Division of Physical Therapy, Long Island University, Brooklyn, NY, USA.
J Sports Sci Med. 2007 Mar 1;6(1):77-84. eCollection 2007.
Female athletes are substantially more susceptible than males to suffer acute non-contact anterior cruciate ligament injury. A limited number of studies have identified possible biomechanical risk factors that differ between genders. The effect of fatigue on the biomechanics of landing has also been inadequately investigated. The objective of the study was to examine the effect of gender and fatigue on peak values of biomechanical variables during landing from a jump. Thirty-two recreational athletes performed bilateral drop jump landings from a 40 cm platform. Kinetic, kinematic and electromyographic data were collected before and after a functional fatigue protocol. Females landed with 9° greater peak knee valgus (p = 0.001) and 140% greater maximum vertical ground reaction forces (p = 0.003) normalized to body weight compared to males. Fatigue increased peak foot abduction by 1.7° (p = 0.042), peak rectus femoris activity by 27% (p = 0.018), and peak vertical ground reaction force (p = 0.038) by 20%. The results of the study suggest that landing with increased peak knee valgus and vertical ground reaction force may contribute to increased risk for knee injury in females. Fatigue caused significant but small changes on some biomechanical variables. Anterior cruciate ligament injury prevention programs should focus on implementing strategies to effectively teach females to control knee valgus and ground reaction force. Key pointsFemale athletes landed with increased knee valgus and VGRF which may predispose them to ACL injury.Fatigue elicited a similar response in male and female athletes.The effectiveness of sports injury prevention programs may improve by focusing on teaching females to land softer and with less knee valgus.
女性运动员比男性更容易遭受急性非接触性前交叉韧带损伤。少数研究已经确定了性别之间不同的可能生物力学危险因素。疲劳对落地生物力学的影响也没有得到充分的研究。本研究的目的是研究性别和疲劳对从跳跃落地时生物力学变量峰值的影响。32 名休闲运动员从 40 厘米高的平台上进行双侧跳下落地。在进行功能疲劳方案前后,收集了动力学、运动学和肌电图数据。与男性相比,女性落地时峰值膝关节外翻增加 9°(p = 0.001),垂直地面反作用力峰值增加 140%(p = 0.003),归一化到体重。疲劳使峰值足部外展增加 1.7°(p = 0.042),股直肌活动增加 27%(p = 0.018),垂直地面反作用力峰值增加 20%(p = 0.038)。研究结果表明,落地时峰值膝关节外翻和垂直地面反作用力增加可能导致女性膝关节受伤风险增加。疲劳对一些生物力学变量产生了显著但较小的变化。前交叉韧带损伤预防计划应侧重于实施策略,以有效地教导女性控制膝关节外翻和地面反作用力。要点女性运动员落地时膝关节外翻和 VGRF 增加,这可能使她们易患 ACL 损伤。疲劳对男性和女性运动员产生了类似的反应。通过专注于教导女性落地更柔和、膝关节外翻更小,运动损伤预防计划的效果可能会提高。