DOI QR코드

DOI QR Code

Effects of Physical Characteristics Factors on Ankle Joint Injury during One Leg Drop Landing

외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향

  • 이성열 (용인대학교 운동역학실험실) ;
  • 이효근 (벡터바이오 생체역학연구실) ;
  • 권문석 (건국대학교 스포츠융복합연구소)
  • Received : 2020.08.09
  • Accepted : 2020.08.20
  • Published : 2020.08.31

Abstract

The purpose of this study was to analyze the effects of ankle flexibility, gender, and Q-angle on the ankle joint injury factors during one leg drop landing. For this study, 16 males(age: 20.19±1.78 years, mass: 69.54±10.12 kg, height: 173.22±4.43 cm) and 16 females(age: 21.05±1.53 years, mass: 61.75±6.97 kg, height: 159.34±4.56 cm) in their 20's majoring in physical education using the right foot as their dominant feet were selected as subjects. First, an independent t-test of joint motion and joint moment according to the experience of ankle injury was conducted to determine the effect of physical characteristics on ankle joint injury during one leg drop landing(α = .05). Second, the variable that showed a significant difference through t-test was set as the dependent variable, and the ankle flexibility, gender difference, and Q-angle were designated as independent variables to use Multiple Linear Regression(α =. 05). As a result of this study, it was found that the group that experienced an ankle joint injury was found to use a landing strategy and technique through adduction of the ankle joint and internal rotation of the knee joint, unlike the group without an injury. It was also confirmed that this movement increases the extension moment of the ankle joint and decreases the extension moment of the hip joint. In particular, it was found that the dorsi flexion flexibility of the ankle affects the ankle and knee landing strategy, and the gender difference affects the ankle extension moment. Therefore, it was confirmed that physical characteristics factors affecting ankle joint injuries during one leg drop landing.

본 연구는 외발 착지 시 신체적 특성 요인들인 발목 유연성, 성별, Q-angle이 발목 관절 상해 요인들에 미치는 영향을 분석하는데 목적이 있었다. 이를 위해 오른발을 주발로 사용하고 체육을 전공하는 20대 남성 16명(나이: 20.19±1.78 years, 체중: 69.54±10.12 kg, 신장: 173.22±4.43 cm), 여성 16명(나이: 21.05±1.53 years, 체중: 61.75±6.97 kg, 신장: 159.34±4.56 cm)을 연구대상자로 선정하였다. 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향을 확인하기 위하여 첫째, 발목 상해 경험에 따른 하지 관절 움직임과 관절 모멘트의 독립 t-test를 실시하였다(α = .05). 둘째, t-test를 통하여 유의한 차이를 나타낸 변인을 종속변인으로 설정하고 발목 유연성, 성별의 차이, Q-angle을 독립변인으로 지정하여 선형다중회귀분석(Multiple Linear Regression)을 사용하였다(α = .05). 본 연구결과 발목 관절 상해를 경험한 그룹은 상해를 경험하지 않은 그룹과는 다르게 발목 관절의 내전, 무릎 관절의 내측 회전을 통한 착지 전략과 기술을 사용하는 것으로 나타났다. 또한 이러한 움직임은 발목 관절의 신전 모멘트를 증가시키고, 엉덩 관절의 신전 모멘트는 감소시키는 것으로 확인되었다. 특히 발목의 배측굴곡 유연성은 발목과 무릎의 착지전략에 영향을 미치며, 성별의 차이는 발목의 신전 모멘트에 영향을 미치는 것을 알 수 있었다. 따라서 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 영향을 미치는 요인들임을 확인 할 수 있었다.

