Journal of sport rehabilitation · 2011
Associations between single-leg postural control and drop-landing mechanics in healthy women.
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Durall Christopher J, Kernozek Thomas W, Kersten Melissa, Nitz Maria, Setz Jonathan, Beck Sara
Аннотация
CONTEXT: Impaired postural control in single-limb stance and aberrant drop-landing mechanics have been implicated separately as risk factors for noncontact anterior cruciate ligament (ACL) injury, but associations between these variables has not been reported.
OBJECTIVE: To determine whether there are associations between single-limb postural control and drop-landing mechanics.
SETTING: University motion-analysis laboratory.
DESIGN: Single-leg-landing kinematic and kinetic data were collected after participants dropped from a hang bar. Postural-control variables COP excursion and velocity were assessed during single-leg barefoot standing on a force platform.
PARTICIPANTS: A convenience sample of 24 healthy women.
MAIN OUTCOME MEASURES: Pearson product-moment correlation coefficients.
RESULTS: Strong associations were measured between maximal knee-abduction moment and COP excursion (r = .529, P = .003) and average COP velocity (r = .529, P = .003). Strong inverse associations were measured between minimum hip-flexion angle and COP excursion (r = -.521, P = .003) and average COP velocity (r = -.519, P = .003).
CONCLUSIONS: Participants with decreased postural control had higher knee-abduction moments and a more extended hip on landing, which have been implicated separately as risk factors for ACL injury. A longitudinal prospective analysis is needed to determine whether force-platform postural-control measures can identify athletes at risk for ACL injury.
OBJECTIVE: To determine whether there are associations between single-limb postural control and drop-landing mechanics.
SETTING: University motion-analysis laboratory.
DESIGN: Single-leg-landing kinematic and kinetic data were collected after participants dropped from a hang bar. Postural-control variables COP excursion and velocity were assessed during single-leg barefoot standing on a force platform.
PARTICIPANTS: A convenience sample of 24 healthy women.
MAIN OUTCOME MEASURES: Pearson product-moment correlation coefficients.
RESULTS: Strong associations were measured between maximal knee-abduction moment and COP excursion (r = .529, P = .003) and average COP velocity (r = .529, P = .003). Strong inverse associations were measured between minimum hip-flexion angle and COP excursion (r = -.521, P = .003) and average COP velocity (r = -.519, P = .003).
CONCLUSIONS: Participants with decreased postural control had higher knee-abduction moments and a more extended hip on landing, which have been implicated separately as risk factors for ACL injury. A longitudinal prospective analysis is needed to determine whether force-platform postural-control measures can identify athletes at risk for ACL injury.