead to an increased risk of ACL injury during a pre-planned cut maneuver, compared to TO position.
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Affiliation(s)
- Kohei Nishizawa
- Graduate School of Health Management, Keio University, 4411 Endo, Fujisawa, Kanagawa, 252-0883, Japan.
| | - Takeshi Hashimoto
- Graduate School of Health Management, Keio University, 4411 Endo, Fujisawa, Kanagawa, 252-0883, Japan.,Sports Medicine Research Center, Keio University, Yokohama, Kanagawa, Japan
| | - Satoshi Hakukawa
- Department of Orthopedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Takeo Nagura
- Department of Clinical Biomechanics, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Toshiro Otani
- International University of Health and Welfare Ichikawa Hospital, Ichikawa, Chiba, Japan
| | - Kengo Harato
- Department of Orthopedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
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