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Effects of Landing Foot Orientations on Biomechanics of Knee Joint in Single-legged Landing

  • Joo, Ji-Yong (Department of Physical Education, College of Education, Chonnam National University) ;
  • Kim, Young-Kwan (Department of Physical Education, College of Education, Chonnam National University)
  • Received : 2018.05.14
  • Accepted : 2018.06.22
  • Published : 2018.06.30

Abstract

Objective: This study aimed to investigate the influence of landing foot orientations on biomechanics of knee joint in order to identify vulnerable positions to non-contact knee injuries during single-legged landing. Method: Seventeen men (age: $20.5{\pm}1.1 years$, height: $175.2{\pm}6.4cm$, weight: $68.8{\pm}5.8kg$) performed single-leg drop landings repeatedly with three different landing foot orientations. They were defined as toe-in (TI) $30^{\circ}$ adduction, neutral (N, neutral), and toe-out (TO) $30^{\circ}$ abduction positions. Results: The downward phase time of TI was significantly shorter than those of N and TO. The flexion and valgus angle of N was greater than those of TI and TO at the moment of foot contact. At the instance of maximum knee flexion, N showed the largest flexion angle, and TO position had the largest varus and external rotation angles. Regarding ground reaction force (GRF) at the moment of foot contact, TO showed the forward GRF, while others showed the backward GRF. TI indicated significantly larger mediolateral GRF than others. As for the maximum knee joint force and joint moment, the main effect of different foot positions was not significant. Conclusion: TI and TO might be vulnerable positions to knee injuries because both conditions might induce combined loadings to knee joint. TI had the highest mediolateral GRF with a shortest foot contact time, and TO had induced a large external rotation angle during downward phase and the peak forward GRF at the moment of foot contact. Conclusively, N is the preferred landing foot orientation to prevent non-contact knee injuries.

