Skip to main content
Top
Published in: European Journal of Applied Physiology 11/2013

01-11-2013 | Original Article

Gender differences in offaxis neuromuscular control during stepping under a slippery condition

Authors: Song Joo Lee, Yupeng Ren, François Geiger, Li-Qun Zhang

Published in: European Journal of Applied Physiology | Issue 11/2013

Login to get access

Abstract

Purpose

Females are at greater risks of musculoskeletal injuries than are males, which may be related to decreased neuromuscular control in axial and/or frontal planes, offaxis neuromuscular control. The objective of this study was to investigate gender differences in offaxis neuromuscular control during stepping under a slippery condition.

Methods

Forty-three healthy subjects (21 males and 22 females) performed different stepping tasks under a slippery condition, namely, free pivoting task (FPT) to control axial plane pivoting, free sliding task (FST) to control frontal plane sliding, and free pivoting and sliding task (FPST) to control axial pivoting, and frontal sliding on a custom-made offaxis elliptical trainer.

Results

Compared to males, females showed significantly higher pivoting instability, higher max internal and external pivoting angles, higher mean max medial and lateral sliding distance, and higher entropy of time to peak EMG in the medial and lateral gastrocnemius muscles during the FPST and higher entropy of time to peak EMG in the lateral gastrocnemius muscle during the FPT and FST.

