The influence of limb role, direction of movement and limb dominance on movement strategies during block jump-landings in volleyball

The identification of movement strategies in situations that are as ecologically valid as possible is essential for the understanding of lower limb interactions. This study considered the kinetic and kinematic data for the hip, knee and ankle joints from 376 block jump-landings when moving in the dominant and non-dominant directions from fourteen senior national female volleyball players. Two Machine Learning methods were used to generate the models from the dataset, Random Forest and Artificial Neural Networks. In addition, decision trees were used to detect which variables were relevant to discern the limb movement strategies and to provide a meaningful prediction. The results showed statistically significant differences when comparing the movement strategies between limb role (accuracy > 88.0% and > 89.3%, respectively), and when moving in the different directions but performing the same role (accuracy > 92.3% and > 91.2%, respectively). This highlights the importance of considering limb dominance, limb role and direction of movement during block jump-landings in the identification of which biomechanical variables are the most influential in the movement strategies. Moreover, Machine Learning allows the exploration of how the joints of both limbs interact during sporting tasks, which could provide a greater understanding and identification of risky movements and preventative strategies. All these detailed and valuable descriptions could provide relevant information about how to improve the performance of the players and how to plan trainings in order to avoid an overload that could lead to risk of injury. This highlights that, there is a necessity to consider the learning models, in which the spike approach unilaterally is taught before the block approach (bilaterally). Therefore, we support the idea of teaching bilateral approach before learning the spike, in order to improve coordination and to avoid asymmetries between limbs.

Cortical Motor Planning and Biomechanical Stability During Unplanned Jump-Landings in Males With ACL-Reconstruction

Context: Athletes with anterior cruciate ligament (ACL) reconstruction exhibit increased cortical motor planning during simple sensorimotor tasks compared to healthy controls. This may interfere with proper decision-making during time-constrained movements elevating the re-injury risk. Objective: To compare cortical motor planning and biomechanical stability during jump-landings between participants with ACL-reconstruction and healthy individuals. Design: Cross-sectional exploratory study. Setting: Laboratory patients or other participants: Ten males with ACL-reconstruction (28±4 yrs., 63±35 months post-surgery) and 17 healthy males (28±4 yrs.) completed pre-planned (landing leg shown before take-off; n=43±4) and unplanned (visual cue during flight; n=51±5) countermovement-jumps with single-leg-landings. Main outcome measures: Movement-related cortical potentials (MRCP) and frontal theta frequency power before the jump were analyzed using electroencephalography. MRCP were subdivided into three successive 0.5 sec epochs (readiness potential 1 and 2; RP and negative slope; NS) relative to movement onset (higher values indicative of more motor planning). Theta power was calculated for the last 0.5 sec prior to movement onset (higher values indicative of more focused attention). Biomechanical landing stability was measured via vertical peak ground reaction force, time to stabilization, and center of pressure. Results: Both conditions evoked MRCP at all epochs in both groups. During the unplanned condition, the ACL-reconstructed group exhibited slightly, but not significantly higher MRCP (RP-1:p=0.651, d=0.44, RP-2:p=0.451, d=0.48; NS:p=0.482, d=0.41). The ACL-reconstructed group also showed slightly higher theta power values during the pre-planned (p=0.175, d=0.5) and unplanned condition (p=0.422, d=0.3) reaching small to moderate effect sizes. In none of the biomechanical outcomes, both groups differed significantly (p>0.05). No significant condition and group interactions occurred (p>0.05). Conclusions: Our jump-landing task evoked MRCP. Although not significant between groups, the observed effect sizes provide first indication that males with ACL-reconstruction may persistently rely on more cortical motor planning associated with unplanned jump-landings. Confirmatory studies with larger sample sizes are warranted. Trial registry: clinicalTrials.gov (NCT03336060).

