Jodie Cochrane

External loading of the knee joint during running and cutting maneuvers

PURPOSE To investigate the external loads applied to the knee joint during dynamic cutting tasks and assess the potential for ligament loading. METHODS A 50-Hz VICON motion analysis system was used to determine the lower limb kinematics of 11 healthy male subjects during running, sidestepping, and crossover cut. A kinematic model was used in conjunction with force place data to calculate the three-dimensional loads at the knee joint during stance phase. RESULTS External flexion/extension loads at the knee joint were similar across tasks; however, the varus/valgus and internal/external rotation moments applied to the knee during sidestepping and crossover cutting were considerably larger than those measured during normal running (P < 0.05). Sidestepping tasks elicited combined loads of flexion, valgus, and internal rotation, whereas crossover cutting tasks elicited combined loads of flexion, varus, and external rotation. CONCLUSION Compared with running, the potential for increased ligament loading during sidestepping and crossover cutting maneuvers is a result of the large increase in varus/valgus and internal/external rotation moments rather than any change in the external flexion moment. The combined external moments applied to the knee joint during stance phase of the cutting tasks are believed to place the ACL and collateral ligaments at risk of injury, particularly at knee flexion angles between 0 degrees and 40 degrees, if appropriate muscle activation strategies are not used to counter these moments.

Anticipatory effects on knee joint loading during running and cutting maneuvers.

PURPOSE To determine how unanticipated performance of cutting maneuvers in sport affects the external loads applied to the knee joint and the potential risk for ligament injury. METHODS A 50-Hz VICON motion analysis system was used to determine the lower limb kinematics of 11 healthy male subjects during running and cutting tasks performed under preplanned (PP) and unanticipated (UN) conditions. Subjects performed the UN tasks in response to a light stimulus on a target board. A kinematic model was then used in conjunction with force place data to calculate the three-dimensional loads at the knee joint. RESULTS External flexion/extension moments at the knee joint were similar between PP and UN conditions; however, the varus/valgus and internal/external rotation moments during the UN cutting tasks were up to twice the magnitude of the moments measured during the PP condition. CONCLUSION Cutting maneuvers performed without adequate planning may increase the risk of noncontact knee ligament injury due to the increased external varus/valgus and internal/external rotation moments applied to the knee. These results are probably due to the small amount of time to make appropriate postural adjustments before performance of the task, such as the position of the foot on the ground relative to the body center of mass. Subsequently, training for the game situation should involve drills that familiarize players with making unanticipated changes of direction. Practice sessions should also incorporate plyometrics and should focus on better interpretation of visual cues to increase the time available to preplan a movement.

Training Affects Knee Kinematics and Kinetics in Cutting Maneuvers in Sport

PURPOSE The current study examined how different training affects the kinematics and applied moments at the knee during sporting maneuvers and the potential to reduce loading of the anterior cruciate ligament (ACL). The training programs were 1) machine weights, 2) free weights, 3) balance training, and 4) machine weights + balance training. METHODS Fifty healthy male subjects were allocated either to a control group or to one of four 12-wk training programs. Subjects were tested before and after training, performing running and cutting maneuvers from which knee angle and applied knee moments were assessed. Data analyzed were peak applied flexion/extension, varus/valgus, and internal/external rotation moments, as well as knee flexion angles during specific phases of stance during the maneuvers. RESULTS The balance training group decreased their peak valgus and peak internal rotation moments during weight acceptance in all maneuvers. This group also lowered their flexion moments during the sidestep to 60 degrees . Free weights training induced increases in the internal rotation moment and decreases in knee flexion angle in the peak push-off phase of stance. Machine weights training elicited increases in the flexion moment and reduced peak valgus moments in weight acceptance. Machine weights + balance training resulted in no changes to the variables assessed. CONCLUSIONS Balance training produced reductions in peak valgus and internal rotation moments, which could lower ACL injury risk during sporting maneuvers. Strength training tended to increase the applied knee loading known to place strain on the ACL, with the free weights group also decreasing the amount of knee flexion. It is recommended that balance training be implemented because it may reduce the risk of ACL injury.

