Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Biomechanical Characteristic on Lower Extremity with or without Chronic Ankle Instability during Double Leg Drop Landing

양발 드롭랜딩 시 만성적인 발목 불안정성 유무에 따른 하지주요관절의 역학적 특성

  • Jeon, Kyoungkyu (Division of Sport Science, Incheon National University) ;
  • Park, Jinhee (Department of Human Movement Science, Incheon National University)
  • Received : 2021.04.05
  • Accepted : 2021.05.18
  • Published : 2021.06.30
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Abstract

Objective: The purpose of this study was to investigate differences of landing strategy between people with or without chronic ankle instability (CAI) during double-leg drop landing. Method: 34 male adults participated in this study (CAI = 16, Normal = 18). Participants performed double-leg drop landing task on a 30 cm height and 20 cm horizontal distance away from the force plate. Lower Extremities Kinetic and Kinematic data were obtained using 8 motion capture cameras and 2 force plates and loading rate was calculated. Independent samples t-test were used to identify differences between groups. Results: Compared with normal group, CAI group exhibits significantly less hip internal rotation angle (CAI = 1.52±8.12, Normal = 10.63±8.44, p = 0.003), greater knee valgus angle (CAI = -6.78±5.03, Normal = -12.38 ±6.78, p = 0.011), greater ankle eversion moment (CAI = 0.0001±0.02, Normal = -0.03±0.05, p = 0.043), greater loading Rate (CAI = 32.65±15.52, Normal = 18.43±10.87, p = 0.003) on their affected limb during maximum vertical Ground Reaction Force moment. Conclusion: Our results demonstrated that CAI group exhibits compensatory movement to avoid ankle inversion during double-leg drop landing compared with normal group. Further study about how changed kinetic and kinematic affect shock absorption ability and injury risk in participants with CAI is needed.

