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Lower Extremity Movement Patterns and Variability in Adolescent Athletes with Lateral Ankle Sprain History during Drop Vertical Jump

가쪽 발목 염좌 경험이 있는 유소년 운동선수의 착지 점프 시 하지 움직임 패턴 및 가변성

  • Sunghe Ha (Department of Physical Education, Yonsei University) ;
  • Inje Lee (International Olympic Committee Research Centre Korea) ;
  • Joo-Nyeon Kim (Department of Sport Science, Korea Institution of Sport Science)
  • Received : 2023.07.28
  • Accepted : 2023.08.16
  • Published : 2023.09.01

Abstract

Objective: This study examined differences in joint kinematics and movement variability of lower extremity between adolescent athletes with and without lateral ankle sprain (LAS) history during drop vertical jump. Method: Fourteen adolescent athletes with LAS history and 14 controls participated in this study. The independent variable was group while dependent variables were 3D joint kinematics and movement variability of hip, knee, and ankle joint. Ensemble curve analyses were conducted to identify differences in movement strategies between two groups. Results: The LAS group showed that greater eversion during jump phase compared with the control group. Additionally, less movement variability was found in the LAS group during the pre-landing and jump phases in ankle and hip joints compared with the control group. Conclusion: The LAS group may adapt the environmental constraints by reducing the movement variability in ankle and hip joints. However, training programs focusing on recovery of ankle function should be emphasized after LAS because excessive pronation for prevention of LAS during the jump phase may result in reduced performance.

Keywords

Acknowledgement

The authors would like to thank all participants in this study.