Conclusions

The findings may help us understand potential injury risk factors associated with gender differences, and provide a basis for developing targeted neuromuscular training to improve offaxis neuromuscular control, and reduce musculoskeletal injuries associated with excessive offaxis loadings.
Literature
go back to reference Aglietti P, Insall JN, Cerulli G (1983) Patellar pain and incongruence. I: measurements of incongruence. Clin Orthop Relat Res 176:217–224PubMed Aglietti P, Insall JN, Cerulli G (1983) Patellar pain and incongruence. I: measurements of incongruence. Clin Orthop Relat Res 176:217–224PubMed
go back to reference Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23:694–701PubMedCrossRef Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23:694–701PubMedCrossRef
go back to reference Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578PubMed Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578PubMed
go back to reference Burnfield JM, Shu Y, Buster T, Taylor A (2010) Similarity of joint kinematics and muscle demands between elliptical training and walking: implications for practice. Phys Ther 90:289–305PubMedCrossRef Burnfield JM, Shu Y, Buster T, Taylor A (2010) Similarity of joint kinematics and muscle demands between elliptical training and walking: implications for practice. Phys Ther 90:289–305PubMedCrossRef
go back to reference Cappellini G, Ivanenko YP, Dominici N, Poppele RE, Lacquaniti F (2010) Motor patterns during walking on a slippery walkway. J Neurophysiol 103:746–760PubMedCrossRef Cappellini G, Ivanenko YP, Dominici N, Poppele RE, Lacquaniti F (2010) Motor patterns during walking on a slippery walkway. J Neurophysiol 103:746–760PubMedCrossRef
go back to reference Cavanaugh JT, Guskiewicz KM, Stergiou N (2005) A nonlinear dynamic approach for evaluating postural control: new directions for the management of sport-related cerebral concussion. Sports Med 35:935–950PubMedCrossRef Cavanaugh JT, Guskiewicz KM, Stergiou N (2005) A nonlinear dynamic approach for evaluating postural control: new directions for the management of sport-related cerebral concussion. Sports Med 35:935–950PubMedCrossRef
go back to reference Charlton WP, St John TA, Ciccotti MG, Harrison N, Schweitzer M (2002) Differences in femoral notch anatomy between men and women: a magnetic resonance imaging study. Am J Sports Med 30:329–333PubMed Charlton WP, St John TA, Ciccotti MG, Harrison N, Schweitzer M (2002) Differences in femoral notch anatomy between men and women: a magnetic resonance imaging study. Am J Sports Med 30:329–333PubMed
go back to reference Choi JT, Bastian AJ (2007) Adaptation reveals independent control networks for human walking. Nat Neurosci 10:1055–1062PubMedCrossRef Choi JT, Bastian AJ (2007) Adaptation reveals independent control networks for human walking. Nat Neurosci 10:1055–1062PubMedCrossRef
go back to reference Enoka RM (2002) Neuromechanics of human movement. Human Kinetics, Boulder Enoka RM (2002) Neuromechanics of human movement. Human Kinetics, Boulder
go back to reference Fleming BC, Renstrom PA, Ohlen G, Johnson RJ, Peura GD, Beynnon BD, GJ B (2001) The gastrocnemius muscle is an antagonist of the anterior cruciate ligament. J Orthop Res 19:1178–1184PubMedCrossRef Fleming BC, Renstrom PA, Ohlen G, Johnson RJ, Peura GD, Beynnon BD, GJ B (2001) The gastrocnemius muscle is an antagonist of the anterior cruciate ligament. J Orthop Res 19:1178–1184PubMedCrossRef
go back to reference Geiger F (2008) Training for knee injury prevention and rehabilitation using a pivoting elliptical exercise machine [Master’s thesis] Biology. ETH Zurich, Zurich, pp 1–150 Geiger F (2008) Training for knee injury prevention and rehabilitation using a pivoting elliptical exercise machine [Master’s thesis] Biology. ETH Zurich, Zurich, pp 1–150
go back to reference Hewett TE, Shultz SJ, Griffin LY, American Orthopaedic Society for Sports Medicine (2007) Understanding and preventing noncontact ACL injuries. Human Kinetics, Champaign Hewett TE, Shultz SJ, Griffin LY, American Orthopaedic Society for Sports Medicine (2007) Understanding and preventing noncontact ACL injuries. Human Kinetics, Champaign
go back to reference Horton MG, Hall TL (1989) Quadriceps femoris muscle angle: normal values and relationships with gender and selected skeletal measures. Phys Ther 69:897–901PubMed Horton MG, Hall TL (1989) Quadriceps femoris muscle angle: normal values and relationships with gender and selected skeletal measures. Phys Ther 69:897–901PubMed
go back to reference Jarque CM, Bera AK (1987) A test for normality of observations and regression residuals. Int Stat Rev 55:163–172CrossRef Jarque CM, Bera AK (1987) A test for normality of observations and regression residuals. Int Stat Rev 55:163–172CrossRef
go back to reference Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R (2007) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35:359–367PubMedCrossRef Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R (2007) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35:359–367PubMedCrossRef
