1
|
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] [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.
Collapse
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.
| |
Collapse
|
2
|
Tondelli E, Kenny IC, Comyns TM, Zabaloy S. Differences and correlations between horizontal and vertical single-leg jump performance, dynamic balance, and ankle dorsiflexion range of motion in male amateur rugby players according to playing positions. J Bodyw Mov Ther 2024; 38:281-288. [PMID: 38763571 DOI: 10.1016/j.jbmt.2024.01.033] [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: 10/13/2022] [Revised: 01/17/2024] [Accepted: 01/25/2024] [Indexed: 05/21/2024]
Abstract
OBJECTIVES To explore the differences and correlations in the Y-Balance Test (YBT) scores, ankle-dorsiflexion range of motion (ADFROM), single-leg drop jump (SLDJ) and single-leg hop for distance (SLHD) in amateur male rugby players by playing positions and limb dominance. DESIGN Cross-sectional study. SETTING Argentinian amateur rugby club. PARTICIPANTS Male (n = 58) senior amateur rugby players. MAIN OUTCOME MEASURES ADFROM, YBT (anterior [AN], posteromedial, posterolateral, and composite [COM]), SLDJ and SLHD performances. RESULTS Forwards demonstrated different anthropometric traits than backs (p < 0.001 to 0.003; ES: -0.508 to -1.331), whereas the latter attained better jump performance (p < 0.001-0.05; ES: 0.297-1.349) and YBTCOM scores compared to the former, irrespective of limb dominance (p: 0.007-0.034; ES: 0.569-0.730). With regards to the associations, forwards' BMI (rho: -0.35 to -0.52, ES: 0.184) and ADFROM values (rho: 0.41 to 0.53, ES: 0.184; r: 0.43 to 0.50, ES: 0.184) were associated to jump performance among both limbs. In contrast, for the backs, leg length was associated with SLHD (rho: 0.42-0.45, ES: 0.214) and YBTCOM (rho: -0.67 to -0.76, ES: 0.215). Likewise, ADFROM values (r: 0.44-0.56, ES: 0.185) were moderately associated to YBTAN in both limbs. CONCLUSIONS Backs attained better dynamic balance, wider ADFROM, and better unilateral vertical and horizontal jumps performances in dominant and non-dominant limb, compared to forwards. Additionally, ADFROM maybe an important aspect to consider when aiming to improve balance and jump performance among forwards and backs.
Collapse
Affiliation(s)
- Eduardo Tondelli
- Discipline of Sport Physiotherapy, Faculty of Medical Sciences, Pontifical Catholic University of Argentina, Buenos Aires, Argentina.
| | - Ian C Kenny
- Department of Physical Education and Sport Sciences, University of Limerick, Ireland; Health Research Institute, University of Limerick, Ireland; Sport and Human Performance Research Centre, University of Limerick, Ireland
| | - Thomas M Comyns
- Department of Physical Education and Sport Sciences, University of Limerick, Ireland; Health Research Institute, University of Limerick, Ireland; Sport and Human Performance Research Centre, University of Limerick, Ireland
| | - Santiago Zabaloy
- Faculty of Physical Activity and Sports, University of Flores, Buenos Aires, Argentina
| |
Collapse
|
3
|
Llurda-Almuzara L, Canet-Vintró M, López-de-Celis C, Perez-Bellmunt A, Labata-Lezaun N, Aiguadé-Aiguadé R, Rodriguez-Sanz J. Relationship Between Knee Frontal Plane Projection Angle and Lower Limb Muscle Activity in Female Athletes. J Sport Rehabil 2024; 33:166-173. [PMID: 38340711 DOI: 10.1123/jsr.2023-0191] [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: 06/15/2023] [Revised: 11/24/2023] [Accepted: 01/02/2024] [Indexed: 02/12/2024]
Abstract
CONTEXT Anterior cruciate ligament injuries are directly related to the control of dynamic knee valgus in the landing of a jump, and this is mainly due to the correct activation and neuromuscular function of the lower-extremity muscles. The aim of the study is to assess the relationship between lower limb muscle activity during a single-legged drop jump and knee frontal plane projection angle (FPPA). DESIGN A correlation study. METHODS Thirty healthy collegiate female athletes were included in the study. Main outcomes measures were peak knee FPPA and muscle activity (% of maximal voluntary isometric contraction). Peak knee FPPA during a single-legged drop jump test was identified using a 2-dimensional motion analysis system. Muscle activity was assessed using a surface electromyograph for gluteus maximus, gluteus medius, biceps femoris, semitendinosus, vastus medialis quadriceps, vastus lateralis quadriceps, medial gastrocnemius, and lateral gastrocnemius. All variables were assessed for both dominant and nondominant limbs. A correlation analysis between peak knee FPPA and muscle activity was performed. Statistical significance was set at P <.05. RESULTS A mean peak knee FPPA of 14.52° and 13.38° was identified for dominant and nondominant limb single-legged drop jump test, respectively. Muscle activity (% of maximal voluntary isometric contraction) for muscles assessed ranged from 43.97% to 195.71% during the single-legged drop jump test. The correlation analysis found no significant correlation between any of the muscles assessed and peak knee FPPA during the single-legged drop jump test (Pearson coefficient between -.3 and .1). CONCLUSIONS There is no association between muscle activity from the lower limb muscles and the knee FPPA during a single-legged drop jump in female athletes. Thus, different muscle properties should be assessed in order to understand such an important movement as the knee FPPA during a jump.
