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Kim H, Kipp K. Chronic ankle instability affects the association between knee joint angle and loading: musculoskeletal simulation study. Comput Methods Biomech Biomed Engin 2024:1-10. [PMID: 38469862 DOI: 10.1080/10255842.2024.2327632] [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: 11/26/2023] [Accepted: 03/01/2024] [Indexed: 03/13/2024]
Abstract
The purpose of this study was to calculate and compare (1) knee loads, (2) muscle-specific contributions to knee loads, and (3) effects of knee flexion angle on knee loads and muscle-specific load contributions during a forward jump-landing task in people with and without chronic ankle instability (CAI). Eight CAI patients and seven healthy controls performed a forward jump-landing task. We collected 3D kinematics, ground reaction force, and muscle activation and used musculoskeletal modeling. The results showed that only healthy controls exhibited an association between knee flexion angle and knee compressive impulse (r = 0.854, p = .014). The lack of association in CAI group may lead to knee instability and increase knee injury risk in people with CAI.
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Affiliation(s)
- Hoon Kim
- Department of Sports Medicine, Soonchunhyang University, Asan, South Korea
- Department of Software Convergence, Graduate School, Soonchunhyang University, Asan, South Korea
| | - Kristof Kipp
- Department of Physical Therapy - Program in Exercise Science, Marquette University, Milwaukee, USA
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Adouni M, Alkhatib F, Gouissem A, Faisal TR. Knee joint biomechanics and cartilage damage prediction during landing: A hybrid MD-FE-musculoskeletal modeling. PLoS One 2023; 18:e0287479. [PMID: 37535559 PMCID: PMC10399834 DOI: 10.1371/journal.pone.0287479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 06/06/2023] [Indexed: 08/05/2023] Open
Abstract
Understanding the mechanics behind knee joint injuries and providing appropriate treatment is crucial for improving physical function, quality of life, and employability. In this study, we used a hybrid molecular dynamics-finite element-musculoskeletal model to determine the level of loads the knee can withstand when landing from different heights (20, 40, 60 cm), including the height at which cartilage damage occurs. The model was driven by kinematics-kinetics data of asymptomatic subjects at the peak loading instance of drop landing. Our analysis revealed that as landing height increased, the forces on the knee joint also increased, particularly in the vastus muscles and medial gastrocnemius. The patellar tendon experienced more stress than other ligaments, and the medial plateau supported most of the tibial cartilage contact forces and stresses. The load was mostly transmitted through cartilage-cartilage interaction and increased with landing height. The critical height of 126 cm, at which cartilage damage was initiated, was determined by extrapolating the collected data using an iterative approach. Damage initiation and propagation were mainly located in the superficial layers of the tibiofemoral and patellofemoral cartilage. Finally, this study provides valuable insights into the mechanisms of landing-associated cartilage damage and could help limit joint injuries and improve training programs.
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Affiliation(s)
- Malek Adouni
- Physical Medicine and Rehabilitation Department, Northwestern University, Chicago, IL, United States of America
- Mechanical Engineering Department, Australian University, East Mushrif, Kuwait
| | - Fadi Alkhatib
- Mechanical Engineering Department, Australian University, East Mushrif, Kuwait
| | - Afif Gouissem
- Mechanical Engineering Department, Australian University, East Mushrif, Kuwait
| | - Tanvir R Faisal
- Department of Mechanical Engineering, University of Louisiana at Lafayette, Lafayette, LA, United States of America
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Namayeshi T, Haddara R, Ackland D, Lee PVS. The role of the ankle plantar flexor muscles in trip recovery during walking: a computational modeling study. Front Sports Act Living 2023; 5:1153229. [PMID: 37533583 PMCID: PMC10390771 DOI: 10.3389/fspor.2023.1153229] [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: 01/29/2023] [Accepted: 06/29/2023] [Indexed: 08/04/2023] Open
Abstract
Background Reactive lower limb muscle function during walking plays a role in balance, stability, and ultimately fall prevention. The objective of this study was to evaluate muscle and joint function used to regain balance after trip-based perturbations during walking. Research question How are lower limb muscles used to recover from external tripping during walking? Method The dominant legs of 20 healthy adult participants with similar athletic backgrounds were tripped using a split-belt instrumented treadmill. High- and medium-intensity trips were simulated by deceleration of the dominant leg at initial contact from the speed of 1.1 m/s to 0 m/s and back to 1.1 m/s in 0.4 s and 0.8 s, respectively. Lower limb kinematics, kinetics, and muscle forces following perturbations were computed to pre-perturbation values using statistical parametric mapping (SPM) paired t-test. Results A greater ankle dorsiflexion angle (mean difference: 5.3°), ankle plantar flexion moment (mean difference: 0.6 Nm / kg ), and gastrocnemius and soleus muscle forces (mean difference: 4.27 N / kg and 13.56 N / kg for GAS and SOL, respectively) were observed post-perturbation step despite the magnitude of the perturbation. Significance This study concludes that adequate timely response of ankle function during a compensatory step is required for a successful recovery after tripping during walking in young healthy adults. Weakness in plantar flexors suggests insufficient ankle moments, which ultimately can result in falls. The findings of this paper can be used as a reference for the joint moments and range of motion needed to recover trips in the design of assistive devices. In addition to that, clinicians can use the estimated values of muscle forces and the pattern of muscle activities to design targeted training in fall prevention among the elderly.
