TY - JOUR

T1 - Biomechanical and neuromuscular comparison of single- and multi-planar jump tests and a side-cutting maneuver

T2 - Implications for ACL injury risk assessment

AU - Nedergaard, Niels Jensby

AU - Dalbø, Sanna

AU - Petersen, Sus Vindberg

AU - Zebis, Mette Kreutzfeldt

AU - Bencke, Jesper

N1 - Copyright © 2019 Elsevier B.V. All rights reserved.

PY - 2020/3

Y1 - 2020/3

N2 - BACKGROUND: Non-contact anterior cruciate ligament (ACL) injuries are a major problem among adolescent female soccer and handball players. Therefore, the aim of this study was to examine if known biomechanical and neuromuscular ACL injury risk factors obtained from single-planar jump-landings and multi-planar side-jumps can resemble the demands of side-cutting maneuvers, a known high-risk ACL injury movement for this population.METHODS: Twenty-four female soccer and handball players (mean ± SD: age: 17 ± 1 year; height: 172 ± 66 cm; mass: 67 ± 9 kg) performed a series of functional tasks including two single-planar jump-landings, two multi-planar side-jumps and a sports-specific side-cutting maneuver on their dominant leg. Frontal and sagittal plane knee and hip joint kinematics and kinetics were calculated from three-dimensional motion analysis, whereas hamstring and quadriceps muscle pre-activity levels were measured with surface electromyography.RESULTS: The sports-specific side-cut was distinguished by more knee flexion at initial contact, greater abduction angles and external knee abduction moments, higher biceps femoris and semitendinosus muscle pre-activity levels than both the single-planar jump-landings and multi-planar side-jumps (p < .05). Whilst, poor-to-strong spearman rank correlation coefficients inconsistently were found for the biomechanical and neuromuscular ACL injury risk factors explored between the side-cut and the single-planar jump-landings (rs = 0.01-0.78) and multi-planar side-jumps (rs = 0.03-0.88) respectively.CONCLUSION: Single-planar jump-landings and multi-planar side-jumps should be used with caution to test for non-contact ACL injury risk factors in adolescent female soccer and handball players, because they do not mimic the biomechanical nor neuromuscular demands of the most frequent injury situation.

AB - BACKGROUND: Non-contact anterior cruciate ligament (ACL) injuries are a major problem among adolescent female soccer and handball players. Therefore, the aim of this study was to examine if known biomechanical and neuromuscular ACL injury risk factors obtained from single-planar jump-landings and multi-planar side-jumps can resemble the demands of side-cutting maneuvers, a known high-risk ACL injury movement for this population.METHODS: Twenty-four female soccer and handball players (mean ± SD: age: 17 ± 1 year; height: 172 ± 66 cm; mass: 67 ± 9 kg) performed a series of functional tasks including two single-planar jump-landings, two multi-planar side-jumps and a sports-specific side-cutting maneuver on their dominant leg. Frontal and sagittal plane knee and hip joint kinematics and kinetics were calculated from three-dimensional motion analysis, whereas hamstring and quadriceps muscle pre-activity levels were measured with surface electromyography.RESULTS: The sports-specific side-cut was distinguished by more knee flexion at initial contact, greater abduction angles and external knee abduction moments, higher biceps femoris and semitendinosus muscle pre-activity levels than both the single-planar jump-landings and multi-planar side-jumps (p < .05). Whilst, poor-to-strong spearman rank correlation coefficients inconsistently were found for the biomechanical and neuromuscular ACL injury risk factors explored between the side-cut and the single-planar jump-landings (rs = 0.01-0.78) and multi-planar side-jumps (rs = 0.03-0.88) respectively.CONCLUSION: Single-planar jump-landings and multi-planar side-jumps should be used with caution to test for non-contact ACL injury risk factors in adolescent female soccer and handball players, because they do not mimic the biomechanical nor neuromuscular demands of the most frequent injury situation.

KW - Adolescent females

KW - Anterior cruciate ligament

KW - Drop jumps

KW - Injury screening

UR - http://www.scopus.com/inward/record.url?scp=85077164759&partnerID=8YFLogxK

U2 - 10.1016/j.knee.2019.10.022

DO - 10.1016/j.knee.2019.10.022

M3 - Journal article

C2 - 31889614

VL - 27

SP - 324

EP - 333

JO - Knee

JF - Knee

SN - 0968-0160

IS - 2

ER -