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Published in: Journal of Orthopaedic Science 5/2013

01-09-2013 | Original Article

Change with increasing age in control of the lower limbs during jump–landing in adolescents: a 5-year prospective study

Authors: Shizuka Sasaki, Eiichi Tsuda, Yuji Yamamoto, Shugo Maeda, Yoshimitsu Hayashi, Yuka Kimura, Eiji Sasaki, Yuki Fujita, Ippei Takahashi, Takashi Umeda, Shigeyuki Nakaji, Yasuyuki Ishibashi

Published in: Journal of Orthopaedic Science | Issue 5/2013

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Abstract

Background

A discrepancy in the incidence of anterior cruciate ligament injury in males and females appears after puberty; however, little is known about changes that occur in control of the lower limbs during jump–landing in adolescents.

Methods

Twenty-five male and 29 female 5th grade students (age 10–11 years) participated at the beginning of study and were followed for 5 consecutive years. Control of the lower limbs during jump–landing was evaluated by use of a drop–jump test and 2-dimensional video analysis. The K/H ratio, which was determined by dividing the knee-separation distance by the hip-separation distance, was calculated for initial contact (IC) and for maximum knee flexion (MKF).

Results

In all grades female subjects had a significantly lower K/H ratio at both IC and MKF than male subjects. Although no statistically significant difference in K/H ratio between age categories was shown at either IC or MKF for male subjects, K/H ratio at IC and MKF decreased significantly between 5th grade and 9th grade for female subjects.

