Gerwyn Hughes

A Risk-Factor Model for Anterior Cruciate Ligament Injury

The incidence of non-contact anterior cruciate ligament (ACL) injury is reported to be 6–8 times greater in females than males competing in the same activities. Injury to the ACL occurs as a result of insufficient stability of the tibiofemoral joint, which fails to prevent posterior dislocation of the femur on the tibia. The stability of the tibiofemoral joint is maintained by passive (non-contractile) and dynamic (contractile) mechanisms. The passive mechanisms include the shape of the articular surfaces, the menisci, the ligaments and the joint capsule. The dynamic mechanisms consist of the muscle-tendon units that cross the joint, in particular, the quadriceps and hamstrings. The relative significance of the various passive and dynamic mechanisms in maintaining the stability of the tibiofemoral joint is not clear. A number of intrinsic and extrinsic risk factors have been proposed to account for the sex difference in the incidence of ACL injuries. However, most of the proposed risk factors have arisen from univariate correlation studies based on relatively small samples.

Gender differences in lower limb frontal plane kinematics during landing

The aim of this study was to investigate gender differences in knee valgus angle and inter-knee and inter-ankle distances in university volleyball players when performing opposed block jump landings. Six female and six male university volleyball players performed three dynamic trials each for which they were instructed to jump up and block a volleyball suspended above a net set at the height of a standard volleyball net as it was spiked against them by an opposing player. Knee valgus/varus, inter-knee distance, and inter-ankle distance (absolute and relative to height) were determined during landing using three-dimensional motion analysis. Females displayed significantly greater maximum valgus angle and range of motion than males. This may increase the risk of ligament strain in females compared with males. Minimum absolute inter-knee distance was significantly smaller, and absolute and relative inter-knee displacement during landing significantly greater, in females than males. Both absolute and relative inter-ankle displacement during landing was significantly greater in males than females. These findings suggest that the gender difference in the valgus angle of the knee during two-footed landing is influenced by gender differences in the linear movement of the ankles as well as the knees. Coaches should therefore develop training programmes to focus on movement of both the knee and ankle joints in the frontal plane in order to reduce the knee valgus angle during landing, which in turn may reduce the risk of non-contact anterior cruciate ligament injury.

Lower limb coordination and stiffness during landing from volleyball block jumps.

The aim of the study was to investigate lower limb coordination and stiffness in five male and five female university volleyball players performing block jump landings. Coordination was assessed using angle–angle plots of the hip–knee, knee–ankle and hip–ankle joint couplings and discrete relative phase (DRP) of right–left joint couplings (i.e., left knee coupled with right knee). Leg stiffness was calculated as the ratio of the change in vertical ground reaction force (GRF) to the change in vertical displacement of the centre of gravity between ground contact and maximum vertical GRF. Knee stiffness was calculated as the ratio of the change in knee joint moment to the change in knee flexion angular displacement between ground contact and maximum knee joint moment. Comparison of the DRP angles between left and right legs indicated reduced symmetry between the left and right legs in females compared with males, which may indicate greater likelihood of ligament strain in females compared with males. Furthermore, females exhibited reduced stability in the coordination between the left and right knee joints than males. Males exhibited significantly greater absolute and normalised leg stiffness and significantly greater absolute and normalised knee joint stiffness during landing compared with females. In conjunction with the coordination data, this may indicate reduced dynamic stability of the leg in females compared with males, which may contribute to the greater incidence of anterior cruciate ligament (ACL) injury in females compared with males.

The Effects of Opposition and Gender on Knee Kinematics and Ground Reaction Force during Landing from Volleyball Block Jumps.

The aim of this study was to examine the effect of opposition and gender on knee kinematics and ground reaction force during landing from a volleyball block jump. Six female and six male university volleyball players performed two landing tasks: (a) an unopposed and (b) an opposed volleyball block jump and landing. A 12-camera motion analysis system (120 Hz) was used to record knee kinematics, and a force platform (600 Hz) was used to record ground reaction force during landing. The results showed a significant effect for level of opposition in peak normalized ground reaction force (p = .04), knee flexion at ground contact (p = .003), maximum knee flexion (p = .001), and knee flexion range of motion (p = .003). There was a significant effect for gender in maximum knee flexion (p = .01), knee flexion range of motion (p = .001), maximum knee valgus angle (p = .001), and knee valgus range of motion (p = .001). The changes in landing biomechanics as a result of opposition suggest future research on landing mechanics should examine opposed exercises, because opposition may significantly alter neuromuscular responses.

Differences between the sexes in knee kinetics during landing from volleyball block jumps

Abstract The aim of the study was to assess frontal and sagittal plane kinetics (normalized ground reaction force and normalized knee moment) in male and female university volleyball players when performing opposed block jump landings. Females displayed a significantly lower normalized knee extension moment at the start of muscle latency than males. The greater normalized knee extension moment at the start of muscle latency in females suggests that, through practice, they may have developed a landing strategy that minimizes the moment acting about the knee in the sagittal plane to reduce the likely strain on the passive support structures. The time histories of the normalized knee moment in the frontal plane were different between males and females. The maximum normalized knee valgus moment was significantly greater in females than males. The significantly different maximum normalized knee valgus moment between males and females indicates a greater likelihood of overloading the muscles of the knee in females during landing, which, in turn, is likely to increase the strain on the passive support structures. The increased likely strain on the passive support structures of the knee in females could contribute to the higher incidence of non-contact anterior cruciate ligament injury in females compared with males.

