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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2015

01-12-2015 | Knee

The association of dorsiflexion flexibility on knee kinematics and kinetics during a drop vertical jump in healthy female athletes

Authors: Philip Malloy, Alexander Morgan, Carolyn Meinerz, Christopher Geiser, Kristof Kipp

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2015

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Abstract

Purpose

While previous studies have examined the association between ankle dorsiflexion flexibility and deleterious landing postures, it is not currently known how landing kinetics are influenced by ankle dorsiflexion flexibility. The purpose of this study was to examine whether ankle dorsiflexion flexibility was associated with landing kinematics and kinetics that have been shown to increase the risk of anterior cruciate ligament (ACL) injury in female athletes.

Methods

Twenty-three female collegiate soccer players participated in a preseason screening that included the assessment of ankle dorsiflexion flexibility and lower-body kinematics and kinetics during a drop vertical jump task.

Results

The results demonstrated that females with less ankle dorsiflexion flexibility exhibited greater peak knee abduction moments (r = .442), greater peak knee abduction angles (r = .355), and less peak knee flexion angles (r = .385) during landing. The range of dorsiflexion flexibility for the current study was between 9° and 23° (mean = 15.0°; SD 3.9°).

Conclusion

Dorsiflexion flexibility may serve as a useful clinical measure to predict poor landing postures and external forces that have been associated with increased knee injury risk. Rehabilitation specialists can provide interventions aimed at improving dorsiflexion flexibility in order to ameliorate the impact of this modifiable factor on deleterious landing kinematics and kinetics in female athletes.