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Affiliation(s)
- Tayebeh Namayeshi
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
| | - Raneem Haddara
- Mechanical and Materials Engineering, Western University, London, ON, Canada
| | - David Ackland
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
| | - Peter Vee Sin Lee
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
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Wang Y, Liu H, Wei H, Wu C, Yuan F. The Effect of a Knee Brace on Muscle Forces during Single-Leg Landings at Two Heights. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4652. [PMID: 36901663 PMCID: PMC10002319 DOI: 10.3390/ijerph20054652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/18/2023] [Accepted: 03/01/2023] [Indexed: 06/18/2023]
Abstract
Single-leg landing is one of the maneuvers that has been linked to non-contact anterior cruciate ligament (ACL) injuries, and wearing knee braces has been shown to reduce ACL injury incidence. The purpose of this study was to determine whether wearing a knee brace has an effect on muscle force during single-leg landings at two heights through musculoskeletal simulation. Eleven healthy male participants, some braced and some non-braced were recruited to perform single-leg landings at 30 cm and 45 cm. We recorded the trajectories and ground reaction forces (GRF) using an eight-camera motion capture system and a force platform. The captured data were imported into the generic musculoskeletal model (Gait2392) in OpenSim. Static optimization was used to calculate the muscle forces. The gluteus minimus, rectus femoris, vastus medialis, vastus lateralis, vastus medialis medial gastrocnemius, lateral gartrocnemius, and soleus muscle forces were all statistically significant different between the braced and non-braced participants. Simultaneously, increasing the landing height significantly affected the gluteus maximums, vastus medialis, and vastus intermedia muscle forces. Our findings imply that wearing a knee brace may alter muscle forces during single-leg landings, preventing ACL injuries. Additionally, research demonstrates that people should avoid landing from heights due to the increased risk of knee injuries.
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Affiliation(s)
- Yubin Wang
- School of Sport and Health Science, Dalian University of Technology, Dalian 116024, China
- College of General Aviation and Flight, Nanjing University of Aeronautics and Astronautics, Nanjing 213300, China
| | - Haibin Liu
- School of Sport and Health Science, Dalian University of Technology, Dalian 116024, China
| | - Huidong Wei
- College of General Aviation and Flight, Nanjing University of Aeronautics and Astronautics, Nanjing 213300, China
| | - Chenxiao Wu
- School of Sport and Health Science, Dalian University of Technology, Dalian 116024, China
| | - Feijie Yuan
- School of Sport and Health Science, Dalian University of Technology, Dalian 116024, China
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The Effect of Repetitive Drop Jumps among Different Heights on Bilateral Asymmetry of Countermovement Jumps. Symmetry (Basel) 2022. [DOI: 10.3390/sym14020190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/10/2022] Open
Abstract
Background: The study explored the influence of repeated drop jumps (DJs) from different drop heights on the lower extremity bilateral asymmetry and muscle activation of countermovement jumps (CMJs). Methods: Eighteen male athletes performed 200 drop jumps (DJs200) from three drop jump height (DJH30, 40 and 50 cm). The CMJs were performed before the first DJ and after the 50th, 100th, 150th and 200th DJs, recording them as pre-CMJ, CMJs50, CMJs100, CMJs150 and CMJs200. One-way repeated measures ANOVA was used to compare differences among the three drop heights at pre-CMJ, CMJs50, CMJs100, CMJs150 and CMJs200, respectively. Results: The peak ground reaction forces (PGRF) of CMJs100, CMJs150 and CMJs200 at DJH50 were greater than at DJH30 and DJH40 (all p < 0.05). The muscle activation during CMJs50 at DJH50 was greater than at DJH30 and DJH40 (all p < 0.05). The muscle activation during CMJs100, CMJs150 and CMJs200 at DJH50 was smaller than at DJH40 and DJH30 (all p < 0.05). The PGRF had no significant difference among the three different drop heights during CMJs50 (p > 0.05). Conclusions: The DJs50 at DJH50 had no effect on the bilateral asymmetry and increased muscle activation of CMJs. The excessive DJs100 at DJH50 increased bilateral asymmetry and decreased CMJ muscle activation during CMJs.
