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不同落地动作对女大学生运动员膝关节生物力学的影响:基于OpenSim模拟

Effect of different landing actions on knee joint biomechanics of female college athletes: Based on opensim simulation.

作者信息

Chen Liang, Jiang Ziang, Yang Chen, Cheng Rongshan, Zheng Size, Qian Jingguang

机构信息

Department of Sports Science, Nanjing Sport Institute, Nanjing, China.

Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Bioeng Biotechnol. 2022 Oct 26;10:899799. doi: 10.3389/fbioe.2022.899799. eCollection 2022.

Abstract

The anterior cruciate ligament (ACL) is one of the most injurious parts of the knee in the biomechanical environment during landing actions. The purpose of this study was to compare the lower limb differences in movement patterns, muscle forces and ACL forces during drop landing (DL), drop vertical jump (DVJ) and forward vertical jump (FVJ). Eleven basketball and volleyball female college athletes (Division II and I) were recruited. Landing actions of DL, DVJ and FVJ, kinematics and dynamics data were collected synchronously using a motion capture system. OpenSim was used to calculate the ACL load, knee joint angle and moment, and muscle force. At initial contact, different landing movements influenced knee flexion angle; DL action was significantly less than FVJ action ( = 0.046). Different landing actions affected quadriceps femoris forces; FVJ was significantly greater than DL and DVJ actions ( = 0.002 and = 0.037, respectively). However, different landing movements had no significant effects on other variables (knee extension moment, knee valgus angle and moment, hamstring and gastrocnemius muscle forces, and ACL forces) ( > 0.050). There was no significant difference in the knee valgus, knee valgus moment, and the ACL forces between the three landing actions. However, knee flexion angle, knee extension moments sagittal factors, and quadriceps and gastrocnemius forces are critical factors for ACL injury. The DL action had a significantly smaller knee flexion angle, which may increase the risk of ACL injury, and not recommended to assess the risk of ACL injuries. The FVJ action had a larger knee flexion angle and higher quadriceps femoris forces that were more in line with daily training and competition needs. Therefore, it is recommended to use FVJ action in future studies on risk assessment of ACL injuries and injury prevention in female college athletes.

摘要

前交叉韧带(ACL)是膝关节在落地动作的生物力学环境中最易受伤的部位之一。本研究的目的是比较在下落着地(DL)、下落垂直跳(DVJ)和向前垂直跳(FVJ)过程中,下肢在运动模式、肌肉力量和前交叉韧带受力方面的差异。招募了11名女子大学篮球和排球运动员(二级和一级)。使用运动捕捉系统同步收集DL、DVJ和FVJ的落地动作、运动学和动力学数据。利用OpenSim计算前交叉韧带负荷、膝关节角度和力矩以及肌肉力量。在初始接触时,不同的落地动作会影响膝关节屈曲角度;DL动作明显小于FVJ动作( = 0.046)。不同的落地动作会影响股四头肌力量;FVJ明显大于DL和DVJ动作(分别为 = 0.002和 = 0.037)。然而,不同的落地动作对其他变量(膝关节伸展力矩、膝关节外翻角度和力矩、腘绳肌和腓肠肌力量以及前交叉韧带受力)没有显著影响( > 0.050)。三种落地动作之间的膝关节外翻、膝关节外翻力矩和前交叉韧带受力没有显著差异。然而,膝关节屈曲角度、膝关节伸展力矩矢状面因素以及股四头肌和腓肠肌力量是前交叉韧带损伤的关键因素。DL动作的膝关节屈曲角度明显较小,这可能会增加前交叉韧带损伤的风险,不建议用于评估前交叉韧带损伤的风险。FVJ动作的膝关节屈曲角度较大,股四头肌力量较高,更符合日常训练和比赛需求。因此,建议在未来关于女子大学运动员前交叉韧带损伤风险评估和损伤预防的研究中使用FVJ动作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/9644219/fb725ca9c9ae/fbioe-10-899799-g001.jpg

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