Level of evidence

II.
Literature
1.
go back to reference Agel J, Klossner D (2014) Epidemiologic review of collegiate ACL injury rates across 14 sports: National Collegiate Athletic Association injury surveillance system data 2004–2005 through 2011–2012. Br J Sports Med 48:560CrossRef Agel J, Klossner D (2014) Epidemiologic review of collegiate ACL injury rates across 14 sports: National Collegiate Athletic Association injury surveillance system data 2004–2005 through 2011–2012. Br J Sports Med 48:560CrossRef
2.
go back to reference Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D et al (2009) 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 17: 705–729 Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D et al (2009) 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 17: 705–729
3.
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 literature. Am J Sports Med 23:694–701CrossRefPubMed Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review literature. Am J Sports Med 23:694–701CrossRefPubMed
4.
go back to reference Bell DR, Padua DA, Clark MA (2008) Muscle strength and flexibility characteristics of people displaying medial knee displacement. Arch Phys Med Rehab 89:1323–1328CrossRef Bell DR, Padua DA, Clark MA (2008) Muscle strength and flexibility characteristics of people displaying medial knee displacement. Arch Phys Med Rehab 89:1323–1328CrossRef
5.
go back to reference Caulfield B, Garrett M (2004) Changes in ground reaction force during jumping in subjects with functional instability of the ankle joint. Clin Biomech 19:617–621CrossRef Caulfield B, Garrett M (2004) Changes in ground reaction force during jumping in subjects with functional instability of the ankle joint. Clin Biomech 19:617–621CrossRef
6.
go back to reference Delahunt E, Monaghan K, Caulfild B (2006) Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joints during a single leg drop jump. J Orthop Res 24:1991–2000CrossRefPubMed Delahunt E, Monaghan K, Caulfild B (2006) Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joints during a single leg drop jump. J Orthop Res 24:1991–2000CrossRefPubMed
7.
go back to reference Faul F, Erdefelder E, Buchner A, Lang AG (2009) Statistical power analysis using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160CrossRefPubMed Faul F, Erdefelder E, Buchner A, Lang AG (2009) Statistical power analysis using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160CrossRefPubMed
8.
9.
go back to reference Geiser CF, O’Connor KM, Earl JE (2010) Effects of isolated hip abductor fatigue on frontal plane knee mechanics. Med Sci Sports Exerc 42:535–545CrossRefPubMed Geiser CF, O’Connor KM, Earl JE (2010) Effects of isolated hip abductor fatigue on frontal plane knee mechanics. Med Sci Sports Exerc 42:535–545CrossRefPubMed
10.
go back to reference Griffin LY, Albohm MJ, Arendt EA et al (2006) Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley meeting, January 2005. Am J Sports Med 34:1512–1532CrossRefPubMed Griffin LY, Albohm MJ, Arendt EA et al (2006) Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley meeting, January 2005. Am J Sports Med 34:1512–1532CrossRefPubMed
11.
go back to reference Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 105:136–144CrossRefPubMed Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 105:136–144CrossRefPubMed
12.
go back to reference Gwinn DE, Wilckens JH, McDevitt ER, Ross G, Kao T (2000) The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med 28:98–102PubMed Gwinn DE, Wilckens JH, McDevitt ER, Ross G, Kao T (2000) The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med 28:98–102PubMed
13.
go back to reference Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR (1999) The effect of neuromuscular training and the incidence of knee injury in female athletes: a prospective study. Am J Sports Med 27:699–706PubMed Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR (1999) The effect of neuromuscular training and the incidence of knee injury in female athletes: a prospective study. Am J Sports Med 27:699–706PubMed
14.
go back to reference Hewett TE, Myer GD, Ford KR et al (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate injury risk in female athletes: a prospective study. Am J Sports Med 33:492–501CrossRefPubMed Hewett TE, Myer GD, Ford KR et al (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate injury risk in female athletes: a prospective study. Am J Sports Med 33:492–501CrossRefPubMed
15.
go back to reference Hewett TE, Torg JS, Boden BP (2009) Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med 43:417–422PubMedCentralCrossRefPubMed Hewett TE, Torg JS, Boden BP (2009) Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med 43:417–422PubMedCentralCrossRefPubMed
16.
go back to reference Hootman JM, Dick R, Agel J (2007) Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42:311–319PubMedCentralPubMed Hootman JM, Dick R, Agel J (2007) Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42:311–319PubMedCentralPubMed
17.
go back to reference Ishida T, Yamanaka M, Takeda N, Aoki Y (2014) Knee rotation associated with dynamic knee valgus and toe direction. Knee 21:563–566CrossRefPubMed Ishida T, Yamanaka M, Takeda N, Aoki Y (2014) Knee rotation associated with dynamic knee valgus and toe direction. Knee 21:563–566CrossRefPubMed
18.
go back to reference Kristianslund E, Faul O, Myklebust G, Krosshaug T (2014) Sidestep cutting technique and knee abduction loading: implications for ACL prevention exercises. Br J Sports Med 48:779–783CrossRefPubMed Kristianslund E, Faul O, Myklebust G, Krosshaug T (2014) Sidestep cutting technique and knee abduction loading: implications for ACL prevention exercises. Br J Sports Med 48:779–783CrossRefPubMed