Keywords

References

  1. Agel, J., Evans, T. A., Dick, R., Putukian, M. & Marshall, S. W. (2007). Descriptive epidemiology of collegiate men's soccer injuries: national collegiate athletic association injury surveillance system, 1988-1989 Through 2002-2003. Journal of Athletic Training, 42(2), 270-277.
  2. Agel, J., Palmieri-Smith, R. M., Dick, R., Wojtys, E. M. & Marshall, S. W. (2007). Descriptive epidemiology of collegiate women's volleyball injuries: national collegiate athletic association injury surveillance system, 1988-1989 through 2003-2004. Journal of Athletic Training, 42(2), 295-302.
  3. Benjaminse, A., Habu, A., Sell, T. C., Abt, J. P., Fu, F. H., Myers, J. B. & Lephart, S. M. (2008). Fatigue alters lower extremity kinematics during a single-leg stop-jump task. Knee Surgery, Sports Traumatology, Arthroscopy, 16(4), 400-407. https://doi.org/10.1007/s00167-007-0432-7
  4. Boden, B. P., Dean, G. S., Feagin, J. A. & Garrett, W. E. (2000). Mechanisms of anterior cruciate ligament injury. Orthopedics, 23(6), 573-578.
  5. Cho, J. H., Kim, K. H., Moon, G. S., Cho, Y. J., & Lee, S. C. (2010) Analysis of injury mechanism on ankle and knee during drop landings according to landing directions. Korean Journal of Sport Biomechanics, 20(1), 67-73. https://doi.org/10.5103/KJSB.2010.20.1.067
  6. Cho, J. H. & Kim, R. B. (2011). The effects of landing height and distance on knee injury mechanism. Korean Journal of Sport Biomechanics, 21(2), 197-205. https://doi.org/10.5103/KJSB.2011.21.2.197
  7. Clement, D. B., Taunton, J. E., Smart, G. W. & McNico, K. L. (1981). A survey of overuse running injury. Physician Sports Medicine, 9, 47-58. https://doi.org/10.1080/00913847.1981.11711077
  8. De Leva, P. (1990). Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters. Journal of Biomechanics, 29(9), 1223-1230. https://doi.org/10.1016/0021-9290(95)00178-6
  9. Decker, M. J., Torry, M. R., Wyland, D. J., Sterett, W. I. & Steadman, J. (2003). Gender differences in lower extremity kinematic, kinetics, and energy absorption during landing. Clinical Biomechanics, 18, 662-669. https://doi.org/10.1016/S0268-0033(03)00090-1
  10. Devita, P. & Skelly, W. A. (1992). Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Medicine and Science in Sports and Exercise, 24(1), 108-115.
  11. Dufek, J. S. & Bates, B. T. (1990). The evaluation and prediction of impact forces during landings. Medicine and Science in Sports and Exercise, 22(3), 370-377.
  12. Eun, S. D., Yang, J. H., Kim, Y. W., Kang, M. S. & Kwak, C. S. (2012). The effect of visual and cognitive information of landing height on landing strategy during drop landing. Korean Journal of Sport Biomechanics, 22(4), 405-411. https://doi.org/10.5103/KJSB.2012.22.4.405
  13. Go, E., Hong, S. Y., Lee, K. K. & An, K. O. (2013). Effect of active change of foot progression angle on lower extremity joint during gait. Korean Journal of Sport Biomechanics, 23(1), 85-90. https://doi.org/10.5103/KJSB.2013.23.1.085
  14. Griffin, L. Y., Agel, J. & Albohm, M. J. (2000). Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. Journal of the American Academy of Orthopaedic Surgeons, 8, 141-150. https://doi.org/10.5435/00124635-200005000-00001
  15. Hawkins, R. D., Hulse, M. A., Wilkinson, C., Hodson, A. & Gibson, M. (2001). The association football medical research programme: an audit of injuries in professional football. British Journal of Sports Medicine, 35(1), 43-47. https://doi.org/10.1136/bjsm.35.1.43
  16. Hootman, J. M., Dick, R. & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of Athletic Training, 42(2), 311-319.
  17. Ishida, T., Yamanaka, M., Takeda, N., Homan, K., Koshino, Y., Kobayashi, T., Matsumoto, H. & Aoki, Y. (2015). The effect of changing toe direction on knee kinematics during drop vertical jump: a possible risk factor for anterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy, 23(4), 1004-1009. https://doi.org/10.1007/s00167-013-2815-2
  18. Joo, J. Y., Kim, Y. G. & Kim, J. P. (2014). Effect of toe headings on the biomechanics of knee joint in drop landing. Korea Journal of Sport Biomechanics, 24(2), 121-129. https://doi.org/10.5103/KJSB.2014.24.2.121
  19. Jung, B. C. (2004). Kinetic analysis of walking toe angle in walking. Graduate Shool of Education Inje Universty, Gimhea.
  20. Kernozek, T. W., Torry, M. R. & Iwasaki, M. (2008). Gender differences in lower extremity landing mechanics caused by neuromuscular fatigue. The American Journal of Sports Medicine, 36(3), 554-565. https://doi.org/10.1177/0363546507308934
  21. Kernozek, T. W., Torry, M. R., Hoof, H. V., Cowley, H. & Tanner, S. (2005). Gender differences in frontal and sagittal plane biomechanics during drop landings. Medicine & Science in Sports & Exercise, 37(6), 1003-1012.
  22. Kim, K. H. & Cho, J. H. (2012). The Influence of Cutting Direction on Risk Factors of Anterior Cruciate Ligament Injury. Journal of Sport and Leisure Studies, 48, 795-802.
  23. Koga, H., Nakamae, A., Shima, Y., Iwasa, J., Myklebust, G., EngebretsenL, L., Bahr, R. & Krosshaug, T. (2010). Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. American Journal of Sports Medicine, 38, 2218-2225. https://doi.org/10.1177/0363546510373570
  24. Lee, S. C., Kim, K. H., Cho, J. H. & Moon, G. S. (2010). Injury mechanism of lower extremity joint according to landing height. Journal of Sport and Leisure Studies, 42(2), 1067-1076.