Collapse
Affiliation(s)
- Luis Llurda-Almuzara
- Physiotherapy Department, Faculty of Health Sciences, Universidad Euneiz, Vitoria-Gasteiz, Álava, Spain
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| | - Max Canet-Vintró
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
- Anatomy Unit, Basic Sciences Department, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| | - Carlos López-de-Celis
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
- Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| | - Albert Perez-Bellmunt
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
- Anatomy Unit, Basic Sciences Department, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| | - Noé Labata-Lezaun
- Physiotherapy Department, Faculty of Health Sciences, Universidad Euneiz, Vitoria-Gasteiz, Álava, Spain
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| | - Ramón Aiguadé-Aiguadé
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, St. Lleida, Spain
- Nursing and Physiotherapy Department, University of Lleida, St. Lleida, Spain
| | - Jacobo Rodriguez-Sanz
- ACTIUM Functional Anatomy Group, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
- Anatomy Unit, Basic Sciences Department, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain
| |
Collapse
|
4
|
López-de-Celis C, Sánchez-Alfonso N, Rodríguez-Sanz J, Romaní-Sánchez S, Labata-Lezaun N, Canet-Vintró M, Aiguadé R, Pérez-Bellmunt A. Quadriceps and gluteus medius activity during stable and unstable loading exercises in athletes. A cross-sectional study. J Orthop Res 2024; 42:317-325. [PMID: 37593805 DOI: 10.1002/jor.25680] [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: 04/18/2023] [Revised: 07/05/2023] [Accepted: 08/14/2023] [Indexed: 08/19/2023]
Abstract
The aim of this study was to evaluate the muscle activation of the vastus medialis, vastus lateralis, and gluteus medius during different strength and stability exercises with a water tank compared with a sandbag. A cross-sectional study was conducted in the Functional Anatomy Laboratory, and the sample consisted of 28 athletes. The main outcome measures were surface electromyography (dependent variable), water tank and sandbag, and exercise type (independent variables): Isometric Single Leg Stance (ISLS), One Leg Deadlift (OLDL), Front Rack Forward Lunge (FRFL), and Lateral Lunge (LL). Repeated measures analysis of variance (ANOVA) revealed a significant Group × Time interaction in gluteus medius root mean square (RMS) (F = 14.198, p < 0.001, ŋ2 = 0.35), vastus lateralis RMS (F = 24.374, p < 0.001, ŋ2 = 0.47), and vastus medialis RMS (F = 27.261, p < 0.001, ŋ2 = 0.50). In the between-group analysis, statistically significant differences were observed in gluteus medius RMS in the ISLS: 28.5 ± 15.8 water tank and 20.8 ± 12.6 sandbag (p < 0.001, ŋ2 = 0.08) and OLDL: 29.7 ± 13.3 water tank and 26.5 ± 13.1 sandbag (p < 0.001, ŋ2 = 0.01). In vastus lateralis in ISLS: 30.4 ± 37.6 water tank and 19.0 ± 26.7 sandbag (p < 0.001, ŋ2 = 0.03). In vastus medialis in ISLS: 14.2 ± 13.0 water tank and 7.0 ± 5.6 sandbag (p < 0.001, ŋ2 = 0.12), OLDL: 21.5 ± 16.9 water tank and 15.5 ± 10.7 sandbag (p = 0.002, ŋ2 = 0.04), and LL: 51.8 ± 29.6 water tank and 54.3 ± 29.3 sandbag (p = 0.017, ŋ2 = 0.00). These results confirm significantly greater activation of the gluteus medius and vastus medialis in the ISLS and OLDL exercises, and of the vastus lateralis in the water tank ISLS exercise. However, the vastus medialis shows greater activation in the LL exercise.