References

  1. Armstrong, R., Baltzopoulos, V., Langan-Evans, C., Clark, D., Jarvis, J., Stewart, C. & O'Brien, T. (2022). Kinetics, kinematics and muscle activation during eccentric squatting. Proceedings of the ISBS Conference 2022. Liverpool, UK.
  2. Brach, J. S., Berlin, J. E., VanSwearingen, J. M., Newman, A. B. & Studenski, S. A. (2005). Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed. Journal of Neuroengineering and Rehabilitation, 2(1), 1-8.
  3. Brown, C., Bowser, B. & Simpson, K. J. (2012). Movement variability during single leg jump landings in individuals with and without chronic ankle instability. Clinical Biomechanics, 27(1), 52-63.
  4. 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), 461-467.
  5. Buchanan, A. S., Docherty, C. L. & Schrader, J. (2008). Functional performance testing in participants with functional ankle instability and in a healthy control group. Journal of Athletic Training, 43(4), 342-346.
  6. Cignetti, F., Schena, F. & Rouard, A. (2009). Effects of fatigue on inter-cycle variability in cross-country skiing. Journal of Biomechanics, 42(10), 1452-1459.
  7. Courtney, C., Rine, R. M. & Kroll, P. (2005). Central somatosensory changes and altered muscle synergies in subjects with anterior cruciate ligament deficiency. Gait & Posture, 22(1), 69-74.
  8. Davids, K., Glazier, P., Araujo, D. & Bartlett, R. (2003). Movement systems as dynamical systems: The functional role of variability and its implications for sports medicine. Sports Medicine, 33(4), 245-260.
  9. DeJong, A. F., Koldenhoven, R. M. & Hertel, J. (2020). Proximal adaptations in chronic ankle instability: Systematic review and meta-analysis. Medicine and Science in Sports and Exercise, 52(7), 1563-1575.
  10. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J. & Delahunt, E. (2015a). Dynamic balance deficits 6 months following first-time acute lateral ankle sprain: A laboratory analysis. Journal of Orthopaedic & Sports Physical Therapy, 45(8), 626-633.
  11. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J. & Delahunt, E. (2015b). Single-leg drop landing motor control strategies following acute ankle sprain injury. Scandinavian Journal of Medicine & Science in Sports, 25(4), 525-533.
  12. 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, 123-140.
  13. Fithian, D. C., Paxton, L. W. & Goltz, D. H. (2002). Fate of the anterior cruciate ligament-injured knee. Orthopedic Clinics 33(4), 621-636.
  14. Ha, S., Lee, S. Y. & Lee, I. (2021). A survey on management of severe ankle sprain in recreational and elite athletes. The Korean Journal of Sport, 19(3), 685-693.
  15. Herb, C. C., Blemker, S., Saliba, S., Hart, J. & Hertel, J. (2020). Chronic ankle instability patients exhibit higher variability in lower extremity joint-coupling variability during drop vertical jumps. Journal of Biomechanics, 99, 109479.
  16. Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training, 37(4), 364-375.
  17. Hertel, J. & Corbett, R. O. (2019). An updated model of chronic ankle instability. Journal of Athletic Training, 54(6), 572-588.
  18. Hewett, T. E., Myer, G. D., Ford, K. R., Heidt Jr, R. S., Colosimo, A. J., McLean, S. G., van den Bogert, A. L., 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.
  19. Konradsen, L. & Voigt, M. (2002). Inversion injury biomechanics in functional ankle instability: a cadaver study of simulated gait. Scandinavian Journal of Medicine & Science in Sports, 12(6), 329-336.
  20. Lee, I., Ha, S., Chae, S., Jeong, H. S. & Lee, S. Y. (2022). Altered biomechanics in individuals with chronic ankle instability compared with copers and controls during gait. Journal of Athletic Training, 57(8), 760-770.
  21. Lee, M. & Park, J. (2020). Effects of vibration exercise on lower segment movements and gait abilities in chronic ankle instability (CAI) female athletes. Journal of Korean Association of Physical Education and Sport for Girls and Women, 34(4), 155-170.
  22. Lee, S., Song, K. & Lee, S. Y. (2022). Epidemiological study of post-traumatic ankle osteoarthritis after ankle sprain in 195,393 individuals over middle age using the National Health Insurance Database: A retrospective design. Journal of Science and Medicine in Sport, 25(2), 129-133.
  23. Legg, J., Pyne, D. B., Semple, S. & Ball, N. (2017). Variability of jump kinetics related to training load in elite female basketball. Sports, 5(4), 85.
  24. Nordin, A. D. & Dufek, J. S. (2017). Lower extremity variability changes with drop-landing height manipulations. Research in Sports Medicine, 25(2), 144-155.
  25. Nordin, A. D. & Dufek, J. S. (2019). Reviewing the variability-overuse injury hypothesis: Does movement variability relate to landing injuries?. Research Quarterly for Exercise and Sport, 90(2), 190-205.
  26. Owoeye, O., Whittaker, J., Toomey, C., Raisanen, A., Jaremko, J. & Emery, C. (2021). Outcomes related to posttraumatic osteoarthritis after a youth sport related ankle sprain. Osteoarthritis and Cartilage, 29, S294.
  27. Roos, K. G., Kerr, Z. Y., Mauntel, T. C., Djoko, A., Dompier, T. P. & Wikstrom, E. A. (2017). The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. The American Journal of Sports Medicine, 45(1), 201-209.
  28. Ryew, C., Hyun, S. & Kim, Y. (2016). Effects of vertical jump performance and ground reation force variables according to the fatigue by submaximal treadmill exercise. Kinesiology, 18(3), 1-11.
  29. Stergiou, N. & Decker, L. M. (2011). Human movement variability, nonlinear dynamics, and pathology: is there a connection?. Human Movement Science, 30(5), 869-888.
  30. Terada, M. & Gribble, P. A. (2015). Jump landing biomechanics during a laboratory recorded recurrent ankle sprain. Foot & Ankle International, 36(7), 842-848.
  31. Theisen, A. & Day, J. (2019). Chronic ankle instability leads to lower extremity kinematic changes during landing tasks: A systematic review. International Journal of Exercise Science, 12(1), 24.
  32. Welling, W., Benjaminse, A., Gokeler, A. & Otten, B. (2016). Enhanced retention of drop vertical jump landing technique: A randomized controlled trial. Human Movement Science, 45, 84-95.
  33. Yeung, M. S., Chan, K. M., So, C. H. & Yuan, W. Y. (1994). An epidemiological survey on ankle sprain. British Journal of Sports Medicine, 28(2), 112-116.