Keywords

References

  1. M. J. Decker, M. R. Torry, D. J. Wyland, W. I. Sterett, J. R. Steadman, "Gender differences in lower extremity kinematics, kinetics and energy absorption during landing", Clinical biomechanics, Vol.18, No.7 pp. 662-669, (2003). https://doi.org/10.1016/S0268-0033(03)00090-1
  2. M. P. Ithurburn, M. V. Paterno, K. R. Ford, T. E Hewett, L. C. Schmitt, "Young athletes with quadriceps femoris strength asymmetry at return to sport after anterior cruciate ligament reconstruction demonstrate asymmetric single-leg drop-landing mechanics", The American journal of sports medicine, Vol.43, No.11 pp. 2727-2737, (2015). https://doi.org/10.1177/0363546515602016
  3. K. R. Ford, G. D. Myer, R. L. Smith, R. M. Vianello, S. L. Seiwert, T. E. Hewett, "A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings", Clinical Biomechanics, Vo.21, No.1 pp. 33-40, (2006). https://doi.org/10.1016/j.clinbiomech.2005.08.010
  4. T. S. Gross, R. C. Nelson, "The shock attenuation role of the ankle during landing from a vertical jump", Medicine and science in sports and exercise, Vol.20, No.5 pp. 506-514, (1988).
  5. J. M. Hootman, R. Dick, J. Agel, "Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives", Journal of athletic training, Vol.42, No.2 pp. 311, (2007).
  6. T. W. Kernozek, M. R. Torry, H. Van Hoof, H. Cowley, S. Tanner, "Gender differences in frontal and sagittal plane biomechanics during drop landings", Medicine and science in sports and exercise, Vol.37, No.6 pp. 1003-1012, (2005).
  7. W. A. Laughlin, J. T. Weinhandl, T. W. Kernozek, S. C. Cobb, K. G. Keenan, K. M. O'Connor, "The effects of single-leg landing technique on ACL loading", Journal of biomechanics, Vol.44, No.10 pp. 1845-1851, (2011). https://doi.org/10.1016/j.jbiomech.2011.04.010
  8. T. E. Hewett, K. R. Ford, G. D. Myer, K. Wanstrath, M. Scheper, "Gender differences in hip adduction motion and torque during a single-leg agility maneuver", Journal of Orthopaedic Research, Vol.24, No.3 pp. 416-421, (2006). https://doi.org/10.1002/jor.20056
  9. S. N. Zhang, B. T. Bates, J. S. Dufek. "Contributions of lower extremity joints to energy dissipation during landings", Medicine and Science in Sports and Exercise, Vol.32, No.4 pp. 812-819, (2000). https://doi.org/10.1097/00005768-200004000-00014
  10. B. Hang, "Acute sports-related lower extremity injuries", Clinical Pediatric Emergency Medicine, Vol.14, No.4 pp. 304-317, (2013). https://doi.org/10.1016/j.cpem.2013.11.002
  11. J. F. Baumhauer, D. M. Alosa, P. A. Renstrom, S. Trevino, B. Beynnon, "A prospective study of ankle injury risk factors", The American journal of sports medicine, Vol.23, No.5 pp. 564-570, (1995). https://doi.org/10.1177/036354659502300508
  12. C. R. Denegar, J. Hertel, J. Fonseca, "The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity", Journal of Orthopaedic & Sports Physical Therapy, Vol.32, No.4 pp. 166-173, (2002). https://doi.org/10.2519/jospt.2002.32.4.166
  13. C. M. Fong, J. T. Blackburn, M. F. Norcross, M. McGrath, D. A. Padua, "Ankle-dorsiflexion range of motion and landing biomechanics", Journal of athletic training, Vol.46, No.1 pp. 5-10, (2011). https://doi.org/10.4085/1062-6050-46.1.5
  14. M. Hagins, E. Pappas, I. Kremenic, K. F. Orishimo, A. Rundle, "The effect of an inclined landing surface on biomechanical variables during a jumping task", Clinical Biomechanics, Vol.22, No.9 pp. 1030-1036, (2007). https://doi.org/10.1016/j.clinbiomech.2007.07.012
  15. S. M. Sigward, S. Ota, C. M. Powers, "Predictors of frontal plane knee excursion during a drop land in young female soccer players", Journal of orthopaedic & sports physical therapy, Vol.38, No.11 pp. 661-667, (2008). https://doi.org/10.2519/jospt.2008.2695