Measurement Properties of Clinically Accessible Movement Assessment Tools for Analyzing Jump Landings: A Systematic Review

Context: Lower-extremity musculoskeletal injury is commonly associated with poor movement patterns at the trunk, hip, and knee. Efforts have been focused on identifying poor lower-extremity movement using clinically friendly movement assessments, such as rubrics and 2D measures. Assessments used clinically or for research should have acceptable measurement properties, such as reliability and validity. However, the literature on reliability and validity of movement assessments to analyze jump landings has not been summarized. Objective: To systematically review measurement properties of rubrics and 2D measurements that aim to classify movement quality during jump landings. Evidence Acquisition: The search strategy was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. The search was performed in PubMed, SPORTDiscus, and Web of Science databases. The COnsensus-based Standards for the selection of health Measurement INstruments multiphase procedure was used to extract relevant data, evaluate methodological quality of each study, score the results of each movement assessment, and synthesize the evidence. Evidence Synthesis: Twenty-two studies were included after applying eligibility criteria. Reliability and construct validity of the landing error scoring system were acceptable. Criterion validity of 2D knee flexion angle and medial knee displacement is acceptable. Reliability of 2D knee ankle separation ratio and knee frontal plane projection angle are acceptable. Conclusion: The landing error scoring system is a valid way to determine poor movement quality and injury risk. Measures of 2D knee flexion angle and medial knee displacement are valid alternatives for 3D knee flexion angle and knee abduction moment, respectively. Knee ankle separation ratio and knee frontal plane projection angle are reliable but lack validity justifying their clinical use.

Bilateral Differences in Dancers' Dynamic Postural Stability During Jump Landings

Although traditional dance training aims to train dancers' legs equally, the recognized practice of predominately starting and repeating exercises on one side more than the other has led to suggestions that technique classes may cause lateral bias. Such an imbalance could lead to a greater risk of injury; however, despite this potential risk, little is known about the effects of bilateral differences on dancers' postural stability during jump landings, a key dynamic action in dance. Therefore, the aim of this study was to examine the effects of possible bilateral differences on dynamic postural stability during single-leg landing using a time-to-stabilization protocol. Thirty-two injury-free female university undergraduate dancers (19 ± 1.9 years; 164.8 ± 6.7 cm; 62.6 ± 13.6 kg) volunteered for the study. They completed a two-foot to one-foot jump over a bar onto a force platform while stabilizing as quickly as possible. The landing leg was randomly assigned, and participants completed three trials for each leg. No significant differences in dynamic postural stability between right and left legs were revealed, and poor effect size was noted (p > 0.05): MLSI: t = -.04, df = 190, p = 0.940 (CI = -.04, .04, r2 = 0); APSI: t = .65, df = 190, p = 0.519 (CI = -.06-, .12, r2 = .09); VSI: t = 1.85, df = 190, p = 0.066 (CI = -.02, .68, r2 = .27); DPSI: t = 1.88, df = 190, p = 0.061 (CI = -.02, .70, r2 = .27). The results of this study do not support the notion that dance training may cause lateral bias with its associated risk of injury. Furthermore, dancers' self-perceptions of leg dominance did not correlate with their ability to balance in single-leg landings or to absorb the ground reaction forces often associated with injury. Even when biased training exists, it may not have detrimental effects on the dancer's postural stability.

Factors Associated With Psychological Readiness to Return to Sports With Cutting, Pivoting, and Jump-Landings After Primary ACL Reconstruction