Effect of strength on plant foot kinetics and kinematics during a change of direction task

Abstract Understanding the magnitude of forces and lower body kinematics that occur during a change of direction (COD) task can provide information about the biomechanical demands required to improve performance. To compare the magnitude of force, impulse, lower body kinematics and post-COD stride velocity produced between athletes of different strength levels during a COD task, 12 stronger (8 males, 4 females) and 12 weaker (4 males, 8 females) recreational team sport athletes were recruited. Strength levels were determined by relative peak isometric force of the dominant and non-dominant leg. All athletes performed 10 pre-planned 45° changes of direction (5 left, 5 right) while three-dimensional motion and ground reaction force (GRF) data were collected. Differences in all variables for the dominant leg were examined using a one-way analysis of variance (ANOVA) with a level of significance set at p ≤0.05. The stronger group displayed significantly faster post-COD stride velocity and greater vertical and horizontal braking forces, vertical propulsive force, vertical braking impulse, horizontal propulsive impulse, angle of peak braking force application, hip abduction and knee flexion angle compared to the weaker group. The results suggest that individuals with greater relative lower body strength produced higher magnitude plant foot kinetics and modified lower body positioning while producing faster COD performances. Future investigations should determine if strength training to enable athletes to increase plant foot kinetics while maintaining or adopting a lower body position results in a concomitant increases in post-COD stride velocity.

An anterior cruciate ligament injury prevention framework: incorporating the recent evidence.

Anterior cruciate ligament (ACL) injury rates have increased by ∼50% over the last 10 years. These figures suggest that ACL focused research has not been effective in reducing injury rates among community level athletes. Training protocols designed to reduce ACL injury rates have been both effective (n = 3) and ineffective (n = 7). Although a rationale for the use of exercise to reduce ACL injuries is established, the mechanisms by which they act are relatively unknown. This article provides an injury prevention framework specific to noncontact ACL injuries and the design of prophylactic training protocols. It is also apparent that feedback within this framework is needed to determine how biomechanically relevant risk factors like peak joint loading and muscular support are influenced following training. It is by identifying these links that more effective ACL injury prevention training programs can be developed, and, in turn, lead to reduced ACL injury rates in the future.

Three-dimensional trunk kinematics in golf: between-club differences and relationships to clubhead speed

The aims of this study were (i) to determine whether significant three-dimensional (3D) trunk kinematic differences existed between a driver and a five-iron during a golf swing; and (ii) to determine the anthropometric, physiological, and trunk kinematic variables associated with clubhead speed. Trunk range of motion and golf swing kinematic data were collected from 15 low-handicap male golfers (handicap = 2.5 ± 1.9). Data were collected using a 10-camera motion capture system operating at 250 Hz. Data on clubhead speed and ball velocity were collected using a real-time launch monitor. Paired t-tests revealed nine significant (p ≤ 0.0019) between-club differences for golf swing kinematics, namely trunk and lower trunk flexion/extension and lower trunk axial rotation. Multiple regression analyses explained 33.7–66.7% of the variance in clubhead speed for the driver and five-iron, respectively, with both trunk and lower trunk variables showing associations with clubhead speed. Future studies should consider the role of the upper limbs and modifiable features of the golf club in developing clubhead speed for the driver in particular.

