The Relationship of Anatomical Alignment and Strength of Some Lower Extremity Muscles with Jump-landing Biomechanics: A Landing Error Scoring System Study

Document Type: Original Article

Authors

1 PhD Candidate, Department of Biomechanics and Sports Medicine, Faculty of Physical Education and Sports Sciences, University of Kharazmi, Tehran, Iran

2 Associate Professor, Department of Biomechanics and Sports Medicine, Faculty of Physical Education and Sports Sciences, University of Kharazmi, Tehran, Iran

3 Assistant Professor, Department of Biomechanics and Sports Medicine, Faculty of Physical Education and Sports Sciences, University of Kharazmi, Tehran, Iran

4 Professor, Department of Rehabilitation, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

5 Associate Professor, Department of Sport Biomechanics, Faculty of Physical Education and Sports Sciences, University of Mazandaran, Babolsar, Iran

Abstract

Background: The purpose of the present study was to investigate correlative and predictive relationship of lower extremity anatomical alignment, isometric hip abduction and external rotation strength with jump-landing biomechanics using Landing Error Scoring System (LESS).
Methods: Anatomical alignment and isometric lower extremity muscle strength of 30 active men (mean age of 21.27±2.12 years) have been assessed through goniometry and dynamometry tests, respectively. Then, subjects have performed LESS test for the analysis of their jump-landing biomechanics.
Results: There was no significant correlative or predictive relationship between overall LESS score and femoral anteversion angle, tibiofemoral angle, Q angle, navicular drop, tibial torsion, abduction and external rotation isometric strength (P>.05). However, statistically significant negative correlation has been found between knee hyperextension angle and LESS score (P= .01, r= -.4).
Conclusion: The findings of the present study showed that lower extremity anatomical alignment and isometric strength measurements has no significant relationship with dynamic biomechanics of jump-landing. This is probably due to the difference in nature of static and isometric measurements and dynamic functional movements.