  25. Lim, B. O., Lee, Y. S., Kim, J. G., An, K. O., Yu, J. & Kwon, Y. H. (2009). Effects of sports injury prevention yraining on the biomechanical risk factors of anterior cruciate ligament injury in high school female basketball players. American Journal of Sports Medicine, 37(9), 1728-1734. https://doi.org/10.1177/0363546509334220
  26. Malinzak, R. A., Colbyb, S. M., Kirkendallc, D. T., Yu, B. & Garrettc, W. E. (2001). A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clinical Biomechanics, 16(5), 438-445. https://doi.org/10.1016/S0268-0033(01)00019-5
  27. McNitt-Gray, J. L. (1991). Kinematics and impulse characteristics of drop landing from three heights. International Journal of Sport Biomechanics, 7(2), 201-224. https://doi.org/10.1123/ijsb.7.2.201
  28. McNitt-Gray, J. L. (1993). Kinetics of the lower extremities during drop landings from three heights. Journal of Biomechanics, 26(9), 1037-1046. https://doi.org/10.1016/S0021-9290(05)80003-X
  29. Mountcastle, S. B., Posner, M., Kragh, J. F. & Taylor Jr, D. C. (2007). Gender differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic population. The American Journal of Sports Medicine, 35(10), 1635-1642. https://doi.org/10.1177/0363546507302917
  30. Nigg, B. M., Bahlsen, H. A., Luethi, S. M. & Stokes, S. (1987). The influence of running velocity and midsole hardness on external impact forces in heel-toe running. Journal of Biomechanics, 20(10), 951-959. https://doi.org/10.1016/0021-9290(87)90324-1
  31. Noyes, F. R., Mooar, P. A. & Neimann, R. (1983). The symptomatic anterior cruciate-deficient knee. Part I: The long-term functional disability in athletically active individuals. Journal of Bone Joint and Surgery, 65(A), 154-162. https://doi.org/10.2106/00004623-198365020-00003
  32. Olsen, O. E., Myklebust, G., Engebretsen, L. & Bahr, R. (2004). Injury mechanisms for anterior cruciate ligament injuriesin team handball: a systematic video analysis. American Journal of Sports Medicine, 32(4), 1002-1012. https://doi.org/10.1177/0363546503261724
  33. Orishimo, K. F., Kremenic, I. J., Pappas, E., Hagins, M. & Liederbach, M. (2009). Comparison of landing biomechanics between male and female professional dancers. The American Journal of Sports Medicine, 37(11), 2187-2193. https://doi.org/10.1177/0363546509339365
  34. Powell, J. W. & Barber-Foss, K. D. (2000). Sex-related injury patterns among selected high school sports. American Journal of Sports Medicine, 28, 385-391. https://doi.org/10.1177/03635465000280031801
  35. Salci, Y., Kentel, B. B., Heycan, C., Akin, S. & Korkusuz, F. (2004). Comparison of landing maneuvers between male and female college volleyball players. Clinical Biomechanics, 19, 622-628. https://doi.org/10.1016/j.clinbiomech.2004.03.006
  36. Schot, P. K., Bates, B. T. & Dufek, J. S. (1994). Bilateral performance symmetry during drop landing: a kinetic analysis. Medicine and Science in Sports and Exercise, 26(9), 1153-1159.
  37. Scott, S. H. & Winter, D. A. (1990). Internal forces of chronic running injury sites. Medicine and Science in Sports and Exercise, 22(3), 357-369.
  38. Shimokochi, Y. & Shultz, S. J. (2008). Mechanisms of noncontact anterior cruciate ligament injury. Journal of Athletic Training, 43(4), 396-408. https://doi.org/10.4085/1062-6050-43.4.396
  39. Shin, C. S., Chaudhari, A. M. & Andriacchi, T. P. (2009). The effect of isolated valgus moments on ACL strain during single-leg landing: a simulation study. Journal of Biomechanics, 42(3), 280-285. https://doi.org/10.1016/j.jbiomech.2008.10.031
  40. Shin, C. S., Chaudhari, A. M. & Andriacchi, T. P. (2011). Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Medicine and Science in Sports and Exercise, 43, 1484-1491. https://doi.org/10.1249/MSS.0b013e31820f8395
  41. Sinsurin, K., Vachalathiti, R., Jalayondeja, W. & Limroongreungrat, W. (2013). Different sagittal angles and moments of lower extremity joints during single-leg jump landing among various directions in basketball and volleyball athletes. Journal of Physical Therapy Science, 25(9), 1109-1113. https://doi.org/10.1589/jpts.25.1109
  42. Kim, T. H. & Youm, C. H. (2013). Effects of knee joint muscle fatigue and overweight on the angular displacement and moment of the lower limb joints during landing. Korean Journal of Sport Biomechanics, 23(1), 63-76. https://doi.org/10.5103/KJSB.2013.23.1.063
  43. Wang, J. W., Kuo, K. N., Andriacchi, T. P. & Galante, J. O. (1990). The influence of walking mechanics and time on the results of proximal tibial osteotomy. The Journal of Bone & Joint Surgery, 72(6), 905-909. https://doi.org/10.2106/00004623-199072060-00017
  44. Woods, C., Hawkins, R., Hulse, M. & Hodson, A. (2002). The football association medical research programme: an audit of injuries in professional football-analysis of preseason injuries. The British Journal of Sports Medicine, 36(6), 436-441. https://doi.org/10.1136/bjsm.36.6.436
  45. Wu, G., Siegler, S., Allard, P., Kirtley, C., Leardini, A., Rosenbaum, D., Whittle, M., D'Lima2, D. D., Cristofolini, L., Witte, H., Schmid, O. & Schmid, O. (2002). ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion-part I: ankle, hip, and spine. Journal of Biomechanics, 35(4), 543-548. https://doi.org/10.1016/S0021-9290(01)00222-6
  46. Yeow, C. H., Lee, P. V. & Goh, J. C. (2010) Sagittal knee joint kinematics and energetics in response to different landing heights and techniques. Knee, 17(2), 127-131. https://doi.org/10.1016/j.knee.2009.07.015
  47. Zhang, S. N., Bates, B. T. & Dufek, J. S. (2000). Contributions of lower extremity joints to energy dissipation during landings. Medicine and Science in Sports and Exercise, 32(4), 812-819. https://doi.org/10.1097/00005768-200004000-00014