Sport Sciences and Health Research

Sport Sciences and Health Research

The acute effect of functional fatigue on knee and trunk kinematics in female soccer players with and without dynamic knee valgus during single-leg landing

Document Type : Research Paper

Authors
Niloofar Tajalli 1
Mohammadhossein Alizadeh 2
Seyed Hamed Mousavi 3
1 Master's student of Tehran University
2 Department Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran
3 University of Tehran, Faculty of Physical Education and Sport Sciences, Department of Health and Sport Medicine, Tehran, Iran
10.22059/sshr.2024.376249.1136
Abstract
Background: Dynamic knee valgus (DKV) is due to the weakness of the thigh abductor muscles and the vastus medialis muscle, which increases the internal rotation of the thigh and increases the possibility of anterior cruciate ligament (ACL) injury. The amount of DKV in women is higher than men, which is one of the reasons for the possibility of more injury in women. Aim: The aim of the present study was the effect of acute soccer functional fatigue on knee and trunk kinematic factors in female soccer players with and without DKV during single leg landing. Materials and Methods: The present study is quasi-experimental research conducted on 28 female soccer players who were selected using purposeful and convenience sampling. They were classified into two groups with and without DKV. The subjects performed a single leg soccer landing, and the kinematic changes of the participants' trunk and knees were recorded through high-speed video cameras (SONY camera) in two sagittal and frontal planes and analyzed by Kinovea software. The data were analyzed in SPSS-26 software using a mixed ANOVA statistical test.
Results The results revealed a significant interaction effect between fatigue conditions and groups on knee and trunk joint angles in frontal plane in the initial contact with the ground in single leg landing. The results showed that fatigue significantly reduced knee flexion and increased knee valgus and trunk lateral flexion increased significantly after fatigue. Conclusion: The results indicated the acute effect of fatigue on knee and trunk kinematics of female soccer players with DKV. Therefore, by increasing the amount of knee and trunk flexion and correcting the landing technique, the possibility of ACL injury in fatigue can be reduced.
Keywords
anterior cruciate
Bangsbo
Biomechanic
dynamic knee valgus
functional fatigue
ligament rupture

[1] Alimoradi M, Sahebazamini M, Bigtashkhani R. "The effect of+ 11 injury prevention program on the jumping-landing error in female amateur soccer players". Res Sport Med Technol. 2021; 19: 91-102. doi: 20.1001.1.22520708.1400.19.22.10.4.

[2] Szymski D, Krutsch V, Achenbach L, Gerling S, Pfeifer C, Alt V, et al. "Epidemiological analysis of injury occurrence and current prevention strategies on international amateur football level during the UEFA Regions Cup 2019". Archives of Orthopaedic and Trauma Surgery. 2022: 1-10. doi: https://doi.org/10.1111/j.1600-0838.2006.00528.x.

[3] Dalvandpour N, Zareei M, Abbasi H, Abdoli B, Mohammadian MA, Rommers N, et al. "Focus of attention during ACL injury prevention exercises affects improvements in jump-landing kinematics in soccer players: A randomized controlled trial". The Journal of Strength & Conditioning Research. 2022. doi: 10.1519/JSC.0000000000004201.

[4] 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. doi: https://doi.org/10.3390/ijerph18073826.

[5] Lee J, Shin CS. "Association between ankle angle at initial contact and biomechanical ACL injury risk factors in male during self-selected single-leg landing". Gait & Posture. 2021; 83: 127-131. doi: https://doi.org/10.1016/j.gaitpost.2020.08.130.

[6] Della Villa F, Di Paolo S, Santagati D, Della Croce E, Lopomo NF, Grassi A, et al. "A 2D video‐analysis scoring system of 90° change of direction technique identifies football players with high knee abduction moment". Knee Surgery, Sports Traumatology, Arthroscopy. 2022; 30(11): 3616-3625. doi: https://doi.org/10.1007/s00167-021-06571-2.

[7] Akbari H, Sahebozamani M, Daneshjoo A, Amiri KM. "THE effect of the fifa 11+ program on soccer-specific landing pattern in young male elite soccer players?" Studies in Sport Medicine. 2018; 10(23):101-116.. 2018. doi: https://sid.ir/paper/948896/en.

[8] Kim N, Lee SY, Lee SC, Rosen AB, Grindstaff TL, Knarr BA. "Effect of isolated hip abductor fatigue on single-leg landing mechanics and simulated ACL loading". The Knee. 2021; 31: 118-126. doi: https://doi.org/10.1016/j.knee.2021.05.007.

[9] Shin CS, Chaudhari AM, Andriacchi TP. "Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone". Medicine & Science in Sports & Exercise. 2011; 43(8) :1484-1491. doi: 10.1249/MSS.0b013e31820f8395.