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References

  1. Ahn, S. H., Hwang, U. J., Gwak, G. T., Yoo, H. I. & Kwon, O. Y. (2020). Comparison of the Strength and Electromyography of the Evertor Muscles With and Without Toe Flexion in Patients With Chronic Ankle Instability. Foot and Ankle International, 41(4), 479-485. https://doi.org/10.1177/1071100719898464
  2. Brown, C. N., Padua, D. A., Marshall, S. W. & Guskiewicz, K. M. (2011). Hip kinematics during a stop-jump task in patients with chronic ankle instability. Journal of Athletic Training, 46(5), 461-470. https://doi.org/10.4085/1062-6050-46.5.461
  3. Caulfield, B., Crammond, T., O'Sullivan, A., Reynolds, S. & Ward, T. (2004). Altered ankle-muscle activation during jump landing in participants with functional instability of the ankle joint. Journal of Sport Rehabilitation, 13(3), 189-200. https://doi.org/10.1123/jsr.13.3.189
  4. Cha, S., Kim, W. & Yim, M. (2009). Effects of training mode on range of motion and isokinetic muscle function during ankle rehabilitation. The Official Journal of the Korean Association of Certified Exercise Professionals, 11(1), 43-52.
  5. Cho, J. H., Kim, K. H., Lee, H. D. & Lee, S. C. (2010). Effects of Rehabilitation Duration on Lower Limb Joints Biomechanics dur ing Drop Landing in Athletes with Functional Ankle Instability. Korean Journal of Sport Biomechanics, 20(4), 395-406. https://doi.org/10.5103/KJSB.2010.20.4.395
  6. De Ridder, R., Willems, T., Vanrenterghem, J., Robinson, M. A., Palmans, T. & Roosen, P. (2015). Multi-segment foot landing kinematics in subjects with chronic ankle instability. Clinical Biomechanics, 30(6), 585-592. https://doi.org/10.1016/j.clinbiomech.2015.04.001
  7. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J. & Delahunt, E. (2015). Lower extremity function during gait in participants with first time acute lateral ankle sprain compared to controls. Journal of Electromyography and Kinesiology, 25(1), 182-192. https://doi.org/10.1016/j.jelekin.2014.09.004
  8. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J., Sweeney, K., Patterson, Matthew, R. & Delahunt, E. (2016). Coordination and symmetry patterns during the drop vertical jump in people with chronic ankle instability and lateral ankle sprain copers. Physical Therapy, 96(8), 1152-1161. https://doi.org/10.2522/ptj.20150160
  9. Doherty, C., Delahunt, E., Caulfield, B., Hertel, J., Ryan, J. & Bleakley, C. (2014). The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Medicine, 44(1), 123-140. https://doi.org/10.1007/s40279-013-0102-5
  10. Fong, D. T. P., Hong, Y., Chan, L. K., Yung, P. S. H. & Chan, K. M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports Medicine, 37(1), 73-94. https://doi.org/10.2165/00007256-200737010-00006
  11. Herb, C. C., Grossman, K., Feger, M. A., Donovan, L. & Hertel, J. (2018). Lower extremity biomechanics during a drop-vertical jump in participants with or without chronic ankle instability. Journal of Athletic Training, 53(4), 364-371. https://doi.org/10.4085/1062-6050-481-15
  12. Hertel, J. (2000). Functional instability following lateral ankle sprain. Sports Medicine, 29(5), 361-371. https://doi.org/10.2165/00007256-200029050-00005
  13. Hewett, T. E., Myer, G. D., Ford, K. R., Heidt Jr, R. S., Colosimo, A. J., McLean, S. G., Van den Bogert, A. J., Paterno, M. V. & Succop, P. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American Journal of Sports Medicine, 33(4), 492-501. https://doi.org/10.1177/0363546504269591
  14. Hoch, M. C., Farwell, K. E., Gaven, S. L. & Weinhandl, J. T. (2015). Weight-bearing dorsiflexion range of motion and landing biomechanics in individuals with chronic ankle instability. Journal of Athletic Training, 50(8), 833-839. https://doi.org/10.4085/1062-6050-50.5.07
  15. Hubbard, T. J. & Hertel, J. (2006). Mechanical contributions to chronic lateral ankle instability. Sports Medicine, 36(3), 263-277. https://doi.org/10.2165/00007256-200636030-00006
  16. Hubbard, T. J., Kramer, L. C., Denegar, C. R. & Hertel, J. (2007). Contributing factors to chronic ankle instability. Foot and Ankle International, 28(3), 343-354. https://doi.org/10.3113/FAI.2007.0343
  17. Jeon, K. K., Kim, K. W., Ryew, C. C. & Hyun, S. H. (2018). Effect of Functional Ankle Instability and Surgical Treatment on Dynamic Postural Stability and Leg Stiffness Variables during Vertical-Drop Landing. Korean Journal of Sport Biomechanics, 28(2), 135-141. https://doi.org/10.5103/kjsb.2018.28.2.135
