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Comparison of Knee-Joint Moments in Male and Female College Soccer Players during a Single-Leg Landing

J. Craig Garrison, Joe M. Hart, Riann M. Palmieri, D. Casey Kerrigan, and Christopher D. Ingersoll

Context:

Although kinematic analyses are helpful in describing movement differences between genders, kinetic data might further explain the predisposing factors contributing to potential injury during athletic landing maneuvers.

Objective:

To determine whether there are differences in knee moments between male and female varsity college soccer players during a single-leg landing.

Design:

Preexperimental with static group comparison.

Setting:

Motion-analysis laboratory.

Participants:

16 varsity college soccer players (8 men, 8 women).

Intervention:

Subjects performed 5 single-leg landings from a height of 60 cm.

Main Outcome Measures:

Peak internal rotation, valgus, varus, and extension knee moments calculated from raw ground-reaction forces and kinematic data.

Results:

Significant gender differences were present (P = .020), with men exhibiting 31% greater mean peak knee-varus moments than women when landing on a single leg from 60 cm (P = .020).

Conclusions:

Male soccer players demonstrate greater knee-varus moments than female soccer players during single-leg landing. This might be valuable in designing clinical treatment and prevention programs for ACL injuries.

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Relationship between Hip and Knee Strength and Knee Valgus during a Single Leg Squat

Tina L. Claiborne, Charles W. Armstrong, Varsha Gandhi, and Danny M. Pincivero

The purpose of this study was to determine the relationship between hip and knee strength, and valgus knee motion during a single leg squat. Thirty healthy adults (15 men, 15 women) stood on their preferred foot, squatted to approximately 60 deg of knee flexion, and returned to the standing position. Frontal plane knee motion was evaluated using 3-D motion analysis. During Session 2, isokinetic (60 deg/sec) concentric and eccentric hip (abduction/adduction, flexion/extension, and internal/external rotation) and knee (flexion/extension) strength was evaluated. The results demonstrated that hip abduction (r 2 = 0.13), knee flexion (r 2 = 0.18), and knee extension (r 2 = 0.14) peak torque were significant predictors of frontal plane knee motion. Significant negative correlations showed that individuals with greater hip abduction (r = –0.37), knee flexion (r = –0.43), and knee extension (r = –0.37) peak torque exhibited less motion toward the valgus direction. Men exhibited significantly greater absolute peak torque for all motions, excluding eccentric internal rotation. When normalized to body mass, men demonstrated significantly greater strength than women for concentric hip adduction and flexion, knee flexion and extension, and eccentric hip extension. The major findings demonstrate a significant role of hip muscle strength in the control of frontal plane knee motion.

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Time-to-Boundary Measures of Postural Control during Single Leg Quiet Standing

Jay Hertel, Lauren C. Olmsted-Kramer, and John H. Challis

A novel approach to quantifying postural stability in single leg stance is assessment of time-to-boundary (TTB) of center of pressure (COP) excursions. TTB measures estimate the time required for the COP to reach the boundary of the base of support if it were to continue on its instantaneous trajectory and velocity, thus quantifying the spatiotemporal characteristics of postural control. Our purposes were to examine: (a) the intrasession reliability of TTB and traditional COP-based measures of postural control, and (b) the correlations between these measures. Twenty-four young women completed three 10-second trials of single-limb quiet standing on each limb. Traditional measures included mean velocity, standard deviation, and range of mediolateral (ML) and anterior-posterior (AP) COP excursions. TTB variables were the absolute minimum, mean of minimum samples, and standard deviation of minimum samples in the ML and AP directions. The intrasession reliability of TTB measures was comparable to traditional COP based measures. Correlations between TTB and traditional COP based measures were weaker than those within each category of measures, indicating that TTB measures capture different aspects of postural control than traditional measures. TTB measures provide a unique method of assessing spatiotemporal characteristics of postural control during single limb stance.

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Hip-Muscle Activation during the Lunge, Single-Leg Squat, and Step-Up-and-Over Exercises

Samantha N. Boudreau, Maureen K. Dwyer, Carl G. Mattacola, Christian Lattermann, Tim L. Uhl, and Jennifer Medina McKeon

Context:

Functional exercises are often used in strengthening programs after lower extremity injury. Activation levels of the stabilizing hip muscles have not been documented.

Objective:

To document the progression of hip-muscle activation levels during 3 lower extremity functional exercises.

Design:

Cross-sectional.

Setting:

Laboratory.