Collapse
Affiliation(s)
- Carlos López-de-Celis
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
- Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain
| | - Núria Sánchez-Alfonso
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
| | - Jacobo Rodríguez-Sanz
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
| | | | - Noé Labata-Lezaun
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
| | - Max Canet-Vintró
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
| | - Ramon Aiguadé
- Department of Nursing and Physiotherapy, Universitat de Lleida, Lleida, Spain
| | - Albert Pérez-Bellmunt
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- ACTIUM Anatomy Group, Barcelona, Spain
| |
Collapse
|
5
|
M K, Josyula S, S JA, M N, J H, J V, P K, Alagesan J. Comparative analysis of high-intensity interval training and traditional rehabilitation programs for accelerated recovery from musculoskeletal injuries. J Back Musculoskelet Rehabil 2024; 37:437-443. [PMID: 37980644 DOI: 10.3233/bmr-230146] [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] [Indexed: 11/21/2023]
Abstract
BACKGROUND Musculoskeletal injuries, such as strains, are prevalent across all age groups and have a substantial impact on daily functioning and quality of life. OBJECTIVE To examine the effectiveness of high-intensity interval training (HIIT) with traditional rehabilitation programs on pain, range of motion (ROM), muscular strength, and functional changes in promoting accelerated recovery from musculoskeletal injuries. METHODS A total of 80 participants (54 males, 26 females; mean age 35.6 years) with various musculoskeletal injuries were randomly assigned to either the HIIT group (n= 40) or the traditional rehabilitation group (n= 40). The HIIT group underwent a six-week supervised program, with three sessions per week. The traditional rehabilitation group followed a similar six-week program emphasizing low to moderate intensity exercises and traditional rehabilitation techniques. Outcome measures, including pain levels, ROM, muscular strength, and functional outcomes, were assessed pre- and post-intervention. RESULTS Significant improvements were observed in both the HIIT and traditional rehabilitation groups. However, the HIIT group demonstrated superior outcomes. Participants in the HIIT group experienced a greater reduction in pain levels compared to the traditional rehabilitation group (mean visual analog scale (VAS) score decrease of 5.2 vs. 3.8, respectively, p< 0.05). Functional outcomes significantly favored the HIIT group, with participants achieving faster completion times in the Timed Up and Go test (mean reduction of 2.1 seconds vs. 1.5 seconds, respectively, p< 0.01) and longer distances in the Single Leg Hop test (mean increase of 32 cm vs. 25 cm, respectively, p< 0.05). CONCLUSION HIIT showed superior effectiveness over traditional rehabilitation in accelerating recovery from musculoskeletal injuries, with greater pain reduction and improved functional outcomes. Incorporating HIIT into rehabilitation protocols may offer an efficient approach for expedited recovery and enhanced functional capacity.
