Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Department of Clinical Biomechanics, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
BMC Musculoskelet Disord. 2022 Apr 8;23(1):331. doi: 10.1186/s12891-022-05290-0.
Risk for non-contact anterior cruciate ligament (ACL) injury can be assessed based on drop vertical jump (DVJ). However, biomechanics of DVJ may differ with various sporting activities. The purpose of the present study was to clarify whether biomechanical features of DVJ are different among various sporting activities in female athletes.
A total of 42 female athletes, including 25 basketball, 8 soccer and 9 volleyball players, participated in the current investigation. DVJ was done for each female athlete using a three-dimensional motion analysis system which consisted of six cameras, two force plates and 46 retro-reflective markers. Kinematic and kinetic data were recorded for both limbs in each athlete. Simultaneously, frontal and sagittal plane views of the DVJ were recorded using two different high-resolution video cameras to evaluate Landing Error Scoring System (LESS) score. Three-dimensional biomechanical parameters at the knee joint and LESS were compared among three different sporting activities using ANOVA or Kruskal-Wallis test after confirming normality assumption. Thereafter post hoc Tukey or Steel-Dwass was utilized for multiple comparison.
Soccer players had better LESS score, and peak knee flexion angle was significantly larger in soccer players compared to the other sports. In addition, knee abduction angle at initial contact (IC), peak knee abduction angle, knee internal rotation angle, and knee abduction moment within 40 ms from IC were significantly smaller in soccer players, compared to basketball players. In terms of volleyball players, knee abduction angle at IC and knee internal rotation angle at IC were significantly larger than soccer players, whereas no significant biomechanical differences were found between basketball and volleyball players.
From the present study, female basketball and volleyball players have worse LESS score, smaller peak knee flexion angle, greater knee abduction angle at IC and greater knee internal rotation angle at IC, compared to female soccer players. Thus, female basketball and volleyball players may have an increased risk of non-contact ACL injury during the jump-landing task, compared to soccer players. Biomechanics of DVJ depends on characteristics of the athlete's primary sport.
非接触性前交叉韧带(ACL)损伤的风险可以基于垂直跳跃(DVJ)来评估。然而,不同的运动项目中,DVJ 的生物力学可能会有所不同。本研究的目的是阐明女性运动员在各种运动项目中,DVJ 的生物力学特征是否存在差异。
共有 42 名女性运动员参加了本研究,包括 25 名篮球运动员、8 名足球运动员和 9 名排球运动员。使用由六台摄像机、两台力板和 46 个反向反射标记组成的三维运动分析系统,对每位女性运动员进行 DVJ。记录每位运动员双侧肢体的运动学和动力学数据。同时,使用两台不同的高分辨率摄像机记录 DVJ 的额状面和矢状面视图,以评估着陆错误评分系统(LESS)评分。在确认正态性假设后,使用方差分析或 Kruskal-Wallis 检验比较三种不同运动项目的膝关节三维生物力学参数和 LESS。然后使用 Tukey 或 Steel-Dwass 进行多重比较。
足球运动员的 LESS 评分较好,且足球运动员的峰值膝关节屈曲角度明显大于其他运动项目。此外,与篮球运动员相比,足球运动员的初始接触时膝关节外展角度、峰值膝关节外展角度、膝关节内旋角度和初始接触后 40ms 内的膝关节外展力矩较小。对于排球运动员,与足球运动员相比,其初始接触时的膝关节外展角度和膝关节内旋角度较大,而与篮球运动员相比,无明显的生物力学差异。
与足球运动员相比,女性篮球和排球运动员的 LESS 评分较差,峰值膝关节屈曲角度较小,初始接触时膝关节外展角度和内旋角度较大,因此,在跳跃着陆任务中,女性篮球和排球运动员发生非接触性 ACL 损伤的风险可能高于足球运动员。DVJ 的生物力学取决于运动员主要运动项目的特点。