go back to reference Kurz MJ, Stergiou N (2003) The aging human neuromuscular system expresses less certainty for selecting joint kinematics during gait. Neurosci Lett 348:155–158PubMedCrossRef Kurz MJ, Stergiou N (2003) The aging human neuromuscular system expresses less certainty for selecting joint kinematics during gait. Neurosci Lett 348:155–158PubMedCrossRef
go back to reference Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007a) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated run and crosscut maneuver. Am J Sports Med 35:1901–1911PubMedCrossRef Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007a) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated run and crosscut maneuver. Am J Sports Med 35:1901–1911PubMedCrossRef
go back to reference Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007b) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated side-cut maneuver. Am J Sports Med 35:1888–1900PubMedCrossRef Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007b) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated side-cut maneuver. Am J Sports Med 35:1888–1900PubMedCrossRef
go back to reference Lee SJ, Hidler J (2008) Biomechanics of overground vs. treadmill walking in healthy individuals. J Appl Physiol 104:747–755PubMedCrossRef Lee SJ, Hidler J (2008) Biomechanics of overground vs. treadmill walking in healthy individuals. J Appl Physiol 104:747–755PubMedCrossRef
go back to reference Lee SJ, Ren Y, Geiger F, Chang AH, Press JM, Zhang LQ (2011) Offaxis neuromuscular training of knee injuries using an offaxis robotic elliptical trainer. 33rd annual international conference of the IEEE engineering in medicine and biology society. IEEE, Boston, pp 2081–2084 Lee SJ, Ren Y, Geiger F, Chang AH, Press JM, Zhang LQ (2011) Offaxis neuromuscular training of knee injuries using an offaxis robotic elliptical trainer. 33rd annual international conference of the IEEE engineering in medicine and biology society. IEEE, Boston, pp 2081–2084
go back to reference Lephart SM, Ferris CM, Riemann BL, Myers JB, Fu FH (2002) Gender differences in strength and lower extremity kinematics during landing. Clin Orthop Relat Res 401:162–169PubMedCrossRef Lephart SM, Ferris CM, Riemann BL, Myers JB, Fu FH (2002) Gender differences in strength and lower extremity kinematics during landing. Clin Orthop Relat Res 401:162–169PubMedCrossRef
go back to reference Lu TW, Chien HL, Chen HL (2007) Joint loading in the lower extremities during elliptical exercise. Med Sci Sports Exerc 39:1651–1658PubMedCrossRef Lu TW, Chien HL, Chen HL (2007) Joint loading in the lower extremities during elliptical exercise. Med Sci Sports Exerc 39:1651–1658PubMedCrossRef
go back to reference Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935PubMedCrossRef Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935PubMedCrossRef
go back to reference McLean SG, Huang X, van der Bogert AJ (2005) Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech (Bristol, Avon) 20:863–870CrossRef McLean SG, Huang X, van der Bogert AJ (2005) Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech (Bristol, Avon) 20:863–870CrossRef
go back to reference Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE (2009) The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med 19:3–8PubMedCrossRef Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE (2009) The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med 19:3–8PubMedCrossRef
go back to reference Oh YK, Lipps DB, Ashton-Miller JA, Wojtys EM (2012) What strains the anterior cruciate ligament during a pivot landing? Am J Sports Med 40:574–583PubMedCrossRef Oh YK, Lipps DB, Ashton-Miller JA, Wojtys EM (2012) What strains the anterior cruciate ligament during a pivot landing? Am J Sports Med 40:574–583PubMedCrossRef
go back to reference Padua DA, Carcia CR, Arnold BL, Granata KP (2005) Gender differences in leg stiffness and stiffness recruitment strategy during two-legged hopping. J Mot Behav 37:111–125PubMedCrossRef Padua DA, Carcia CR, Arnold BL, Granata KP (2005) Gender differences in leg stiffness and stiffness recruitment strategy during two-legged hopping. J Mot Behav 37:111–125PubMedCrossRef
go back to reference Park H-S, Wilson NA, Zhang L-Q (2008) Gender differences in passive knee biomechanical properties in tibial rotation. J Orthop Res 26:937–944PubMedCrossRef Park H-S, Wilson NA, Zhang L-Q (2008) Gender differences in passive knee biomechanical properties in tibial rotation. J Orthop Res 26:937–944PubMedCrossRef
go back to reference Quatman CE, Hewett TE (2009) The anterior cruciate ligament injury controversy: is “valgus collapse” a sex-specific mechanism? Br J Sports Med 43:328–335PubMedCrossRef Quatman CE, Hewett TE (2009) The anterior cruciate ligament injury controversy: is “valgus collapse” a sex-specific mechanism? Br J Sports Med 43:328–335PubMedCrossRef
