Earl Jennifer E, Monteiro Sarika K, Snyder Kelli R
Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
J Orthop Sports Phys Ther. 2007 May;37(5):245-52. doi: 10.2519/jospt.2007.2202.
Mixed-model, repeated-measures design in a laboratory setting.
To examine the differences in hip, knee, and ankle kinematics between a bilateral drop-vertical jump and single-leg step-down. A secondary purpose was to examine gender differences in kinematics of the tasks.
Both a drop-vertical jump and step-down task have been used to evaluate lower extremity movement and injury risk. The differences in joint angles between these tasks have not been reported.
Three-dimensional joint angles of the hip, knee, and ankle of 19 females and 18 males were evaluated with a high-speed camera system while the subjects performed a bilateral drop-vertical jump and a single-leg step-down. Maximum joint angles were compared between tasks and genders using ANOVA models. eversion (12 degrees compared to 8 degrees) (P<.0005) and hip adduction (16 degrees compared to 1 degrees) (P= .03) than the drop-vertical jump. Females had greater hip internal rotation in the step-down than in the drop-vertical jump (5 degrees compared to 2 degrees) (P = .02). When averaged across both tasks, females had greater knee abduction than males in both tasks (4 degrees compared to 0 degrees) (P<.0005).
The unilateral step-down task produced greater motion in the frontal and transverse planes at the ankle and hip, and would be appropriate in evaluating control of the hip. The bilateral drop-vertical jump produced greater knee abduction in both genders and may be appropriate for evaluating excessive knee abduction as a risk factor for noncontact anterior cruciate ligament injury, for example. The 2 tasks appear to challenge the neuromuscular system in different manners, and both should continue to be used in the investigation of injury risk.
实验室环境下的混合模型重复测量设计。
研究双侧垂直跳和单腿下台阶动作中髋、膝、踝关节的运动学差异。次要目的是研究这些任务运动学中的性别差异。
垂直跳和下台阶任务均已用于评估下肢运动及受伤风险。尚未有关于这两项任务间关节角度差异的报道。
19名女性和18名男性在进行双侧垂直跳和单腿下台阶动作时,通过高速摄像系统评估髋、膝、踝关节的三维关节角度。使用方差分析模型比较任务和性别间的最大关节角度。与垂直跳相比,下台阶动作中踝关节外翻角度更大(12度比8度)(P<0.0005),髋关节内收角度更大(16度比1度)(P = 0.03)。女性在下台阶动作中的髋关节内旋角度比垂直跳时更大(5度比2度)(P = 0.02)。两项任务平均来看,女性在两项任务中的膝关节外展角度均大于男性(4度比0度)(P<0.0005)。
单侧下台阶任务在踝关节和髋关节的额状面和横断面产生更大的运动,适用于评估髋关节的控制能力。双侧垂直跳在两性中均产生更大的膝关节外展,例如可能适用于评估过度的膝关节外展作为非接触性前交叉韧带损伤的风险因素。这两项任务似乎以不同方式挑战神经肌肉系统,在损伤风险研究中都应继续使用。