[10] Earl JE, Hoch AZ. "A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome". The American Journal of Sports Medicine. 2011; 39(1): 154-163. doi: https://doi.org/10.1177/0363546510379967.

[11] Fidai MS, Okoroha KR, Meldau J, Meta F, Lizzio VA, Borowsky P, et al. "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. e212. doi: https://doi.org/10.1016/j.arthro.2019.07.018.

[12] Hollman JH, Hohl JM, Kraft JL, Strauss JD, Traver KJ. "Effects of hip extensor fatigue on lower extremity kinematics during a jump-landing task in women: a controlled laboratory study". Clinical Biomechanics. 2012; 27(9): 903-909. doi: https://doi.org/10.1016/j.clinbiomech.2012.07.004.

[13] Jeong J, Choi D-H, Shin CS. "Core strength training can alter neuromuscular and biomechanical risk factors for anterior cruciate ligament injury". The American Journal of Sports Medicine. 2021; 49(1): 183-192. doi: https://doi.org/10.1177/0363546520972990.

[14] Mancini S, Dickin DC, Hankemeier D, Ashton C, Welch J, Wang H. "Effects of a soccer-specific vertical jump on lower extremity landing kinematics". Sports Medicine and Health Science. 2022; 4(3): 209-214. doi: https://doi.org/10.1016/j.smhs.2022.07.003.

[15] Decker MJ, Torry MR, Wyland DJ, Sterett WI, Steadman JR. "Gender differences in lower extremity kinematics, kinetics and energy absorption during landing". Clinical Biomechanics. 2003; 18(7): 662-669. doi: https://doi.org/10.1016/S0268-0033(03)00090-1.

[16] Leppänen M, Pasanen K, Krosshaug T, Kannus P, Vasankari T, Kujala UM, et al. "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. doi: https://doi.org/10.1177/2325967117745487.

[17] Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. "A comparison of knee joint motion patterns between men and women in selected athletic tasks". Clinical Biomechanics. 2001; 16(5): 438-445. doi: https://doi.org/10.1016/S0268-0033(01)00019-5.

[18] Lessi GC, Serrão FV. "Effects of fatigue on lower limb, pelvis and trunk kinematics and lower limb muscle activity during single-leg landing after anterior cruciate ligament reconstruction". Knee Surgery, Sports Traumatology, Arthroscopy. 2017; 25: 2550-2558. doi: https://doi.org/10.1007/s00167-015-3762-x.

[19] Daneshjoo A, Nobari H, Kalantari A, Amiri-Khorasani M, Abbasi H, Rodal M, et al. (editors). "Comparison of knee and hip kinematics during landing and cutting between Elite male football and futsal players". Healthcare. 2021: MDPI. doi: https://doi.org/10.3390/healthcare9050606.

[20] Hargrave MD, Carcia CR, Gansneder BM, Shultz SJ. "Subtalar pronation does not influence impact forces or rate of loading during a single-leg landing". Journal of Athletic Training. 2003; 38(1): 18.

[21] Hogg JA, Vanrenterghem J, Ackerman T, Nguyen AD, Ross SE, Schmitz RJ, et al. "Temporal kinematic differences throughout single and double-leg forward landings". Journal of Biomechanics. 2020; 99: 109559. doi: https://doi.org/10.3390/healthcare9050606.

[22] Yeow CH, Lee PVS, Goh JCH. "An investigation of lower extremity energy dissipation strategies during single-leg and double-leg landing based on sagittal and frontal plane biomechanics". Human Movement Science. 2011; 30(3): 624-635. doi: https://doi.org/10.1016/j.humov.2010.11.010.

[23] García-Luna MA, Cortell-Tormo JM, García-Jaén M, Ortega-Navarro M, Tortosa-Martínez J. "Acute effects of ACL injury-prevention warm-up and soccer-specific fatigue protocol on dynamic knee valgus in youth male soccer players". International Journal of Environmental Research and Public Health. 2020; 17(15): 5608. doi: https://doi.org/10.3390/ijerph17155608.

[24] Owoeye OB, VanderWey MJ, Pike I. "Reducing injuries in soccer (football): an umbrella review of best evidence across the epidemiological framework for prevention". Sports Medicine-Open. 2020; 6(1): 46. doi: https://doi.org/10.1186/s40798-020-00274-7.

[25] Bukry SA, Raja Azidin MRF, Justine M, Manaf H. "Effects of short duration-high intensity soccer fatigue simulation on dynamic balance and lower limb isokinetic strength in youth soccer players". Annals of Applied Sport Science. 2022. doi: 10.52547/aassjournal.1033.

[26] Moon J, Lee J, Kim K, Koo D, Lee J, Pathak P, et al. "Effect of muscle-specific fatigue on the risk of anterior cruciate ligament injury in females". Applied Sciences. 2021; 11(11): 4969. doi: https://doi.org/10.3390/app11114969.