go back to reference Quatman CE, Quatman-Yates CC, Hewett TE (2010) A ‘plane’ explanation of anterior cruciate ligament injury mechanisms: a systematic review. Sports Med 40:729–746PubMedCrossRef Quatman CE, Quatman-Yates CC, Hewett TE (2010) A ‘plane’ explanation of anterior cruciate ligament injury mechanisms: a systematic review. Sports Med 40:729–746PubMedCrossRef
go back to reference Redfern MS, Cham R, Gielo-Perczak K, Gronqvist R, Hirvonen M, Lanshammar H, Marpet M, Pai CY, Powers C (2001) Biomechanics of slips. Ergonomics 44:1138–1166PubMedCrossRef Redfern MS, Cham R, Gielo-Perczak K, Gronqvist R, Hirvonen M, Lanshammar H, Marpet M, Pai CY, Powers C (2001) Biomechanics of slips. Ergonomics 44:1138–1166PubMedCrossRef
go back to reference Ren Y, Park H-S, Wu YN, Geiger F, Zhang LQ (2008) Training for knee injury prevention using a pivoting elliptical machine. 30th conference proceedings IEEE engineering medicine biology society. IEEE, Vancouver, BC, pp 727–730 Ren Y, Park H-S, Wu YN, Geiger F, Zhang LQ (2008) Training for knee injury prevention using a pivoting elliptical machine. 30th conference proceedings IEEE engineering medicine biology society. IEEE, Vancouver, BC, pp 727–730
go back to reference Ren Y, Lee SJ, Park H-S, Zhang L-Q (2013) A pivoting elliptical training system for improving pivoting neuromuscular control and rehabilitating musculoskeletal injuries. IEEE Trans Neural System Rehabil Eng. (in press) Ren Y, Lee SJ, Park H-S, Zhang L-Q (2013) A pivoting elliptical training system for improving pivoting neuromuscular control and rehabilitating musculoskeletal injuries. IEEE Trans Neural System Rehabil Eng. (in press)
go back to reference Rieke F, Warland D, de Ruyter van Steveninck R, Bialek W (1999) Spikes: exploring the neural code. MIT press, Cambridge Rieke F, Warland D, de Ruyter van Steveninck R, Bialek W (1999) Spikes: exploring the neural code. MIT press, Cambridge
go back to reference Sanders TG, Medynski MA, Feller JF, Lawhorn KW (2000) Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Radiographics 20 (Spec No):S135–S151 Sanders TG, Medynski MA, Feller JF, Lawhorn KW (2000) Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Radiographics 20 (Spec No):S135–S151
go back to reference Shin CS, Chaudhari AM, Andriacchi TP (2011) Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Med Sci Sports Exerc 43:1484–1491PubMedCrossRef Shin CS, Chaudhari AM, Andriacchi TP (2011) Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Med Sci Sports Exerc 43:1484–1491PubMedCrossRef
go back to reference Shull PB, Shultz R, Silder A, Dragoo JL, Besier TF, Cutkosky MR, Delp SL (2013) Toe-in gait reduces the first peak knee adduction moment in patients with medial compartment knee osteoarthritis. J Biomech 46:122–128PubMedCrossRef Shull PB, Shultz R, Silder A, Dragoo JL, Besier TF, Cutkosky MR, Delp SL (2013) Toe-in gait reduces the first peak knee adduction moment in patients with medial compartment knee osteoarthritis. J Biomech 46:122–128PubMedCrossRef
go back to reference Tononi G, Edelman GM, Sporns O (1998) Complexity and coherency: integrating information in the brain. Trends Cogn Sci 2:474–484PubMedCrossRef Tononi G, Edelman GM, Sporns O (1998) Complexity and coherency: integrating information in the brain. Trends Cogn Sci 2:474–484PubMedCrossRef
go back to reference Williams GN, Chmielewski T, Rudolph K, Buchanan TS, Snyder-Mackler L (2001) Dynamic knee stability: current theory and implications for clinicians and scientists. J Orthop Sports Phys Ther 31:546–566PubMedCrossRef Williams GN, Chmielewski T, Rudolph K, Buchanan TS, Snyder-Mackler L (2001) Dynamic knee stability: current theory and implications for clinicians and scientists. J Orthop Sports Phys Ther 31:546–566PubMedCrossRef
go back to reference Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA (2008) Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. J Bone Joint Surg Am 90:815–823PubMedCrossRef Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA (2008) Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. J Bone Joint Surg Am 90:815–823PubMedCrossRef
go back to reference Zeller BL, McCrory JL, Kibler WB, Uhl TL (2003) Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 31:449–456PubMed Zeller BL, McCrory JL, Kibler WB, Uhl TL (2003) Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 31:449–456PubMed
go back to reference Zhang L-Q, Wang G (2001) Dynamic and static control of the human knee joint in abduction-adduction. J Biomech 34:1107–1115PubMedCrossRef Zhang L-Q, Wang G (2001) Dynamic and static control of the human knee joint in abduction-adduction. J Biomech 34:1107–1115PubMedCrossRef
Metadata
Title
Gender differences in offaxis neuromuscular control during stepping under a slippery condition
Authors
Song Joo Lee
Yupeng Ren
François Geiger
Li-Qun Zhang
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 11/2013
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-013-2727-3

Other articles of this Issue 11/2013

European Journal of Applied Physiology 11/2013 Go to the issue