Collapse
Affiliation(s)
- Kamalakannan M
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | | | - Jenifer Augustina S
- Department of Physiotherapy, Hindustan Institute of Technology and Science, Chennai, India
| | - Naveen M
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | - Hariharan J
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | - Vignesh J
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | - Karthikeyan P
- Department of Physiotherapy, Hindustan Institute of Technology and Science, Chennai, India
| | - Jagatheesan Alagesan
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| |
Collapse
|
6
|
Hu Z, Zhang Y, Dong T, Dong M, Kim S, Kim Y. Gender Differences in Neuromuscular Control during the Preparation Phase of Single-Leg Landing Task in Badminton. J Clin Med 2023; 12:jcm12093296. [PMID: 37176736 PMCID: PMC10179252 DOI: 10.3390/jcm12093296] [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: 03/29/2023] [Revised: 05/01/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND Studies on the biomechanical mechanisms of an anterior cruciate ligament (ACL) injury have been extensively studied, but studies on the neuromuscular control-related risk factors for an ACL injury in specific maneuvers have not been reported for badminton players. STUDY DESIGN Controlled laboratory study. METHODS Sixteen badminton players (8 male, 8 female) performed a single-leg badminton ball landing task, and lower limb muscle activity, kinematic data, and ground reaction force were measured during this procedure using marker-based movement analysis, force plates, and electromyography (EMG). Gender differences in the lower limb kinematic data, mean values of normalized lower limb muscle activation (MVC%), and co-contraction values during the landing preparation phase (100 ms before initial contact) were analyzed using MANOVA. RESULTS In the badminton landing task, the knee valgus angle was greater in females than in males (6.27 ± 2.75 vs. 1.72 ± 3.20) in the pre-landing preparation position. Compared to male badminton players, females exhibited greater gluteus maximus (44.92 ± 18.00 vs. 20.34 ± 11.64), rectus femoris (41.56 ± 9.84 vs. 26.14 ± 10.46), and medial gastrocnemius (37.39 ± 17.31 vs. 19.11 ± 11.17) lateral gastrocnemius (36.86 ± 17.82 vs. 13.59 ± 2.71) muscle activity (MVC%). CONCLUSION Female badminton players exhibit neuromuscular control strategies that may be inadequate for ACL protection and may be a potential risk factor for a high incidence of ACL injury In the future, when devising injury prevention plans for female badminton players, optimizing neuromuscular control during the pre-landing phase can be targeted.
Collapse
Affiliation(s)
- Zhe Hu
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Yanan Zhang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Tengfei Dong
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Maolin Dong
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Sukwon Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Youngsuk Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| |
Collapse
|
7
|
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.
Collapse
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
| |
Collapse
|
8
|
Hu Z, Kim Y, Zhang Y, Zhang Y, Li J, Tang X, Sohn J, Kim S. Correlation of Lower Limb Muscle Activity with Knee Joint Kinematics and Kinetics during Badminton Landing Tasks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192416587. [PMID: 36554467 PMCID: PMC9778979 DOI: 10.3390/ijerph192416587] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/30/2022] [Accepted: 12/06/2022] [Indexed: 05/27/2023]
Abstract
A study on a single-leg landing task after an overhead stroke in badminton suggests that poor knee biomechanical indicators may be a risk factor for anterior cruciate ligament (ACL) injury. A preventive program targeting neuromuscular control strategies is said to alter the biomechanics of the knee joint and have a beneficial effect on reducing ACL injury. However, the relationship between muscle activity around the knee joint and knee biomechanical risk factors in the badminton landing task is unclear. The purpose of this study was to investigate the relationship between this movement pattern of muscle activity and knee kinematics and kinetics. This experiment analyzed knee muscle activity and biomechanical information in a sample of 34 badminton players (17 male, 17 female) during a badminton landing task. We assessed the relationship between the rectus femoris (RF), medial hamstring (MHAM), lateral hamstring (LHAM), medial gastrocnemius (MGAS), lateral gastrocnemius (LGAS), medial and lateral hamstring to quadriceps co-contraction ratio (MH/Q and LH/Q) with the knee flexion angle, valgus angle, extension moment, valgus moment, and proximal tibial anterior shear force. A moderate negative correlation was found between the peak knee flexion angle and electromyography (EMG) activity in LGAS (r = 0.47, p = 0.0046, R2 = 0.23, 95% CI: 0.16 to 0.70). Peak proximal tibial shear force showed strong and positive correlations with RF EMG activity (r = 0.52, p = 0.0016, R2 = 0.27, 95% CI: 0.22 to 0.73) and strong and negative correlations with MH/Q (r = 0.50, p = 0.0023, R2 = 0.25, 95% CI: 0.20 to 0.72). The knee extension moment showed moderate and positive correlations with RF EMG activity (r = 0.48, p = 0.0042, R2 = 0.23, 95% CI: 0.17 to 0.70) and strong and negative correlations with MH/Q (r = 0.57, p = 0.0004, R2 = 0.33, 95% CI: 0.29 to 0.76). The peak knee valgus moment showed strong and positive correlations with LH/Q (r = 0.55, p = 0.0007, R2 = 0.31, 95% CI: 0.26 to 0.75). Our findings suggest that there is a correlation between lower extremity muscle activity and knee kinematics and kinetics during the single-leg landing task in badminton; therefore, lower extremity muscle activity should be considered when developing rehabilitation or injury prevention programs.