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Heinrich D, van den Bogert AJ, Csapo R, Nachbauer W. A model-based approach to predict neuromuscular control patterns that minimize ACL forces during jump landing. Comput Methods Biomech Biomed Engin 2020; 24:612-622. [PMID: 33185129 DOI: 10.1080/10255842.2020.1842376] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Jump landing is a common situation leading to knee injuries involving the anterior cruciate ligament (ACL) in sports. Although neuromuscular control is considered as a key injury risk factor, there is a lack of knowledge regarding optimum control strategies that reduce ACL forces during jump landing. In the present study, a musculoskeletal model-based computational approach is presented that allows identifying neuromuscular control patterns that minimize ACL forces during jump landing. The approach is demonstrated for a jump landing maneuver in downhill skiing, which is one out of three main injury mechanisms in competitive skiing.
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Affiliation(s)
- Dieter Heinrich
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
| | | | - Robert Csapo
- Department of Orthopedic Sports Medicine and Injury Prevention, University for Health Sciences, Medical Informatics and Technology, Hall, Austria
| | - Werner Nachbauer
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
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Collings TJ, Gorman AD, Stuelcken MC, Mellifont DB, Sayers MGL. Exploring the Justifications for Selecting a Drop Landing Task to Assess Injury Biomechanics: A Narrative Review and Analysis of Landings Performed by Female Netball Players. Sports Med 2020; 49:385-395. [PMID: 30684242 DOI: 10.1007/s40279-018-01045-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
When assessing biomechanics in a laboratory setting, task selection is critical to the production of accurate and meaningful data. The injury biomechanics of landing is commonly investigated in a laboratory setting using a drop landing task. However, why this task is so frequently chosen is unclear. Therefore, this narrative review aimed to (1) identify the justification/s provided within the published literature as to why a drop landing task was selected to investigate the injury biomechanics of landing in sport and (2) use current research evidence, supplemented by a new set of biomechanical data, to evaluate whether the justifications are supported. To achieve this, a comprehensive literature search using Scopus, PubMed, and SPORTDiscus online databases was conducted for studies that had collected biomechanical data relating to sport injuries using a drop landing task. In addition, kinematic and kinetic data were collected from female netball players during drop landings and maximum-effort countermovement jumps from the ground to grab a suspended ball. The literature search returned a total of 149 articles that were reviewed to determine the justification for selecting a drop landing task. Of these, 54% provided no explicit justification to explain why a drop landing task was chosen, and 15% stated it was selected because it had been used in previous research. Other reasons included that the drop landing provides high experimental control (16%), is a functional sports task (11%), and is a dynamic task (6%). Evidence in the literature suggests that the biomechanical data produced with drop landings may not be as externally valid as more sport-specific tasks. Biomechanical data showed that the drop landing may not control center of mass fall height any better than maximum-effort countermovement jumps from the ground. Further, the frequently used step-off technique to initiate drop landings resulted in kinematic and kinetic asymmetries between lower limbs, which would otherwise be symmetrical when performing a countermovement jump from the ground. Researchers should consider the limitations of a drop landing task and endeavor to improve the laboratory tasks used to collect biomechanical data to examine the injury biomechanics of landing.
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Affiliation(s)
- Tyler J Collings
- The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, Australia. .,Queensland Academy of Sport, Nathan, QLD, Australia.
| | - Adam D Gorman
- The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, Australia
| | - Max C Stuelcken
- The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, Australia
| | - Daniel B Mellifont
- The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, Australia
| | - Mark G L Sayers
- The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD, Australia
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