[27] Sahabuddin FNA, Jamaludin NI, Amir NH, Shaharudin S. "The effects of hip-and ankle-focused exercise intervention on dynamic knee valgus: A systematic review". Peer J. 2021; 9: e11731. doi: https://doi.org/10.7717/peerj.11731.

[28] Kim H, Son S, Seeley M, Hopkins J. "Functional fatigue alters lower-extremity neuromechanics during a forward-side jump". International Journal of Sports Medicine. 2015: 1192-1200. doi: 10.1055/s-0035-1550050.

[29] Willy RW, Davis IS. "The effect of a hip-strengthening program on mechanics during running and during a single-leg squat". Journal of Orthopaedic & Sports Physical Therapy. 2011; 41(9): 625-632. doi: 10.2519/jospt.2011.3470.

[30] Ong MTY, Man GCW, Lau LCM, He X, Qiu J, Wang Q, et al. "Effect of pulsed electromagnetic field as an intervention for patients with quadriceps weakness after anterior cruciate ligament reconstruction: a double-blinded, randomized-controlled trial". Trials. 2022; 23(1): 771. doi: https://doi.org/10.1186/s13063-022-06674-2.

[31] Dury J, Ravier G, Michel F. "Hip abductor muscle fatigue induces different strategies during disrupted postural control". Frontiers in Sports and Active Living. 2022; 4: 918402. doi: https://doi.org/10.3389/fspor.2022.918402.

[32] Radzak KN, Stickley CD. "Fatigue-induced hip-abductor weakness and changes in biomechanical risk factors for running-related injuries". Journal of Athletic Training. 2020; 55(12): 1270-1276. doi: https://doi.org/10.4085/1062-6050-531-19.

[33] Güler Ö, Aras D, Akça F, Bianco A, Lavanco G, Paoli A, et al. "Effects of aerobic and anaerobic fatigue exercises on postural control and recovery time in female soccer players". International Journal of Environmental Research and Public Health. 2020; 17(17): 6273. doi: https://doi.org/10.3390/ijerph17176273.

[34] Carrasco L, Espinar J, Carbonell F, Martínez-Díaz I. "Local and general fatigue: effects on knee proprioception in soccer players". Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte. 2021; 21(84). doi: https://doi.org/10.15366/rimcafd2021.84.004.

[35] Bellizzi GL, Will-Lemos T, Resende RA, Cervi ACC, Santiago PRP, Fernández-de-Las-Peñas C, et al. "Knee kinetics and kinematics of young asymptomatic participants during single-leg weight-bearing tasks: Task and sex comparison of a cross-sectional study". International Journal of Environmental Research and Public Health. 2022; 19(9): 5590. doi: https://doi.org/10.3390/ijerph19095590.

[36] Ugalde V, Brockman C, Bailowitz Z, Pollard CD. "Single leg squat test and its relationship to dynamic knee valgus and injury risk screening". Pm r. 2015; 7(3): 229-235; quiz 235. doi: https://doi.org/10.1016/j.pmrj.2014.08.361.

[37] Hosseini E, Daneshjoo A, Sahebozamani M. "Comparing the knee joint kinematic parameters of female athletes during sidestep cutting task before and after fatigue in predictable and unpredictable settings". Journal of Sport Biomechanics. 2019; 5(3): 178-187. doi: 10.32598/biomechanics.5.3.5.

[38] Bigtashkhani R, Alimoradi M, Sahebozamani M. "The effect of +11 injury prevention program on the jumping-landing error in female amateur soccer players". Research in Sport Medicine and Technology. 2022; 19: 92-103. doi: 10.29252/jsmt.19.2.91.

[39] Daneshjoo A, Mohseni M. "Comparing the knee joint kinematic parameters during landing at different minutes of soccer game". Journal of Sport Biomechanics. 2019; 5(1): 2-13. doi: 10.32598/biomechanics.5.1.1.

[40] Sebyani M, Shirzad E, Minoo Nejad H. "Effect of Core muscles functional fatigue on some kinematics parameters related to anterior cruciate ligament (acl) injury during cutting maneuver in mollegiate male athletes". Studies in Sport Medicine. 2018; 10(23): 61-80. doi: https://doi.org/10.22089/smj.2018.1147.

[41] Greig M. "Concurrent changes in eccentric hamstring strength and knee joint kinematics induced by soccer-specific fatigue". Physical Therapy in Sport. 2019; 37: 21-26. doi: https://doi.org/10.1016/j.ptsp.2019.02.003.

[42] Madanchi Z, Ghorbaniyan B, Babaei M, et al. "The effect of fartlek exercises on some parameters of fatigue, muscle injury and performance of soccer players". Journal of Sports Physiology and Special Groups. 2023; 1(4). doi: 10.22098/RSPH.2024.14292.1023.

Sport Sciences and Health Research
Volume 17, Issue 1
January 2025
Pages 31-42