Background: High psychological readiness is an important element for returning to sports after anterior cruciate ligament (ACL) reconstruction. Identifying factors that contribute to psychological readiness is essential for planning interventions to return to play. No studies have used multivariate analysis to clarify factors associated with psychological readiness to return to specific sports. Hypothesis: To identify factors that contribute to an athlete’s psychological readiness to return after ACL reconstruction to sports that require cutting, pivoting, and jump-landings. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants were athletes who before injury had participated in sports with limited contact that required cutting, pivoting, and jump-landings (basketball, soccer, futsal, volleyball, badminton, tennis, and frisbee) and hoped to return to the same sport after reconstruction. Psychological readiness was measured using the Anterior Cruciate Ligament–Return to Sport After Injury Scale (ACL-RSI) in athletes more than 6 months after primary ACL reconstruction. To clarify factors associated with the ACL-RSI, univariate regression analysis and multivariate regression analysis were performed using the following independent variables: age, sex, body mass index, time from injury to reconstruction, time from reconstruction to testing, meniscal surgery, modified Tegner activity scale before injury, kinesiophobia, limb symmetry index of knee strength, limb symmetry indices of single-leg hop (SLH) distances, and subjective running ability. Results: Higher subjective running ability, a lower kinesiophobia score, and greater limb symmetry in the lateral SLH were positively associated with psychological readiness. Conclusion: The psychological readiness of athletes aiming to return after ACL reconstruction to limited-contact sports that require cutting, pivoting, and jump-landings was affected by subjective running ability, kinesiophobia, and asymmetry of lateral SLH distance. This information may be useful in planning appropriate interventions and thereby increasing the likelihood of an athlete’s returning to such sports.

Application of Inertial Motion Unit-Based Kinematics to Assess the Effect of Boot Modifications on Ski Jump Landings—A Methodological Study

Biomechanical studies of winter sports are challenging due to environmental conditions which cannot be mimicked in a laboratory. In this study, a methodological approach was developed merging 2D video recordings with sensor-based motion capture to investigate ski jump landings. A reference measurement was carried out in a laboratory, and subsequently, the method was exemplified in a field study by assessing the effect of a ski boot modification on landing kinematics. Landings of four expert skiers were filmed under field conditions in the jump plane, and full body kinematics were measured with an inertial motion unit (IMU) -based motion capture suit. This exemplary study revealed that the combination of video and IMU data is viable. However, only one skier was able to make use of the added boot flexibility, likely due to an extended training time with the modified boot. In this case, maximum knee flexion changed by 36° and maximum ankle flexion by 13°, whereas the other three skiers changed only marginally. The results confirm that 2D video merged with IMU data are suitable for jump analyses in winter sports, and that the modified boot will allow for alterations in landing technique provided that enough time for training is given.

Effect of Football Shoe Collar Type on Ankle Biomechanics and Dynamic Stability during Anterior and Lateral Single-Leg Jump Landings

In this study, we investigated the effects of football shoes with different collar heights on ankle biomechanics and dynamic postural stability. Fifteen healthy college football players performed anterior and lateral single-leg jump landings when wearing high collar, elastic collar, or low collar football shoes. The kinematics of lower limbs and ground reaction forces were collected by simultaneously using a stereo-photogrammetric system with markers (Vicon) and a force plate (Kistler). During the anterior single-leg jump landing, a high collar shoe resulted in a significantly smaller ankle dorsiflexion range of motion (ROM), compared to both elastic (p = 0.031, dz = 0.511) and low collar (p = 0.043, dz = 0.446) types, while also presenting lower total ankle sagittal ROM, compared to the low collar type (p = 0.023, dz = 0.756). Ankle joint stiffness was significantly greater for the high collar, compared to the elastic collar (p = 0.003, dz = 0.629) and low collar (p = 0.030, dz = 1.040). Medial-lateral stability was significantly improved with the high collar, compared to the low collar (p = 0.001, dz = 1.232). During the lateral single-leg jump landing, ankle inversion ROM (p = 0.028, dz = 0.615) and total ankle frontal ROM (p = 0.019, dz = 0.873) were significantly smaller for the high collar, compared to the elastic collar. The high collar also resulted in a significantly smaller total ankle sagittal ROM, compared to the low collar (p = 0.001, dz = 0.634). Therefore, the high collar shoe should be effective in decreasing the amount of ROM and increasing the dynamic stability, leading to high ankle joint stiffness due to differences in design and material characteristics of the collar types.