Participants:

44 healthy individuals, 22 women and 22 men.

Intervention:

Subjects, in 1 testing session, completed 3 trials each of the lunge (LUN), single-leg squat (SLSQ), and step-up-and-over (SUO) exercise.

Main Outcome Measures:

Root-mean-square muscle amplitude (% reference voluntary muscle contraction) was measured for 5 muscles during the 3 exercises: rectus femoris (RF), dominant and nondominant gluteus medius (GMed_D and GMed_ND), adductor longus (ADD), and gluteus maximus (GMX).

Results:

The RF, GMAX, and GMed_D were activated in a progression from least to greatest during the SUO, LUN, and SLSQ. The progression for the GMed_ND activation was from least to greatest during the SLSQ, SUO, and then LUN. Activation levels of the ADD showed no progression.

Conclusion:

Progressive activation levels were documented for muscles acting on the hip joint during 3 functional lower extremity exercises. The authors recommend using this exercise progression when targeting the hip muscles during lower extremity strengthening.

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Two- and Three-Dimensional Relationships Between Knee and Hip Kinematic Motion Analysis: Single-Leg Drop-Jump Landings

Bryan Sorenson, Thomas W. Kernozek, John David Willson, Robert Ragan, and Jordan Hove

Context:

Hip- and knee-joint kinematics during drop landings are relevant to lower-extremity injury mechanisms. In clinical research the “gold standard” for joint kinematic assessment is 3-dimensional (3D) motion analysis. However, 2-dimensional (2D) kinematic analysis is an objective and feasible alternative.

Objective:

To quantify the relationship between 2D and 3D hip and knee kinematics in single-leg drop landings and test for a set of 3D hip and knee kinematics that best predicts 2D kinematic measures during single-leg drop landings Design: Descriptive, comparative laboratory study.

Participants:

31 healthy college-age women (65.5 kg [SD 12.3], 168.1 cm [SD 6.7]).

Methods:

Participants performed five 40-cm single-leg landings during motion capture at 240 Hz. Multiple regressions were used to predict relationships for knee and hip between 2D frontal-plane projection angles (FPPA) and 3D measurements.

Results:

2D knee FPPA had a strong relationship with 3D frontal-plane knee kinematics at initial contact (IC) (r 2 = .72), which was only minimally improved with the addition of knee sagittal-plane and hip transverse-plane positions at IC (r 2 = .77). In contrast, 2D knee FPPA had a low relationship with 3D knee-abduction excursion (r 2 = .06). The addition of knee sagittal-plane and hip transverse-plane motions did not improve this relationship (r 2 = .14). 2D hip FPPA had a moderate relationship with 3D frontal-plane hip position at IC (r 2 = .52), which was strengthened with the addition of hip sagittal-plane position (r 2 = .60). In addition, hip 2D FPPA into adduction excursion had a strong association with 3D hip-adduction excursion (r 2 = .70).

Conclusion:

2D kinematics can predict 3D frontal-plane hip and knee position at IC during a single-leg landing but predict 3D frontal-plane knee excursion with far less accuracy.

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Gender and Bilateral Differences in Single-Leg Countermovement Jump Performance with Comparison to a Double-Leg Jump

Thomas M. Stephens II, Brooke R. Lawson, Dale E. DeVoe, and Raoul F. Reiser II

Expectations may be for both legs to function identically during single- and double-leg vertical jumps. However, several reasons might prevent this from occurring. The goals of this investigation were twofold: assess the presence of side-to-side jump height differences during single-leg jumps in a homogenous group of healthy subjects and determine if those with a jump height asymmetry possessed consistent biomechanical differences during single- and double-leg jumps. Thirteen men and 12 women with competitive volleyball experience volunteered for the study. Significance was assessed at p < 0.05. The men jumped significantly higher than the women in all conditions and possessed differences in several anthropometric, kinematic, and kinetic parameters. Based on a three-jump average, all subjects had one leg that they could jump higher with (the dominant leg, DL). The men generated significantly greater maximum ground reaction forces and ankle joint powers on their DL whereas the women had no differences during the single-leg jumps. The only side-to-side differences that existed during the double-leg jumps were in the average ground reaction forces during propulsion. These findings suggest that equality of single-leg jump performance is the exception rather than the norm, with identification of consistent biomechanical attributes difficult within a group. Furthermore, any differences are not likely to cross over to other tasks, with men and women utilizing slightly different jump techniques.

