scholarly journals Single-Leg Landings Following a Volleyball Spike May Increase the Risk of Anterior Cruciate Ligament Injury More Than Landing on Both-Legs

2020 ◽  
Vol 11 (1) ◽  
pp. 130
Author(s):  
Datao Xu ◽  
Xinyan Jiang ◽  
Xuanzhen Cen ◽  
Julien S. Baker ◽  
Yaodong Gu
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Flexion ◽  
Sagittal Plane ◽  
Cruciate Ligament ◽  
Flexion Angle ◽  
Ligament Injury ◽  
Time Range ◽  
Acl Injuries ◽  
Volleyball Players ◽  
Anterior Cruciate

Volleyball players often land on a single leg following a spike shot due to a shift in the center of gravity and loss of balance. Landing on a single leg following a spike may increase the probability of non-contact anterior cruciate ligament (ACL) injuries. The purpose of this study was to compare and analyze the kinematics and kinetics differences during the landing phase of volleyball players using a single leg (SL) and double-leg landing (DL) following a spike shot. The data for vertical ground reaction forces (VGRF) and sagittal plane were collected. SPM analysis revealed that SL depicted a smaller knee flexion angle (about 13.8°) and hip flexion angle (about 10.8°) during the whole landing phase, a greater knee and hip power during the 16.83–20.45% (p = 0.006) and 13.01–16.26% (p = 0.008) landing phase, a greater ankle plantarflexion angle and moment during the 0–41.07% (p < 0.001) and 2.76–79.45% (p < 0.001) landing phase, a greater VGRF during the 5.87–8.25% (p = 0.029), 19.75–24.14% (p = 0.003) landing phase when compared to DL. Most of these differences fall within the time range of ACL injury (30–50 milliseconds after landing). To reduce non-contact ACL injuries, a landing strategy of consciously increasing the hip and knee flexion, and plantarflexion of the ankle should be considered by volleyball players.

scholarly journals Changes in Lower Extremity Biomechanics Due to a Short-Term Fatigue Protocol

2013 ◽  
Vol 48 (3) ◽  
pp. 306-313 ◽  
Author(s):  
Nelson Cortes ◽  
Eric Greska ◽  
Roger Kollock ◽  
Jatin Ambegaonkar ◽  
James A. Onate
Keyword(s):  
Anterior Cruciate Ligament ◽  
Lower Extremity ◽  
Knee Flexion ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Initial Contact ◽  
Fatigue Protocol ◽  
Lower Extremity Biomechanics ◽  
Anterior Cruciate ◽  
Hip Flexion

Context: Noncontact anterior cruciate ligament injury has been reported to occur during the later stages of a game when fatigue is most likely present. Few researchers have focused on progressive changes in lower extremity biomechanics that occur throughout fatiguing. Objective: To evaluate the effects of a sequential fatigue protocol on lower extremity biomechanics during a sidestep-cutting task (SS). Design: Controlled laboratory study. Setting: Laboratory. Patients or Other Participants: Eighteen uninjured female collegiate soccer players (age = 19.2 ± 0.9 years, height = 1.66 ± 0.5 m, mass = 61.6 ± 5.1 kg) volunteered. Intervention(s): The independent variable was fatigue level, with 3 levels (prefatigue, 50% fatigue, and 100% fatigue). Using 3-dimensional motion capture, we assessed lower extremity biomechanics during the SS. Participants alternated between a fatigue protocol that solicited different muscle groups and mimicked actual sport situations and unanticipated SS trials. The process was repeated until fatigue was attained. Main Outcome Measure(s): Dependent variables were hip- and knee-flexion and abduction angles and internal moments measured at initial contact and peak stance and defined as measures obtained between 0% and 50% of stance phase. Results: Knee-flexion angle decreased from prefatigue (−17° ± 5°) to 50% fatigue (−16° ± 6°) and to 100% fatigue (−14° ± 4°) (F2,34 = 5.112, P = .004). Knee flexion at peak stance increased from prefatigue (−52.9° ± 5.6°) to 50% fatigue (−56.1° ± 7.2°) but decreased from 50% to 100% fatigue (−50.5° ± 7.1°) (F2,34 = 8.282, P = 001). Knee-adduction moment at peak stance increased from prefatigue (0.49 ± 0.23 Nm/kgm) to 50% fatigue (0.55 ± 0.25 Nm/kgm) but decreased from 50% to 100% fatigue (0.37 ± 0.24) (F2,34 = 3.755, P = 03). Hip-flexion angle increased from prefatigue (45.4° ± 10.9°) to 50% fatigue (46.2° ± 11.2°) but decreased from 50% to 100% fatigue (40.9° ± 11.3°) (F2,34 = 6.542, P = .004). Hip flexion at peak stance increased from prefatigue (49.8° ± 9.9°) to 50% fatigue (52.9° ± 12.1°) but decreased from 50% to 100% fatigue (46.3° ± 12.9°) (F2,34 = 8.639, P = 001). Hip-abduction angle at initial contact decreased from prefatigue (−13.8° ± 6.6°) to 50% fatigue (−9.1° ± 6.5°) and to 100% fatigue (−7.8° ± 6.5°) (F2,34 = 11.228, P &lt; .001). Hip-adduction moment decreased from prefatigue (0.14 ± 0.13 Nm/kgm) to 50% fatigue (0.08 ± 0.13 Nm/kgm) and to 100% fatigue (0.06 ± 0.05 Nm/kg) (F2,34 = 5.767, P = .007). Conclusions: The detrimental effects of fatigue on sagittal and frontal mechanics of the hip and knee were visible at 50% of the participants' maximal fatigue and became more marked at 100% fatigue. Anterior cruciate ligament injury-prevention programs should emphasize feedback on proper mechanics throughout an entire practice and not only at the beginning of practice.

scholarly journals Epidemiology of Anterior Cruciate Ligament (ACL) Injury among Collegiate male athletes in Football and volleyball

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Ligament Injury ◽  
Ligament Injuries ◽  
Anterior Cruciate Ligament Injuries ◽  
Male College ◽  
Volleyball Players ◽  
Anterior Cruciate

In this study tried to investigate the prevalence of incidence of anterior cruciate ligament (ACL) injury in collegiate male soccer and volleyball. Because it seems the injury in ACL is more common in soccer and volleyball players. The anterior cruciate ligament (ACL) is one of the most commonly disrupted ligaments in the knee. Male college athletes have higher rates of anterior cruciate ligament injury. Rates of anterior cruciate ligament injuries for men in collegiate in two sports activity have not been examined. Understanding anterior cruciate ligament injury incidence in soccer and volleyball, a contact and non-contact sport for men, could further injury prevention efforts. Data were collected from Sports Cultural Olympiad male students 2012-2014 and analyzed to compare anterior cruciate ligament injuries in male college soccer and volleyball athletes from the questionnaire (n=447) and through interviews with injured players. Our results indicate volleyball players are a high-risk sport for anterior cruciate ligament injury although this sport is among non-contact activity. Our study indicated that soccer has the greatest number of ACL injuries (α =1%) rather than volleyball. Our finding may be explained by the fact that soccer involves more contact than volleyball. Factors such as age, sex, chronicity of injury, associated pathology, activity level, attitude, range of motion and motivation must all be considered to compare of ACL injury. It was suggested that these data would be helpful for the reduction of injury risks and the costs besides with proper onsite precautions.

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