  16. P. Malloy, A. Morgan, C. Meinerz, C. Geiser, K. Kipp, "The association of dorsiflexion flexibility on knee kinematics and kinetics during a drop vertical jump in healthy female athletes", Knee Surgery, Sports Traumatology, Arthroscopy, Vol.23, No.12 pp. 3550-3555, (2015). https://doi.org/10.1007/s00167-014-3222-z
  17. A. M. Moseley, J. Crosbie, R. Adams, "High-and low-ankle flexibility and motor task performance", Gait & posture, Vol.18, No.2 pp. 73-80, (2003). https://doi.org/10.1016/S0966-6362(02)00196-0
  18. A. Rabin, Z. Kozol, E. Spitzer, A. S. Finestone, "Weight-Bearing Ankle Dorsiflexion Range of Motion-Can Sideto-Side Symmetry Be Assumed?", Journal of athletic training, Vol.50, No.1 pp. 30-35, (2015). https://doi.org/10.4085/1062-6050-49.3.40
  19. E. Arendt, R. Dick, "Knee injury patterns among men and women in collegiate basketball and soccer NCAA data and review of literature", The American journal of sports medicine, Vol.23, No.6 pp. 694-701, (1995). https://doi.org/10.1177/036354659502300611
  20. J. D. Chappell, B. Yu, D. T. Kirkendall, W. E. Garrett. "A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks", The American Journal of Sports Medicine, Vol.30, No.2 pp. 261-267, (2002). https://doi.org/10.1177/03635465020300021901
  21. K. A. Russell, R. M. Palmieri, S. M. Zinder, C. D. Ingersoll, "Sex differences in valgus knee angle during a single-leg drop jump", Journal of athletic training, Vol.41, No.2 pp. 166, (2006).
  22. K. R. Ford, G. D. Myer, T. E. Hewett, "Valgus knee motion during landing in high school female and male basketball players", Medicine and science in sports and exercise, Vol.35, No.10 pp. 1745-1750, (2003). https://doi.org/10.1249/01.MSS.0000089346.85744.D9
  23. L. Y. Griffin, M. J. Albohm, E. A. Arendt, R. Bahr, B. D. Beynnon, M. DeMaio, T. E. Hewett, "Understanding and preventing noncontact anterior cruciate ligament injuries a review of the Hunt Valley II meeting", The American journal of sports medicine, Vol.34, No.9 pp. 1512-1532, (2006). https://doi.org/10.1177/0363546506286866
  24. D. H. Iunes, I. F. Elias, L. C. Carvalho, V. C. Dionisio, "Postural adjustments in young ballet dancers compared to age matched controls", Physical Therapy in Sport, Vol.17, pp.17, 51-57, (2016). https://doi.org/10.1016/j.ptsp.2015.04.004
  25. O. E. Olsen, G. Myklebust, L. Engebretsen, R. Bahr. "Injury mechanisms for anterior cruciate ligament injuries in team handball a systematic video analysis", The American journal of sports medicine, Vol.32, No.4 pp. 1002-1012, (2004). https://doi.org/10.1177/0363546503261724
  26. Y. Nagano, H. Ida, M. Akai, T. Fukubayashi, "Gender differences in knee kinematics and muscle activity during single limb drop landing", The Knee, Vol.14, No.3 pp. 218-223, (2007). https://doi.org/10.1016/j.knee.2006.11.008
  27. P. Devita, W. A. Skelly, "Effect of landing stiffness on joint kinetics and energetics in the lower extremity", Medicine and science in sports and exercise, Vol.24, No.1 pp. 108-115. (1992).
  28. R. J. Schmitz, A. S. Kulas, D. H. Perrin, B. L. Riemann, S. J. Shultz, "Sex differences in lower extremity biomechanics during single leg landings", Clinical Biomechanics, Vol.22, No.6 pp. 681-688, (2007). https://doi.org/10.1016/j.clinbiomech.2007.03.001
  29. Y. S. Al-Khabbaz, T. Shimada, M. Hasegawa. "The effect of backpack heaviness on trunk-lower extremity muscle activities and trunk posture", Gait & posture, Vol.28, No.2 pp. 297-302, (2008). https://doi.org/10.1016/j.gaitpost.2008.01.002
  30. A. Kulas, P. Zalewski, T. Hortobagyi, P. DeVita, "Effects of added trunk load and corresponding trunk position adaptations on lower extremity biomechanics during drop-landings", Journal of biomechanics, Vol.41, No.1 pp. 180-185, (2008). https://doi.org/10.1016/j.jbiomech.2007.06.027