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Effects of Trial Duration on Intrasession Reliability of Single Leg Balance Testing on Stable and Unstable Surfaces

Bryan L. Riemann, Kelsey Piersol, and George J. Davies

Context: Single leg balance testing is a commonly used tool in sports medicine; however, there has been no consensus on trial duration needed to obtain reliable measures. Objective: This investigation sought to determine the minimum trial duration required to obtain the highest intrasession single and average trial reliability for single leg balance testing on stable and unstable surfaces using dominant and nondominant limbs. Design: Intrasession reliability. Setting: Biomechanics laboratory. Participants: 70 healthy (35 men, 35 women), physically active young adults aged 22.8 ± 2.8 y divided into 3 subgroups (n = 10, 30, 30) across a 3-phase study. Methods: 3 phases of single leg balance testing were performed. For phase 1, the duration of time each participant could maintain posture on each limb/surface were computed. Phase 2 considered performance for 6 cumulative time intervals (5s, 10s, 15s, 20s, 25s, 30s). Phase 3 served to solidify results of phase 2 by computing reliability of 15s trials. Main outcome measures: Overall stability index of the center of pressure and platform tilt. Results: Intraclass correlation coefficients for phase 2 ranged from .74 (5s interval for nondominant limb on unstable surface) to .94 (20s interval for nondominant limb on stable surface). Phase 3 intraclass correlation coefficients ranged from .66 to .78 for single trial and .85 to .92 for 3 trial average with coefficients of variation ranging from 23.9% to 40.4% for single trial and 13.8% to 23.0% for 3 trial average. Conclusions: These results ultimately suggest 15s as the optimal trial duration to provide reliable measures while reducing compensatory event occurrence.

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Lower Extremity Kinematics of a Single-Leg Squat with an Orthotic in Male and Female Collegiate Athletes

Michael F. Joseph, Kristin L. Holsing, and David Tiberio

Kinematic differences have been linked to the gender discrepancies seen in knee injuries. A medially posted orthotic decreases frontal and transverse plane motions in the lower extremity during ambulation, squatting and landing. This study investigated the effect of a medial post on amount and timing of lower extremity motions during a single-leg squat in male and female athletes. We hypothesized there would be differences in these kinematic variables dependent upon sex and post conditions. Twenty male and female athletes performed single-leg squats with and without a five degree full-length medial post. Maximum joint angles were analyzed using a two-way, repeated-measures analysis of variance to determine if the differences created by post condition were statistically significant, whether there were gender differences, or interactions. Differences in maximum motion values and the time at which they occurred were found between men and women at the hip, knee and ankle. The post decreased all frontal plane measures in both sexes and resulted in earlier attainment of maximum ankle eversion and delayed maximum knee valgus. A medially posted orthotic may be beneficial not only in limiting motion, but in affecting the time in which stressful motions occur.

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Comparison of Lower Extremity Emg Between the 2-Leg Squat and Modified Single-Leg Squat in Female Athletes

Kevin McCurdy, Erin O’Kelley, Matt Kutz, George Langford, James Ernest, and Marcos Torres

Purpose:

To compare EMG activity of selected hip and knee muscle groups in female athletes performing a modified single-leg squat and the 2-leg squat using the same relative intensity.

Methods:

Eleven Division I female athletes from a variety of sports (soccer, softball, and track) completed the study. EMG measurements were taken as the subjects completed 3 parallel repetitions at 85% of their 3-repetition maximum on each exercise. Mean and mean peak EMG data from the gluteus medius, hamstrings, and quadriceps and the quadriceps:hamstrings EMG ratio were compared between the 2 exercises.

Results:

Statistically higher mean (P < .01) and mean peak (P < .05) gluteus medius and mean and mean peak (P < .01) hamstring EMG activity occurred during the modified single-leg squat. The 2-leg squat produced higher mean and mean peak (P < .05) quadriceps activity and a higher quadriceps:hamstrings EMG ratio (P < .01).

Conclusion:

Muscle-recruitment patterns appear to differ between the 2 types of squat exercises when performed at the same relative intensity by female athletes.

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Dynamic and Static Assessment of Single-Leg Postural Control in Female Soccer Players

Kelly M. Meiners and Janice K. Loudon

direction. 1 Postural sway is measured by having individuals stand as still as possible on a force plate, and then recording amount, speed, and direction of the COP. 3 Postural sway measurements can be obtained in both double-leg and single-leg stance positions, depending on the age and health of the