A review of recent perspectives on biomechanical risk factors associated with anterior cruciate ligament injury

There is considerable evidence to support a number of biomechanical risk factors associated with non-contact anterior cruciate ligament (ACL) injury. This paper aims to review these biomechanical risk factors and highlight future directions relating to them. Current perspectives investigating trunk position and relationships between strength, muscle activity and biomechanics during landing/cutting highlight the importance of increasing hamstring muscle force during dynamic movements through altering strength, muscle activity, muscle length and contraction velocity. In particular, increased trunk flexion during landing/cutting and greater hamstring strength are likely to increase hamstring muscle force during landing and cutting which have been associated with reduced ACL injury risk. Decision making has also been shown to influence landing biomechanics and should be considered when designing tasks to assess landing/cutting biomechanics. Coaches should therefore promote hamstring strength training and active trunk flexion during landing and cutting in an attempt to reduce ACL injury risk.

The Athletic Profile of Fast Bowling in Cricket : A Review

Cricket is a global sport played in over 100 countries with elite performers attracting multimillion dollar contracts. Therefore, performers maintaining optimum physical fitness and remaining injury free is important. Fast bowlers have a vital position in a cricket team, and there is an increasing body of scientific literature that has reviewed this role over the past decade. Previous research on fast bowlers has tended to focus on biomechanical analysis and injury prevention in performers. However, this review aims to critically analyze the emerging contribution of physiological-based literature linked to fast bowling in cricket, highlight the current evidence related to simulated and competitive in-match performance, and relate this practically to the conditioning coach. Furthermore, the review considers limitations with past research and possible avenues for future investigation. It is clear with the advent of new applied mobile monitoring technology that there is scope for more ecologically valid and longitudinal exploration capturing in-match data, providing quantification of physiological workloads, and analysis of the physical demands across the differing formats of the game. Currently, strength and conditioning specialists do not have a critical academic resource with which to shape professional practice, and this review aims to provide a starting point for evidence in the specific area.

The effect of dimple error on the horizontal launch angle and side spin of the golf ball during putting

ABSTRACT This study aimed to examine the effect of the impact point on the golf ball on the horizontal launch angle and side spin during putting with a mechanical putting arm and human participants. Putts of 3.2 m were completed with a mechanical putting arm (four putter-ball combinations, total of 160 trials) and human participants (two putter-ball combinations, total of 337 trials). The centre of the dimple pattern (centroid) was located and the following variables were measured: distance and angle of the impact point from the centroid and surface area of the impact zone. Multiple regression analysis was conducted to identify whether impact variables had significant associations with ball roll variables, horizontal launch angle and side spin. Significant associations were identified between impact variables and horizontal launch angle with the mechanical putting arm but this was not replicated with human participants. The variability caused by “dimple error” was minimal with the mechanical putting arm and not evident with human participants. Differences between the mechanical putting arm and human participants may be due to the way impulse is imparted on the ball. Therefore it is concluded that variability of impact point on the golf ball has a minimal effect on putting performance.

Reliability of an experimental method to analyse the impact point on a golf ball during putting

This study aimed to examine the reliability of an experimental method identifying the location of the impact point on a golf ball during putting. Forty trials were completed using a mechanical putting robot set to reproduce a putt of 3.2 m, with four different putter-ball combinations. After locating the centre of the dimple pattern (centroid) the following variables were tested; distance of the impact point from the centroid, angle of the impact point from the centroid and distance of the impact point from the centroid derived from the X, Y coordinates. Good to excellent reliability was demonstrated in all impact variables reflected in very strong relative (ICC = 0.98–1.00) and absolute reliability (SEM% = 0.9–4.3%). The highest SEM% observed was 7% for the angle of the impact point from the centroid. In conclusion, the experimental method was shown to be reliable at locating the centroid location of a golf ball, therefore allowing for the identification of the point of impact with the putter head and is suitable for use in subsequent studies.

The effect of movement variability on putting proficiency during the golf putting stroke

Movement variability has been considered important to execute an effective golf swing yet is comparatively unexplored regarding the golf putt. Movement variability could potentially be important considering the small margins of error between a successful and a missed putt. The aim of this study was to assess whether variability of body segment rotations influence putting performance (ball kinematic measures). Eight golfers (handicap range 0–10) performed a 3.2 m level putt wearing retro-reflective markers which were tracked using a three-dimensional motion analysis system sampling at 120 Hz. Ball roll kinematics were recorded using Quintic Ball Roll launch monitor. Movement (segment) variability was calculated based on a scalene ellipsoid volume concept and correlated with the coefficient of variation of ball kinematics. Statistical analysis showed no significant relationships between segment variability and putting proficiency. One significant relationship was identified between left forearm variability and horizontal launch angle, but this did not result in deficits in putting success. Results show that performance variability in the backswing and downswing is not related to putting proficiency or the majority of ball roll measures. Differing strategies may exist where certain golfers may have more fluid movement patterns thereby effectively utilising variability of movement. Therefore, golf instructors should consider movement variability when coaching the golf putt.