Leg mass characteristics of accurate and inaccurate kickers - an Australian football perspective

Abstract Athletic profiling provides valuable information to sport scientists, assisting in the optimal design of strength and conditioning programmes. Understanding the influence these physical characteristics may have on the generation of kicking accuracy is advantageous. The aim of this study was to profile and compare the lower limb mass characteristics of accurate and inaccurate Australian footballers. Thirty-one players were recruited from the Western Australian Football League to perform ten drop punt kicks over 20 metres to a player target. Players were separated into accurate (n = 15) and inaccurate (n = 16) groups, with leg mass characteristics assessed using whole body dual energy x-ray absorptiometry (DXA) scans. Accurate kickers demonstrated significantly greater relative lean mass (P ≤ 0.004) and significantly lower relative fat mass (P ≤ 0.024) across all segments of the kicking and support limbs, while also exhibiting significantly higher intra-limb lean-to-fat mass ratios for all segments across both limbs (P ≤ 0.009). Inaccurate kickers also produced significantly larger asymmetries between limbs than accurate kickers (P ≤ 0.028), showing considerably lower lean mass in their support leg. These results illustrate a difference in leg mass characteristics between accurate and inaccurate kickers, highlighting the potential influence these may have on technical proficiency of the drop punt.

Canoe slalom competition analysis

The aim of this study was to quantify the differences between groups of elite canoe slalom athletes based on the class they paddle in and the strategies they use in competition. Canoe and kayak footage was recorded using three cameras and analysed using lapsed-time time–motion analysis. Analysis was undertaken on the ten fastest competition runs for mens kayak and canoes and womens kayak for the 22-gate semi-final/final course at the 2005 canoe slalom world championships. Comparison between the categories of paddlers revealed that despite canoe paddlers taking significantly (P ≤ 0.05) fewer strokes than kayak paddlers, they were not significantly slower than mens single kayak paddlers with respect to their run times and only significantly slower between 4 of 22 gates. Results revealed also that paddlers using different turn strategies (spin vs. pivot) had significantly (P ≤ 0.05) different split times for the gates before and after the execution of the manoeuvre. For a paddler this means that their individual strategy could be analysed and compared with those of others to determine if alternate strategies would be beneficial to their performance.

Canoe slalom – competition analysis reliability

The aim of this study was to assess intra-observer and inter-observer reliability of data gathered from a lapsed-time time–motion analysis of canoe slalom competition. The data were collected using a definition set developed in conjunction with elite canoe slalom coaches. Competition runs from four national-standard paddlers in a national selection race were analysed in random order three times by three observers. For each run, observers identified various events specific to canoe slalom, including time taken between gates, touched and missed gates, turn times, major and minor avoidance, rolls, paddle in and out of water times, and stroke classification. The error of measurement was determined for each of these variables. For time taken between gates and turn times, the error was ≤ 0.21 and ≤ 0.39 s for intra-observer and inter-observer analysis, respectively. The error for stroke in and out of water times was ≤ 0.08 and ≤ 0.13 s for intra-observer and inter-observer analysis, respectively. Analysis of stroke classification identification for intra-observer comparisons revealed that 91% of the time identical stroke identification occurred. Inter-observer analysis revealed identical stroke identification was achieved 81% of the time. These reliability data compare favourably with previous time–motion analysis in other sports using fewer variables.

A preliminary investigation of trunk and wrist kinematics when using drivers with different shaft properties

Abstract It is unknown whether skilled golfers will modify their kinematics when using drivers of different shaft properties. This study aimed to firstly determine if golf swing kinematics and swing parameters and related launch conditions differed when using modified drivers, then secondly, determine which kinematics were associated with clubhead speed. Twenty high level amateur male golfers (M ± SD: handicap = 1.9 ± 1.9 score) had their three-dimensional (3D) trunk and wrist kinematics collected for two driver trials. Swing parameters and related launch conditions were collected using a launch monitor. A one-way repeated measures ANOVA revealed significant (p ≤ 0.003) between driver differences; specifically, faster trunk axial rotation velocity and an early wrist release for the low kick point driver. Launch angle was shown to be 2° lower for the high kick point driver. Regression models for both drivers explained a significant amount of variance (60–67%) in clubhead speed. Wrist kinematics were most associated with clubhead speed, indicating the importance of the wrists in producing clubhead speed regardless of driver shaft properties.