19.
go back to reference Levine JW, Kiapour AM, Quatman CE, Wordeman SC, Goel VK, Hewett TE, Demetropoulus CK (2013) Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms. Am J Sports Med 41:385–395PubMedCentralCrossRefPubMed Levine JW, Kiapour AM, Quatman CE, Wordeman SC, Goel VK, Hewett TE, Demetropoulus CK (2013) Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms. Am J Sports Med 41:385–395PubMedCentralCrossRefPubMed
20.
go back to reference Macrum E, Bell DR, Boling M, Lewek M, Padua D (2012) Effect of limiting ankle-dorsifleixon range of motion on lower extremity kinematics and muscle activation patterns during a squat. J Sports Rehabil 21:144–150 Macrum E, Bell DR, Boling M, Lewek M, Padua D (2012) Effect of limiting ankle-dorsifleixon range of motion on lower extremity kinematics and muscle activation patterns during a squat. J Sports Rehabil 21:144–150
21.
go back to reference Mandelbaum BR, Silvers HJ, Watanabe DS et al (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow up. Am J Sports Med 33:1003–1010CrossRefPubMed Mandelbaum BR, Silvers HJ, Watanabe DS et al (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow up. Am J Sports Med 33:1003–1010CrossRefPubMed
22.
go back to reference Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GAM, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935CrossRefPubMed Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GAM, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935CrossRefPubMed
23.
go back to reference Mauntel TC, Begalle RL, Cram TR, Frank BS, Hirth CJ, Blackburn T, Padua DA (2013) The effects of lower extremity muscle activation and passive range of motion on single leg squat performance. J Strength Cond Res 27:1813–1823CrossRefPubMed Mauntel TC, Begalle RL, Cram TR, Frank BS, Hirth CJ, Blackburn T, Padua DA (2013) The effects of lower extremity muscle activation and passive range of motion on single leg squat performance. J Strength Cond Res 27:1813–1823CrossRefPubMed
24.
go back to reference Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sports Med 13:71–78CrossRef Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sports Med 13:71–78CrossRef
25.
go back to reference Quatman CCE, Kiapour AM, Demetrropoulus CK, Kiapour A, Wordeman SC, Levine JW, Goel VK, Hewett TE (2014) Preferential loading of the ACL compared with the MCL during landing: a novel sim approach yields multiplanar mechanisms of dynamic valgus during ACL injury. Am J Sports Med 42:177–186PubMedCentralCrossRefPubMed Quatman CCE, Kiapour AM, Demetrropoulus CK, Kiapour A, Wordeman SC, Levine JW, Goel VK, Hewett TE (2014) Preferential loading of the ACL compared with the MCL during landing: a novel sim approach yields multiplanar mechanisms of dynamic valgus during ACL injury. Am J Sports Med 42:177–186PubMedCentralCrossRefPubMed
26.
go back to reference Padua DA, Bell DR, Clark MA (2012) Neuromuscular characteristics of individuals displaying excessive medial knee displacement. J Athl Train 47:525–536PubMedCentralPubMed Padua DA, Bell DR, Clark MA (2012) Neuromuscular characteristics of individuals displaying excessive medial knee displacement. J Athl Train 47:525–536PubMedCentralPubMed
27.
go back to reference Sigward SM, Ota S, Powers CM (2008) Predictors of frontal plane knee excursion during a drop land in young female soccer players. J Orthop Sports Phys Ther 38:661–667CrossRefPubMed Sigward SM, Ota S, Powers CM (2008) Predictors of frontal plane knee excursion during a drop land in young female soccer players. J Orthop Sports Phys Ther 38:661–667CrossRefPubMed
28.
go back to reference Stevenson JH, Beattie CS, Schwartz JB, Busconi BD (2014) Assessing the effectiveness of neuromuscular training programs in reducing the incidence of anterior cruciate ligament injuries in female athletes: a systematic review. Am J Sports Med. doi:10.1177/0363546514523388 PubMed Stevenson JH, Beattie CS, Schwartz JB, Busconi BD (2014) Assessing the effectiveness of neuromuscular training programs in reducing the incidence of anterior cruciate ligament injuries in female athletes: a systematic review. Am J Sports Med. doi:10.​1177/​0363546514523388​ PubMed
29.
go back to reference Withrow TJ, Huston LJ, Wojyts EM, Ashton-Miller JA (2006) The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated landing task. Clin Biomech 21:977–983CrossRef Withrow TJ, Huston LJ, Wojyts EM, Ashton-Miller JA (2006) The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated landing task. Clin Biomech 21:977–983CrossRef
30.
go back to reference Withrow TJ, Huston LJ, Wojyts EM, Ashton-Miller JA (2006) The relationship between quadriceps muscle force, knee flexion, and anterior cruciate ligament strain in an in vitro simulated jump landing. Am J Sports Med 34:269–274CrossRefPubMed Withrow TJ, Huston LJ, Wojyts EM, Ashton-Miller JA (2006) The relationship between quadriceps muscle force, knee flexion, and anterior cruciate ligament strain in an in vitro simulated jump landing. Am J Sports Med 34:269–274CrossRefPubMed
Metadata
Title
The association of dorsiflexion flexibility on knee kinematics and kinetics during a drop vertical jump in healthy female athletes
Authors
Philip Malloy
Alexander Morgan
Carolyn Meinerz
Christopher Geiser
Kristof Kipp
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-3222-z

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