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Sex-specific landing biomechanics and energy absorption during unanticipated single-leg drop-jumps in adolescents : implications for knee injury mechanics

Romanchuk, Nicholas J. ; Del Bel, Michael J. and Benoit, Daniel L. LU (2020) In Journal of Biomechanics 113.
Abstract

Females aged between 13 and 17 years old possess the highest non-contact ACL injury incidence of any sex-age strata. Considering that energy absorption strategies have been associated with a reduced risk for sustaining an ACL injury, evaluating landing performance in youth athletes requires investigations beyond the kinematic level. The purpose of this study was to identify sex-specific energy absorption strategies in adolescent males and females, including the relationship between strength and the observed strategies. Thirty-one healthy adolescent athletes completed unanticipated single-leg drop-jump landings on their dominant limb. Sex-specific kinematics and lower-limb contributions to energy absorption were then compared over the... (More)

Females aged between 13 and 17 years old possess the highest non-contact ACL injury incidence of any sex-age strata. Considering that energy absorption strategies have been associated with a reduced risk for sustaining an ACL injury, evaluating landing performance in youth athletes requires investigations beyond the kinematic level. The purpose of this study was to identify sex-specific energy absorption strategies in adolescent males and females, including the relationship between strength and the observed strategies. Thirty-one healthy adolescent athletes completed unanticipated single-leg drop-jump landings on their dominant limb. Sex-specific kinematics and lower-limb contributions to energy absorption were then compared over the landing phase for each jump. Pearson and Spearman correlation coefficients determined the relationship between isometric joint strength and the observed kinematics and energy absorption. Female participants absorbed a larger proportion of the landing energy at the ankle (p = 0.046, d = 0.75) and smaller proportion at the hip (p = 0.028, d = 0.85) compared to males. Females also reached larger peak negative joint power in their knee (p = 0.001, d = 1.1) and ankle (p = 0.04, d = 0.79). Hip extension strength was positively correlated with trunk flexion (r = 0.559, p = 0.001) and negatively correlated with forward pelvic tilt (r = -0.513, p = 0.003). Females adopted an energy absorption strategy which utilized the distal joints to absorb a larger portion of the landing forces and tended to absorb the forces later in the landing phase relative to males. The greater reliance on distal joints is correlated to reduced hip strength and may increase the risk for sustaining an ACL injury.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Drop-jumps, Energy absorption, Joint strength, Kinematics
in
Journal of Biomechanics
volume
113
article number
110064
publisher
Elsevier
external identifiers
  • scopus:85095916829
  • pmid:33190054
ISSN
0021-9290
DOI
10.1016/j.jbiomech.2020.110064
language
English
LU publication?
no
additional info
Funding Information: The authors would like to thank Lisa Ek Orloff, Saskia Hanssen, Laura Boonstra, Laryssa Kemp and Céline Girard for their contributions in data collections. They would also like to thank the Ontario Graduate Scholarship, Natural Sciences and Engineering Research Council of Canada, Canadian Institutes of Health Research, and the University of Ottawa for their support. Publisher Copyright: © 2020 Elsevier Ltd
id
750d02a3-94d6-4ce2-b92a-bb30956829d8
date added to LUP
2023-08-24 16:54:34
date last changed
2024-06-15 06:58:18
@article{750d02a3-94d6-4ce2-b92a-bb30956829d8,
  abstract     = {{<p>Females aged between 13 and 17 years old possess the highest non-contact ACL injury incidence of any sex-age strata. Considering that energy absorption strategies have been associated with a reduced risk for sustaining an ACL injury, evaluating landing performance in youth athletes requires investigations beyond the kinematic level. The purpose of this study was to identify sex-specific energy absorption strategies in adolescent males and females, including the relationship between strength and the observed strategies. Thirty-one healthy adolescent athletes completed unanticipated single-leg drop-jump landings on their dominant limb. Sex-specific kinematics and lower-limb contributions to energy absorption were then compared over the landing phase for each jump. Pearson and Spearman correlation coefficients determined the relationship between isometric joint strength and the observed kinematics and energy absorption. Female participants absorbed a larger proportion of the landing energy at the ankle (p = 0.046, d = 0.75) and smaller proportion at the hip (p = 0.028, d = 0.85) compared to males. Females also reached larger peak negative joint power in their knee (p = 0.001, d = 1.1) and ankle (p = 0.04, d = 0.79). Hip extension strength was positively correlated with trunk flexion (r = 0.559, p = 0.001) and negatively correlated with forward pelvic tilt (r = -0.513, p = 0.003). Females adopted an energy absorption strategy which utilized the distal joints to absorb a larger portion of the landing forces and tended to absorb the forces later in the landing phase relative to males. The greater reliance on distal joints is correlated to reduced hip strength and may increase the risk for sustaining an ACL injury.</p>}},
  author       = {{Romanchuk, Nicholas J. and Del Bel, Michael J. and Benoit, Daniel L.}},
  issn         = {{0021-9290}},
  keywords     = {{Adolescent; Drop-jumps; Energy absorption; Joint strength; Kinematics}},
  language     = {{eng}},
  month        = {{12}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Biomechanics}},
  title        = {{Sex-specific landing biomechanics and energy absorption during unanticipated single-leg drop-jumps in adolescents : implications for knee injury mechanics}},
  url          = {{http://dx.doi.org/10.1016/j.jbiomech.2020.110064}},
  doi          = {{10.1016/j.jbiomech.2020.110064}},
  volume       = {{113}},
  year         = {{2020}},
}