Comparison of the effect of acute and delayed fatigue on the time to stability of female gymnasts with and without dynamic knee valgus during drop-landing task

Document Type : Research Paper

Authors

1 Faculty of physical education and sport science, University of Guilan, Rasht, Iran.

2 Faculty of Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.

3 Allameh Tabatabayee University

Abstract

Background: Drop landing is one of the tasks performed in many sports skills. Lower limb injuries have the highest prevalence in sports where jump landing is repeated frequently. One of the most common landing injuries is an anterior cruciate ligament (ACL) tear, which increases knee valgus and may contribute to an increased risk of ACL injury in athletes. In this situation, fatigue is one of the components that can affect various parameters of the landing task.
Aim: The purpose of this study was to investigate and compare the acute and delayed effects of fatigue on the time to stability (TTS) of female gymnasts with and without dynamic knee valgus (DKV) during the landing task.
Materials and Methods: In this semi-experimental study with a pretest-posttest design, 42 female gymnasts were selected through purposive and available sampling and divided into two groups of 21: a control group without DKV and an experimental group with DKV. The TTS in these individuals was measured before, after, and 24 hours after the fatigue protocol using the Kistler force plate device. The data was analyzed using SPSS software and statistical methods of analysis of covariance with repeated measures at a significance level of P≥0.05.
Results: According to the findings of this study, it showed that there is a significant difference in the variable of TTS in three time periods (before, after, 24 hours after fatigue) in the control and experimental groups (P= 0.026).
Conclusion: The results of the present study showed that plyometrics on the TTS are significantly different between people with DKV and without DKV, and people with DKV are necessarily at a greater risk of injury during landing tasks.

Keywords


[1] Daniel DM, Stone ML, Kaufman KR. “Fate of the ACL-injured patient: a prospective outcome study”. The American Journal of Sports Medicine. 1994; 22(5): 632-644. https://doi.org/10.1177/036354659402200511.

[2] Arendt E, Dick R. “Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature”. The American Journal of Sports Medicine. 1995; 23(6): 694-701. https://doi.org/10.1177/036354659502300611.

[3] Larwa J, Stoy C, Chafetz RS, Boniello M, Franklin C. “Stiff landings, core stability, and dynamic knee valgus: a systematic review on documented anterior cruciate ligament ruptures in male and female athletes”. International Journal of Environmental Research and Public Health, 2021; 18(7): 3826. https://doi.org/10.3390/ijerph18073826.

[4] Krosshaug T, Nakamae A, Biden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R. “Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases”. The American Journal of Sports Medicine. 2007; 35(3): 359-367. https://doi.org/10.1177/0363546506293899.

[5] Koga H, Bahr R, Myklebus G, Engebretsen L, Grund Th, Krosshaug T. “Estimating anterior tibial translation from model-based image-matching of a noncontact anterior cruciate ligament injury in professional football: a case report”. Clinical Journal of Sport Medicine. 2011; 21(3): 271-274. https://doi.org/10.1097/jsm.0b013e31821899ec.

[6] Koga H, Nakamae A, Shima Y, et al. “Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball”. The American Journal of Sports Medicine. 2010; 38(11): 2218-2225. https://doi.org/10.1177/0363546510373570.

[7] Hewett TE, Torg JS, Boden BP. “Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: Lateral trunk and knee abduction motion are combined components of the injury mechanism”. British Journal of Sports Medicine. 2009; 43(6): 417-422. https://doi.org/10.1136/bjsm.2009.059162.

[8] Agel J, Rockwood T, Klossner D. “Collegiate ACL injury rates across 15 sports: National collegiate athletic association injury surveillance system data update (2004-2005 through 2012-2013)”. Clinical Journal of Sport Medicine. 2016; 26(6): 518-523. https://doi.org/10.1097/jsm.0000000000000290.

[9] Kochanowicz A, Kochanowicz K, Niespodziuski B, Mieszkowski J, Aschenbrenner P, Bielec G, Szark-Eckardt M. “Maximal power of the lower limbs of youth gymnasts and biomechanical indicators of the forward handspring vault versus the sports result”. Journal of Human Kinetics. 2016; 53(1): 33-40. https://doi.org/10.1515/hukin-2016-0008.

[10] Dai B, Garrett WE, Gross MT, Padua DA, Queen RM, Yu B. “The effects of 2 landing techniques on knee kinematics, kinetics, and performance during stop-jump and side-cutting tasks”. The American Journal of Sports Medicine. 2015; 43(2): 466-474. https://doi.org/10.1177/0363546514555322.

[11] Leppänen M, Pasanen K, Krosshaug T, Kannus P, Vasankari T, Kujala UM, Bahr R, Perttunen J, Parkkari J. “Sagittal plane hip, knee, and ankle biomechanics and the risk of anterior cruciate ligament injury: a prospective study”. Orthopaedic Journal of Sports Medicine. 2017; 5(12): 2325967117745487. https://doi.org/10.1177/2325967117745487.