  18. Khalaj, N., Vicenzino, B., Heales, L. J. & Smith, M. D. (2020). Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis. British Journal of Sports Medicine, 54(14), 839-847. https://doi.org/10.1136/bjsports-2018-100070
  19. Kim, C. Y., Ryu, J. H., Kang, T. K., Kim, B. H., Lee, S. C. & Lee, S. Y. (2019). The Structural Characteristics of the Ankle Joint Complex and Declination of the Subtalar Joint Rotation Axis between Chronic Ankle Instability (CAI) Patients and Healthy Control. Korean Journal of Sport Biomechanics, 29(2), 61-70. https://doi.org/10.5103/KJSB.2019.29.2.61
  20. Kim, H., Son, S. J., Seeley, M. K. & Hopkins, J. T. (2019). Altered movement strategies during jump landing/cutting in patients with chronic ankle instability. Scandinavian Journal of Medicine and Science in Sports, 29(8), 1130-1140. https://doi.org/10.1111/sms.13445
  21. Li, Y., Ko, J., Walker, M. A., Brown, C. N., Schmidt, J. D., Kim, S. H. & Simpson, K. J. (2018). Does chronic ankle instability influence lower extremity muscle activation of females during landing? Journal of Electromyography and Kinesiology, 38, 81-87. https://doi.org/10.1016/j.jelekin.2017.11.009
  22. Li, Y., Ko, J., Zhang, S., Brown, C. N. & Simpson, K. J. (2019). Biomechanics of ankle giving way: A case report of accidental ankle giving way during the drop landing test. Journal of Sport and Health Science, 8(5), 494-502. https://doi.org/10.1016/j.jshs.2018.01.002
  23. Lin, J. Z., Lin, Y. A. & Lee, H. J. (2019). Are landing biomechanics altered in elite athletes with chronic ankle instability. Journal of Sports Science and Medicine, 18(4), 653-662.
  24. Michell, T. B., Ross, S. E., Blackburn, J. T., Hirth, C. J. & Guskiewicz, K. M. (2006). Functional balance training, with or without exercise sandals, for subjects with stable or unstable ankles. Journal of Athletic Training, 41(4), 393-398.
  25. Orishimo, K. F., Liederbach, M., Kremenic, I. J., Hagins, M. & Pappas, E. (2014). Comparison of landing biomechanics between male and female dancers and athletes, part 1: Influence of sex on risk of anterior cruciate ligament injury. The American Journal of Sports Medicine, 42(5), 1082-1088. https://doi.org/10.1177/0363546514523928
  26. Purcell, S. B., Schuckman, B. E., Docherty, C. L., Schrader, J. & Poppy, W. (2009). Differences in ankle range of motion before and after exercise in 2 tape conditions. The American Journal of Sports Medicine, 37(2), 383-389. https://doi.org/10.1177/0363546508325925
  27. Sekir, U., Yildiz, Y., Hazneci, B., Ors, F. & Aydin, T. (2007). Effect of isokinetic training on strength, functionality and proprioception in athletes with functional ankle instability. Knee Surgery, Sports Traumatology, Arthroscopy, 15(5), 654-664. https://doi.org/10.1007/s00167-006-0108-8
  28. Simpson, J. D., Koldenhoven, R. M., Wilson, S. J., Stewart, E. M., Turner, A. J., Chander, H. & Knight, A. C. (2020). Ankle kinematics, center of pressure progression, and lower extremity muscle activity during a side-cutting task in participants with and without chronic ankle instability. Journal of Electromyography and Kinesiology, 102454. https://doi.org/10.1016/j.jelekin.2020.102454
  29. Simpson, J. D., Stewart, E. M., Macias, D. M., Chander, H. & Knight, A. C. (2019). Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: A systematic review. Physical Therapy in Sport, 37, 210-219. https://doi.org/10.1016/j.ptsp.2018.06.003
  30. Terada, M., Pietrosimone, B. & Gribble, P. A. (2014). Individuals with chronic ankle instability exhibit altered landing knee kinematics: potential link with the mechanism of loading for the anterior cruciate ligament. Clinical Biomechanics, 29(10), 1125-1130. https://doi.org/10.1016/j.clinbiomech.2014.09.014
  31. VandenBerg, C., Crawford, E. A., Enselman, E. S., Robbins, C. B., Wojtys, E. M. & Bedi, A. (2017). Restricted hip rotation is correlated with an increased risk for anterior cruciate ligament injury. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 33(2), 317-325. https://doi.org/10.1016/j.arthro.2016.08.014
  32. Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., Cauraugh, J. H., Naugle, K. E. & Borsa, P. A. (2012). Discriminating between copers and people with chronic ankle instability. Journal of Athletic Training, 47(2), 136-142. https://doi.org/10.4085/1062-6050-47.2.136
  33. Yeow, C. H., Lee, P. V. S. & Goh, J. C. H. (2011). An investigation of lower extremity energy dissipation strategies during single-leg and double-leg landing based on sagittal and frontal plane biomechanics. Human Movement Science, 30(3), 624-635. https://doi.org/10.1016/j.humov.2010.11.010