Collapse
Affiliation(s)
- Zhe Hu
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Youngsuk Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Yanan Zhang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Yuxi Zhang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Jiaying Li
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Xuan Tang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| | - Jeehoon Sohn
- Department of Physical Education, Jeonju University, Jeonju 55069, Republic of Korea
| | - Sukwon Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Republic of Korea
| |
Collapse
|
9
|
Unuvar E, Guney-Deniz H, Akinoglu B, Kocahan T, Nyland J. Frontal plane lower extremity alignment in adolescent athletes with chronic hip adductor-related groin injury symptoms: A case-control study. Phys Ther Sport 2022; 57:53-60. [PMID: 35921782 DOI: 10.1016/j.ptsp.2022.07.008] [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: 12/27/2021] [Revised: 07/12/2022] [Accepted: 07/13/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To compare trunk and lower extremity frontal plane projection angles (FPPA) during single leg squat (SLS) performance, perceived hip and groin function and symptoms, and isometric hip strength of adolescent athletes with chronic hip adductor-related groin injury (HARGI) symptoms and age, gender, and sport-matched healthy subjects. DESIGN Case-control study. SETTING Junior Olympic Development Training Centre. PARTICIPANTS Twenty-six athletes at 59.1 ± 60 weeks (range = 12-208 weeks) post-index grade II HARGI injury who had continued sport training (injury group) and 26 control group subjects. MAIN OUTCOME MEASURES SLS trunk, hip, and knee FPPA, isometric hip strength standardized to bodyweight, and Copenhagen Hip and Groin Outcome Scores (HAGOS). RESULTS The injury group had greater bilateral knee FPPA, and greater injury side hip FPPA during maximum SLS. Injury group HAGOS subscale scores were lower than control group scores. Hip abductor, adductor, external rotator, and internal rotator strength was lower at the injury side of the injury group compared to the matched control group limb. Forward stepwise multiple regression analysis of the injury group found that 50% of injury side knee FPPA was predicted by hip internal rotator strength and time post-index HARGI; and 47% of injury side hip FPPA was predicted by other side hip flexor strength and the HAGOS function, sport and recreation subscale score (p = 0.002). CONCLUSIONS Greater injury side hip and bilateral knee FPPA during maximum SLS, lower self-reported hip symptom and function scores, and less injury side hip abductor, adductor, external rotator and internal rotator strength suggests that adolescent athletes with chronic HARGI symptoms are at an increased risk for sustaining a non-contact knee injury. Impaired hip internal rotator strength at the side of the chronic HARGI was related to increased knee FPPA, and impaired hip flexor strength at the other side of the HARGI was related to increased hip FPPA. Findings support using SLS performance testing in this athlete group to help determine safe return to sport training readiness.
Collapse
Affiliation(s)
- Ezgi Unuvar
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, 06100, Ankara, Turkey
| | - Hande Guney-Deniz
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, 06100, Ankara, Turkey
| | - Bihter Akinoglu
- Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Etlik, Ankara, Turkey
| | - Tugba Kocahan
- University of Health Sciences, Gulhane Faculty of Medicine, Sports Medicine Department, Ankara, Turkey
| | - John Nyland
- Spalding University, Kosair Charities College of Health and Natural Sciences, Louisville, KY, USA.
| |
Collapse
|
10
|
Rodrigues R, Daiana Klein K, Dalcero Pompeo K, Aurélio Vaz M. Are There Neuromuscular Differences on Proximal and Distal Joints in Patellofemoral Pain People? A Systematic Review and Meta-Analysis. J Electromyogr Kinesiol 2022; 64:102657. [DOI: 10.1016/j.jelekin.2022.102657] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 02/11/2022] [Accepted: 03/16/2022] [Indexed: 12/26/2022] Open
|