[12] Yu B, Garrett WE. “Mechanisms of non-contact ACL injuries”. British Journal of Sports Medicine. 2007; 41(suppl 1): i47-i51. https://doi.org/10.1136/bjsm.2007.037192.

[13] James CR, Scheuermann BW, Smith MP. “Effects of two neuromuscular fatigue protocols on landing performance”. Journal of Electromyography and Kinesiology. 2010; 20(4): 667-675. https://doi.org/10.1016/j.jelekin.2009.10.007.

[14] Rozzi SL, Lephart SM, Gear WS, Fu FH. “Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players”. The American Journal of Sports Medicine. 1999; 27(3): 312-319. https://doi.org/10.1177/03635465990270030801.

[15] Tamura A, Akasaka K, Otsudo T, Sawada Y, Okubo Y, Shiozawa J, Toda Y, Yamada K. “Fatigue alters landing shock attenuation during a single-leg vertical drop jump”. Orthopaedic Journal of Sports Medicine. 2016; 4(1): 2325967115626412. https://doi.org/10.1177/2325967115626412.

[16] Mejane J, Faubert J, Romeas T, Labbe DR, Faubert J, Romeas Th, Labbe DR. “The combined impact of a perceptual–cognitive task and neuromuscular fatigue on knee biomechanics during landing”. The Knee. 2019; 26(1): 52-60. https://doi.org/10.1016/j.knee.2018.10.017.

[17] Zhang X, Xia R, Dai B, Sun X, Fu W. Effects of exercise-induced fatigue on lower extremity joint mechanics, stiffness, and energy absorption during landings. Journal of sports science & medicine, 2018. 17(4): p. 640.

[18] Harato K, Morishige Y, Niki Y, Kobayashi S, Nagura T. “Fatigue and recovery have different effects on knee biomechanics of drop vertical jump between female collegiate and recreational athletes”. Journal of Orthopaedic Surgery and Research. 2021; 16: 1-7. https://doi.org/10.1186/s13018-021-02893-6.

[19] Behrens M, Mau-Moeller A, Wassermann F, Plewka A, Bader R, Bruhn S. “Repetitive jumping and sprinting until exhaustion alters hamstring reflex responses and tibial translation in males and females”. Journal of Orthopaedic Research. 2015; 33(11): 1687-1692. https://doi.org/10.1002/jor.22935.

[20] Borotikar BS, Newcomer R, Koppes R, McLean SG. “Combined effects of fatigue and decision making on female lower limb landing postures: Central and peripheral contributions to ACL injury risk”. Clinical Biomechanics. 2008; 23(1): 81-92. https://doi.org/10.1016/j.clinbiomech.2007.08.008.

[21] Kernozek TW, Torry MR, van Hoof H, Cowley H, Tanner S. “Gender differences in frontal and sagittal plane biomechanics during drop landings”. Medicine & Science in Sports & Exercise. 2005; 37(6): 1003-1012.

[22] Mclean SG, Felin RE. Sudekum N, Calabrese G, Passerallo A, Joy S. “Impact of fatigue on gender-based high-risk landing strategies”. Medicine and Science in Sports and Exercise. 2007; 39(3): 502-514. https://doi.org/10.1249/mss.0b013e3180d47f0.

[23] Liederbach M, Kremenic IJ, Orishimo KF, Pappas E, Hagins M. “Comparison of landing biomechanics between male and female dancers and athletes, part 2: Influence of fatigue and implications for anterior cruciate ligament injury”. The American Journal of Sports Medicine. 2014. 42(5): 1089-1095. https://doi.org/10.1177/0363546514524525.

[24] Mueske N, Katzel MJ, Chaswick KP, VandenBerg C, Pace JL, Zaslow T, Edison B, O’Callahan B, Nakata HLK, Wren T. “Biomechanical symmetry during drop jump and single-leg hop landing in uninjured adolescent athletes”. Orthopaedic Journal of Sports Medicine. 2019; 7(3_suppl): 2325967119S00023. https://doi.org/10.1177/2325967119s00023.

[25] Zamporri J, Aguinaldo A. “The effects of a compression garment on lower body kinematics and kinetics during a drop vertical jump in female collegiate athletes”. Orthopaedic Journal of Sports Medicine. 2018; 6(8): 2325967118789955. https://doi.org/10.1177/2325967118789955.

[26] Gribble PA, Robinson RH. “Alterations in knee kinematics and dynamic stability associated with chronic ankle instability”. Journal of Athletic Training. 2009; 44(4): 350. https://doi.org/10.4085/1062-6050-44.4.350.

[27] Hunnicutt JL, Jayanthi NA, Labib SA. “Editorial Commentary: Considering fatigue when assessing athletes for dynamic knee valgus: Is this the next big step in identifying anterior cruciate ligament injury risk?”. Arthroscopy: The Journal of Arthroscopies & Related Surgey. 2020; 36(1): 223-224. https://doi.org/10.1016/j.arthro.2019.10.002.