Keywords


  1. Jamison ST, McNally MP, Schmitt LC, Chaudhari AM. The effects of core muscle activation on dynamic trunk position and knee abduction moments: implications for ACL injury. J Biomech 2013; 46(13):2236-41.
  2. Etnoyer J, Cortes N, Ringleb S, Van Lunen B, et al. Instruction and jump-landing kinematics in college-aged female athletes over time. J Athl Train 2013; 48(2): 161-171.
  3. Pfile KR, Hart JM, Herman DC, Hertel J, Kerrigan DC, Ingersoll CD. Different exercise training interventions and drop-landing biomechanics in high school female athletes. J Athl Train 2013; 48(4):450-62.
  4. Hewett T, Myer G. The Mechanistic Connection Between the Trunk, Knee, and Anterior Cruciate Ligament Injury. Exerc Sport Sci Rev 2011; 39(4):161–166.
  5. Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 2005; 33(4):492-501.
  6. Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA. The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated jump landing. Clin Biomech (Bristol, Avon) 2006; 21(9):977-83.
  7. Shin CS, Chaudhari AM, Andriacchi TP. Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Med Sci Sports Exerc. 2011; 43(8):1484-91.
  8. Cashman GE. The effect of weak hip abductors or external rotators on knee valgus kinematics in healthy subjects: a systematic review. J Sport Rehabil 2012; 21(3):273-284.
  9. Padua DA, Bell DR, Clark MA. Neuromuscular Characteristics of Individuals Displaying Excessive Medial Knee Displacement. J Athl Train 2012; 47(5):525–536.
  10. Hashemi J, Mansouri H, Chandrashekar N, Slauterbeck JR, Hardy DM, Beynnon BD. Age, sex, body anthropometry, and ACL size predict the structural properties of the human anterior cruciate ligament. J Orthop Res 2011; 29(7):993-1001.
  11. Nakagawa T, Moriya É, Maciel C, SerrÃo F. Frontal plane biomechanics in males and females with and without patellofemoral pain. Med Sci Sports Exer 2012; 44(9): 1747-1755.
  12. Stiffler MR, Pennuto AP, Smith MD, Olson ME, Bell DR. Range of motion, postural alignment, and LESS score differences of those with and without excessive medial knee displacement. Clin J Sport Med 2015; 25(1):61-6.
  13. Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther 1996; 24(2):91-97.
  14. Pantano KJ, White SC, Gilchrist LA, Leddy J. Differences in peak knee valgus angles between individuals with high and low Q-angles during a single limb squat. Clin Biomech (Bristol, Avon) 2005; 20(9):966-972.
  15. Saito K, Hatayama K, Terauchi M, Hagiwara K, Higuchi H, Takagishi K. Clinical Outcomes After Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: Comparison of Extreme Knee Hyperextension and Normal to Mild Knee Hyperextension. Arthroscopy 2015; 31(7):1310-7.
  16. Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, Cugat R. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc 2009; 17(7):705-729.
  17. Shultz SJ, Schmitz RJ, Benjaminse A, Chaudhari AM, Collins M, Padua DA. ACL Research Retreat VI: An Update on ACL Injury Risk and Prevention. J Athl Train 2012; 47(5):591–603.13.
  18. Beutler A, de la Motte S, Marshall S, Padua D, Boden B. Muscle strength and qualitative jump-landing differences in male and female military cadets: the jump-acl study. J Sports Sci Med 2009; 8(12):663-671.
  19. Padua DA, Marshall SW, Boling MC, Thigpen CA, Garrett WE Jr, Beutler AI. The Landing Error Scoring System (LESS) Is a valid and reliable clinical assessment tool of jump-landing biomechanics: The JUMP-ACL study. Am J Sports Med 2009; 37(10):1996-2002.
  20. Parkkari J, Pasanen K, Mattila VM, Kannus P, Rimpelä A. The risk for a cruciate ligament injury of the knee in adolescents and young adults: a population-based cohort study of 46 500 people with a 9 year follow-up. Br J Sports Med 2008; 42(6):422-426.
  21. Oñate, J.A., K.M. Guskiewicz, S.W. Marshall, C. Giuliani, B. Yu, and W.E. Garrett, Instruction of jump-landing technique using videotape feedback altering lower extremity motion patterns. Am J Sports Med 2005; 33(6):831-842.
  22. Padua DA, Boling MC, Distefano LJ, Onate JA, Beutler AI, Marshall SW. Reliability of the landing error scoring system-real time, a clinical assessment tool of jump-landing biomechanics. J Sport Rehabil 2011; 20(2):145-156.
  23. DiStefano L.J, Padua DA, DiStefano MJ, Marshall SW. The Landing Error Scoring System Predicts Non-contact Injury In Youth Soccer Players: 2973. Med Sci Sports Exerc 2009; 41(5):520-521.
  24. Lohmann TG, Roche AF, Martorell R., eds., Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Press, 1988.177 pages.
  25. Willson J, Ireland M, Davis I. Core Strength and Lower Extremity Alignment during Single Leg Squats. Journal of the American College of Sports Medicine 2006; 38(5): 945-52.
  26. Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil 1997; 78(1):26-32.
  27. Cahalan TD, Johnson ME, Liu S, Chao EY. Quantitative measurements of hip strength in different age groups. Clin Orthop Relat Res 1989; (246):136-45.
  28. Sadeghi H, Shariat A, Asadmanesh E, Mosavat M. The Effects of Core Stability Exercise on the Dynamic Balance of Volleyball Players. International Journal of Applied Exercise Physiology 2013; 2(2): 1-10.
  29. Lawrence R, Kernozek T, Miller E, Torry M, et al. Influences of hip external rotation strength on knee mechanics during single-leg drop landings in females. Clinical Biomechanics 2008; 23(6) 806–813.
  30. Nesser T, Huxel K, Tincher J, Okada T. The relationship between core stability and performance in division I football players. J Strength Cond Res 2008; 22(6): 1750-4.
  31. Okada T, Huxel K, Nesser T. Relationship between core stability, functional movement, and performance. J Strength Cond Res 2011; 25(1): 252-61.