Conclusion

This study suggests that adolescent females have a lower K/H ratio during jump–landing than male subjects of the same age, and that K/H ratio for females decreases with increasing age.
Literature
1.
go back to reference Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000;8:141–50.PubMed Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000;8:141–50.PubMed
2.
go back to reference Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med. 2004;32:1002–12.PubMedCrossRef Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med. 2004;32:1002–12.PubMedCrossRef
3.
go back to reference 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;33:492–501.PubMedCrossRef 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;33:492–501.PubMedCrossRef
4.
go back to reference Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009;12:622–7.PubMedCrossRef Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009;12:622–7.PubMedCrossRef
5.
go back to reference Arendt EA, Agel J, Dick R. Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train. 1999;34:86–92.PubMed Arendt EA, Agel J, Dick R. Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train. 1999;34:86–92.PubMed
6.
go back to reference Myklebust G, Maehlum S, Holm I, Bahr R. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports. 1998;8:149–53.PubMedCrossRef Myklebust G, Maehlum S, Holm I, Bahr R. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports. 1998;8:149–53.PubMedCrossRef
7.
go back to reference Noyes FR, Barber-Westin SD, Fleckenstein C, Walsh C, West J. The drop–jump screening test: difference in lower limb control by gender and effect of neuromuscular training in female athletes. Am J Sports Med. 2005;33:197–207.PubMedCrossRef Noyes FR, Barber-Westin SD, Fleckenstein C, Walsh C, West J. The drop–jump screening test: difference in lower limb control by gender and effect of neuromuscular training in female athletes. Am J Sports Med. 2005;33:197–207.PubMedCrossRef
8.
go back to reference Pietrobelli A, Rubiano F, St-Onge MP, Heymsfield SB. New bioimpedance analysis system: improved phenotyping with whole-body analysis. Eur J Clin Nutr. 2004;58:1479–84.PubMedCrossRef Pietrobelli A, Rubiano F, St-Onge MP, Heymsfield SB. New bioimpedance analysis system: improved phenotyping with whole-body analysis. Eur J Clin Nutr. 2004;58:1479–84.PubMedCrossRef
9.
go back to reference Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35:1745–50.PubMedCrossRef Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35:1745–50.PubMedCrossRef
10.
go back to reference Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L, Bahr R, Krosshaug T. Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med. 2010;38:2218–25.PubMedCrossRef Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L, Bahr R, Krosshaug T. Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med. 2010;38:2218–25.PubMedCrossRef
11.
go back to reference Hewett TE, Myer GD, Ford KR. Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am. 2004:86-A;1601-8. Hewett TE, Myer GD, Ford KR. Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am. 2004:86-A;1601-8.
12.
go back to reference Ford KR, Shapiro R, Myer GD, Van Den Bogert AJ, Hewett TE. Longitudinal sex differences during landing in knee abduction in young athletes. Med Sci Sports Exerc. 2010;42:1923–31.PubMedCrossRef Ford KR, Shapiro R, Myer GD, Van Den Bogert AJ, Hewett TE. Longitudinal sex differences during landing in knee abduction in young athletes. Med Sci Sports Exerc. 2010;42:1923–31.PubMedCrossRef
13.
go back to reference Chaudhari AM, Zelman EA, Flanigan DC, Kaeding CC, Nagaraja HN. Anterior cruciate ligament-injured subjects have smaller anterior cruciate ligaments than matched controls: a magnetic resonance imaging study. Am J Sports Med. 2009;37:1282–7.PubMedCrossRef Chaudhari AM, Zelman EA, Flanigan DC, Kaeding CC, Nagaraja HN. Anterior cruciate ligament-injured subjects have smaller anterior cruciate ligaments than matched controls: a magnetic resonance imaging study. Am J Sports Med. 2009;37:1282–7.PubMedCrossRef
14.
go back to reference Arendt EA, Bershadsky B, Agel J. Periodicity of noncontact anterior cruciate ligament injuries during the menstrual cycle. J Gend Specif Med. 2002;5:19–26.PubMed Arendt EA, Bershadsky B, Agel J. Periodicity of noncontact anterior cruciate ligament injuries during the menstrual cycle. J Gend Specif Med. 2002;5:19–26.PubMed
15.
go back to reference Myer GD, Ford KR, Hewett TE. New method to identify athletes at high risk of ACL injury using clinic-based measurements and freeware computer analysis. Br J Sports Med. 2011;45:238–44.PubMedCrossRef Myer GD, Ford KR, Hewett TE. New method to identify athletes at high risk of ACL injury using clinic-based measurements and freeware computer analysis. Br J Sports Med. 2011;45:238–44.PubMedCrossRef
16.
go back to reference Heidt RS Jr, Sweeterman LM, Carlonas RL, Traub JA, Tekulve FX. Avoidance of soccer injuries with preseason conditioning. Am J Sports Med. 2000;28:659–62.PubMed Heidt RS Jr, Sweeterman LM, Carlonas RL, Traub JA, Tekulve FX. Avoidance of soccer injuries with preseason conditioning. Am J Sports Med. 2000;28:659–62.PubMed
17.
go back to reference Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med. 1999;27:699–706.PubMed Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med. 1999;27:699–706.PubMed
18.
go back to reference Myklebust G, Engebretsen L, Braekken IH, Skjølberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13:71–8.PubMedCrossRef Myklebust G, Engebretsen L, Braekken IH, Skjølberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13:71–8.PubMedCrossRef
19.
go back to reference DiStefano LJ, Blackburn JT, Marshall SW, Guskiewicz KM, Garrett WE, Padua DA. Effects of an age-specific anterior cruciate ligament injury prevention program on lower extremity biomechanics in children. Am J Sports Med. 2011;39:949–57.PubMedCrossRef DiStefano LJ, Blackburn JT, Marshall SW, Guskiewicz KM, Garrett WE, Padua DA. Effects of an age-specific anterior cruciate ligament injury prevention program on lower extremity biomechanics in children. Am J Sports Med. 2011;39:949–57.PubMedCrossRef
20.
go back to reference Grandstrand SL, Pfeiffer RP, Sabick MB, DeBeliso M, Shea KG. The effects of a commercially available warm-up program on landing mechanics in female youth soccer players. J Strength Cond Res. 2006;20:331–5.PubMed Grandstrand SL, Pfeiffer RP, Sabick MB, DeBeliso M, Shea KG. The effects of a commercially available warm-up program on landing mechanics in female youth soccer players. J Strength Cond Res. 2006;20:331–5.PubMed
21.
go back to reference Myer GD, Faigenbaum AD, Ford KR, Best TM, Bergeron MF, Hewett TE. When to initiate integrative neuromuscular training to reduce sports-related injuries and enhance health in youth? Curr Sports Med Rep. 2011;10:155–66.PubMedCrossRef Myer GD, Faigenbaum AD, Ford KR, Best TM, Bergeron MF, Hewett TE. When to initiate integrative neuromuscular training to reduce sports-related injuries and enhance health in youth? Curr Sports Med Rep. 2011;10:155–66.PubMedCrossRef
22.
go back to reference Myer GD, Sugimoto D, Thomas S, Hewett TE. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysis. Am J Sports Med. 2013;41:203–15.PubMedCrossRef Myer GD, Sugimoto D, Thomas S, Hewett TE. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysis. Am J Sports Med. 2013;41:203–15.PubMedCrossRef
23.
go back to reference Goetschius J, Smith HC, Vacek PM, Holterman LA, Shultz SJ, Tourville TW, Slauterbeck J, Johnson RJ, Beynnon BD. Application of a clinic-based algorithm as a tool to identify female athletes at risk for anterior cruciate ligament injury: a prospective cohort study with a nested, matched case-control analysis. Am J Sports Med. 2012;40:1978–84.PubMedCrossRef Goetschius J, Smith HC, Vacek PM, Holterman LA, Shultz SJ, Tourville TW, Slauterbeck J, Johnson RJ, Beynnon BD. Application of a clinic-based algorithm as a tool to identify female athletes at risk for anterior cruciate ligament injury: a prospective cohort study with a nested, matched case-control analysis. Am J Sports Med. 2012;40:1978–84.PubMedCrossRef
24.
go back to reference Tanner JM, Whitehouse RH. Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51:170–9.PubMedCrossRef Tanner JM, Whitehouse RH. Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51:170–9.PubMedCrossRef
Metadata
Title
Change with increasing age in control of the lower limbs during jump–landing in adolescents: a 5-year prospective study
Authors
Shizuka Sasaki
Eiichi Tsuda
Yuji Yamamoto
Shugo Maeda
Yoshimitsu Hayashi
Yuka Kimura
Eiji Sasaki
Yuki Fujita
Ippei Takahashi
Takashi Umeda
Shigeyuki Nakaji
Yasuyuki Ishibashi
Publication date
01-09-2013
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2013
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-013-0420-3

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