[28] Fidai MS, Okoroha KR, Meldau J, Meta F, Lizzio VA, Borowsky P, Redler LH, Moutzouros V, Makhni E. “Fatigue increases dynamic knee valgus in youth athletes: results from a field-based drop-jump test”. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2020; 36(1): 214-222. e2. https://doi.org/10.1016/j.arthro.2019.07.018.

[29] Niespodziński B, Grad R, Kochanowics A, Mieszkowski J, Marina M, Zasada M, Kochanowicz K. “The neuromuscular characteristics of gymnasts’ jumps and landings at particular stages of sports training”. Journal of Human Kinetics. 2021; 78(1): 15-28. https://doi.org/10.2478/hukin-2021-0027.

[30] Knihs DA, Zimmermann HB, Dal Pupo J. “Acute and delayed effects of fatigue on ground reaction force, lower limb stiffness and coordination asymmetries during a landing task”. Journal of Human Kinetics. 2021; 76(1): 191-199. https://doi.org/10.2478/hukin-2021-0054.

[31] Pappas E, Sheikhzadeh A, Hagins M, Nordin M. “The effect of gender and fatigue on the biomechanics of bilateral landings from a jump: peak values”. Journal of Sports Science & Medicine. 2007; 6(1): 77.

[32] Chmielewski TL, George SZ, Tillman SM, Moser MW, Lentz TA, Indelicato PA, Trumble TN, Shuster JJ, Cicuttini FM, Leeuwenburgh Ch. “Low-versus high-intensity plyometric exercise during rehabilitation after anterior cruciate ligament reconstruction”. The American Journal of Sports Medicine. 2016; 44(3): 609-617. https://doi.org/10.1177/0363546515620583.

[33] Nasrabadi R, Sadeghi H, Yousefi M. “Effect of fatigue on some indicators of ground reaction force in young active men during drop-Landing task”. Journal of Paramedical Sciences & Rehabilitation. 2020. 9(3): 62-70.

[34] Brazen DM, Todd MK, Ambegonkar JP, ATC O, Wuderlich R, Pererson C. “The effect of fatigue on landing biomechanics in single-leg drop landings”. Clinical Journal of Sport Medicine. 2010; 20(4): 286-292. https://doi.org/10.1097/jsm.0b013e3181e8f7dc.

[35] Moir G, Sanders R, Button Ch, Galaister M. “The influence of familiarization on the reliability of force variables measured during unloaded and loaded vertical jumps”. Journal of Strength and Conditioning Research. 2005; 19(1): 140. https://doi.org/10.1519/00124278-200502000-00024.

[36] Bourne MN, Webster KE, Hewett TE. “Is fatigue a risk factor for anterior cruciate ligament rupture?”. Sports Medicine. 2019; 49: 1629-1635. https://doi.org/10.1007/s40279-019-01134-5.

[37] Agres AN, Chrysanthou M, Raffalt PC. “The effect of ankle bracing on kinematics in simulated sprain and drop landings: a double-blind, placebo-controlled study”. The American Journal of Sports Medicine. 2019; 47(6): 1480-1487. https://doi.org/10.1177/0363546519837695.

[38] Boham M, DeBeliso M, Harris C, Pfeiffer R, McChesney J, Berning JM. “The effects of functional fatigue on ground reaction forces of a jump, land, and cut task”. International Journal of Science and Engineering Investigations. 2013; 2(21), 22-28.

[39] Padua DA, Arnold BL, Perrin DH, Gansneder BM, Carcia CR, Granata KP. “Fatigue, vertical leg stiffness, and stiffness control strategies in males and females”. Journal of Athletic Training. 2006; 41(3): 294.

[40] Daoukas S, Malliaropoulos N, Maffulli N. “ACL biomechanical risk factors on single-leg drop-jump: a cohort study comparing football players with and without history of lower limb injury”. Muscles, Ligaments & Tendons Journal. 2019; 9(1). https://doi.org/10.32098/mltj.01.2019.16.

[41] Kristianslund E, Krosshaug T,  Van den Bogert AJ. “Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention”. Journal of Biomechanics. 2012; 45(4): 666-671. https://doi.org/10.1016/j.jbiomech.2011.12.011.

[42] Liu Zh, Yang Ch, Yu J, Zhao X, Wu J, Zhang Y, Li J, Gu Y. “The effect of muscles fatigue on the knee’s kinetics and kinematics characteristics”. Sustainability. 2023; 15(4): 3029. https://doi.org/10.3390/su15043029.

[43] Shaw MY, Gribble PA, Frye JL. “Ankle bracing, fatigue, and time to stabilization in collegiate volleyball athletes”. Journal of Athletic Training. 2008; 43(2): 164-171. https://doi.org/10.4085/1062-6050-43.2.164.

[44] Webster KA, Gribble PA. “Time to stabilization of anterior cruciate ligament–reconstructed versus healthy knees in National Collegiate Athletic Association Division I female athletes”. Journal of Athletic Training. 2010; 45(6): 580-585. https://doi.org/10.4085/1062-6050-45.6.580.