Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Effects of Limited Dorsiflexion Range of Motion on Movement Strategies during Landing

발등굽힘 관절가동범위 제한이 착지 시 움직임 전략에 미치는 영향

  • Inje Lee (Department of Sports Rehabilitation Medicine, Kyungil University) ;
  • Donggun Kim (Department of Sports, Kyungil University) ;
  • Hyeondeukje Kim (Department of Sports, Kyungil University) ;
  • Hyunsol Shin (Department of Sports, Kyungil University) ;
  • Jiwon Lee (Department of Sports, Kyungil University) ;
  • Yujin Jang (Department of Sports, Kyungil University) ;
  • Myeongwoo Pi (Department of Sports Rehabilitation Medicine, Kyungil University)
  • Received : 2023.10.20
  • Accepted : 2023.11.23
  • Published : 2023.12.30
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Abstract

Objective: This study aimed 1) to compare the Landing Error Scoring System (LESS) score and movement patterns during landing of the lesser dorsiflexion range of motion (LDFROM) group to that with the greater dorsiflexion range of motion group, and 2) to identify the correlation between the weight-bearing dorsiflexion range of motion (WBDF ROM), LESS score, and movement patterns during landing. Method: Fifty health adults participated in this study. WBDF ROM was measured using the weight bearing lunge test while movement patterns during landing was assessed using the LESS. The joint angles of the ankle, knee and hip joints during landing were analyzed using the 2D video analysis. After mean value of WBDF ROM was calculated, participants were divided into two groups (GDFROM and LDFROM) based on the mean value. The Mann-Whiteny 𝒰 test was used to identify differences in movement strategies during landing between two groups and the Pearson's correlation analysis was performed to determine relationships between WBDF ROM and movement strategies. Results: The LDFROM group showed the poorer LESS score and stiffer landing kinematics during landing compared to the GDFROM group (p<0.05). In addition, DFROM was significantly related to the LESS score and landing kinematics (p<0.05) except for total hip excursion (p=0.228). Conclusion: Our main findings showed that the LDFROM group had poorer landing quality and stiffer landing movements compared to the GDFROM group. In addition, increase of WBDF ROM significantly improved landing quality and soft-landing movements. To reduce shock during landing such as ground reaction forces, individuals need to better utilize WBDF ROM and lower extremity movements based on our findings. Therefore, intervention programs for safer landings should include exercises that increase WBDF ROM and utilize eccentric contraction.

Keywords

Acknowledgement

The authors would like to thank all participants and the investigator (Heehun Kang). We also appreciate the International Olympic Committee Research Centre KOREA.

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