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两种落地技术对急停跳和侧步切入任务期间膝关节运动学、动力学及表现的影响。

The effects of 2 landing techniques on knee kinematics, kinetics, and performance during stop-jump and side-cutting tasks.

作者信息

Dai Boyi, Garrett William E, Gross Michael T, Padua Darin A, Queen Robin M, Yu Bing

机构信息

Division of Kinesiology and Health, University of Wyoming, Laramie, Wyoming, USA.

Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.

出版信息

Am J Sports Med. 2015 Feb;43(2):466-74. doi: 10.1177/0363546514555322. Epub 2014 Nov 3.

Abstract

BACKGROUND

Anterior cruciate ligament injuries (ACL) commonly occur during jump landing and cutting tasks. Attempts to land softly and land with greater knee flexion are associated with decreased ACL loading. However, their effects on performance are unclear.

HYPOTHESIS

Attempts to land softly will decrease peak posterior ground-reaction force (PPGRF) and knee extension moment at PPGRF compared with a natural landing during stop-jump and side-cutting tasks. Attempts to land with greater knee flexion at initial ground contact will increase knee flexion at PPGRF compared with a natural landing during both tasks. In addition, both landing techniques will increase stance time and lower extremity mechanical work as well as decrease jump height and movement speed compared with a natural landing during both tasks.

STUDY DESIGN

Controlled laboratory study.

METHODS

A total of 18 male and 18 female recreational athletes participated in the study. Three-dimensional kinematic and kinetic data were collected during stop-jump and side-cutting tasks under 3 conditions: natural landing, soft landing, and landing with greater knee flexion at initial ground contact.

RESULTS

Attempts to land softly decreased PPGRF and knee extension moment at PPGRF compared with a natural landing during stop-jump tasks. Attempts to land softly decreased PPGRF compared with a natural landing during side-cutting tasks. Attempts to land with greater knee flexion at initial ground contact increased knee flexion angle at PPGRF compared with a natural landing during both stop-jump and side-cutting tasks. Attempts to land softly and land with greater knee flexion at initial ground contact increased stance time and lower extremity mechanical work, as well as decreased jump height and movement speed during both stop-jump and side-cutting tasks.

CONCLUSION

Although landing softly and landing with greater knee flexion at initial ground contact may reduce ACL loading during stop-jump and side-cutting tasks, the performance of these tasks decreased, as indicated by increased stance time and mechanical work as well as decreased jump height and movement speed.

CLINICAL RELEVANCE

Training effects tested in laboratory environments with the focus on reducing ACL loading may be reduced in actual competition environments when the focus is on athlete performance. The effects of training programs for ACL injury prevention on lower extremity biomechanics in athletic tasks may need to be evaluated in laboratories as well as in actual competitions.

摘要

背景

前交叉韧带损伤(ACL)通常发生在跳跃落地和变向动作中。尝试轻柔落地以及在落地时增加膝关节屈曲角度与前交叉韧带负荷的降低有关。然而,它们对运动表现的影响尚不清楚。

假设

与在急停跳跃和侧向切入任务中的自然落地相比,尝试轻柔落地会降低峰值后向地面反作用力(PPGRF)以及在PPGRF时的膝关节伸展力矩。与在这两项任务中的自然落地相比,在初始触地时尝试以更大的膝关节屈曲角度落地会增加在PPGRF时的膝关节屈曲角度。此外,与在这两项任务中的自然落地相比,这两种落地技术都会增加站立时间和下肢机械功,同时降低跳跃高度和移动速度。

研究设计

对照实验室研究。

方法

共有18名男性和18名女性业余运动员参与了该研究。在急停跳跃和侧向切入任务的三种条件下收集三维运动学和动力学数据:自然落地、轻柔落地以及在初始触地时以更大的膝关节屈曲角度落地。

结果

与在急停跳跃任务中的自然落地相比,尝试轻柔落地降低了PPGRF以及在PPGRF时的膝关节伸展力矩。与在侧向切入任务中的自然落地相比,尝试轻柔落地降低了PPGRF。与在急停跳跃和侧向切入任务中的自然落地相比,在初始触地时尝试以更大的膝关节屈曲角度落地增加了在PPGRF时的膝关节屈曲角度。尝试轻柔落地以及在初始触地时以更大的膝关节屈曲角度落地增加了急停跳跃和侧向切入任务中的站立时间和下肢机械功,同时降低了跳跃高度和移动速度。

结论

尽管在急停跳跃和侧向切入任务中,轻柔落地以及在初始触地时以更大的膝关节屈曲角度落地可能会减少前交叉韧带负荷,但这些任务的表现有所下降,表现为站立时间和机械功增加以及跳跃高度和移动速度降低。

临床意义

当关注运动员表现时,在实验室环境中以减少前交叉韧带负荷为重点测试的训练效果在实际比赛环境中可能会降低。预防前交叉韧带损伤的训练计划对运动任务中下肢生物力学的影响可能需要在实验室以及实际比赛中进行评估。

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