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Changing sagittal plane body position during single-leg landings influences the risk of non-contact anterior cruciate ligament injury

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To examine the effects of different sagittal plane body positions during single-leg landings on biomechanics and muscle activation parameters associated with risk for anterior cruciate ligament (ACL) injury.

Methods

Twenty participants performed single-leg drop landings onto a force plate using the following landing styles: self-selected, leaning forward (LFL) and upright (URL). Lower extremity and trunk 3D biomechanics and lower extremity muscle activities were recorded using motion analysis and surface electromyography, respectively. Differences in landing styles were examined using 2-way Repeated-measures ANOVAs (sex × landing conditions) followed by Bonferroni pairwise comparisons.

Results

Participants demonstrated greater peak vertical ground reaction force, greater peak knee extensor moment, lesser plantar flexion, lesser or no hip extensor moments, and lesser medial and lateral gastrocnemius and lateral quadriceps muscle activations during URL than during LFL. These modifications of lower extremity biomechanics across landing conditions were similar between men and women.

Conclusions

Leaning forward while landing appears to protect the ACL by increasing the shock absorption capacity and knee flexion angles and decreasing anterior shear force due to the knee joint compression force and quadriceps muscle activation. Conversely, landing upright appears to be ACL harmful by increasing the post-impact force of landing and quadriceps muscle activity while decreasing knee flexion angles, all of which lead to a greater tibial anterior shear force and ACL loading. ACL injury prevention programmes should include exercise regimens to improve sagittal plane body position control during landing motions.

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Acknowledgments

These data were collected during a funded appointment supported by NIH-NIAMS Grant R01- AR53172.

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Authors and Affiliations

  1. Sports Medicine Research Laboratory, Department of Health and Sport Management, School of Health and Sport Sciences, Osaka University of Health and Sport Sciences, 1-1 Asashirodai, Kumatori-cho, Sennan-gun, Osaka, 590-0496, Japan

    Yohei Shimokochi

  2. Sports Medicine Assessment Research and Testing Laboratory, George Mason University, Manassas, VA, USA

    Jatin P. Ambegaonkar

  3. Experimental Biomechanics Laboratory, Biomedical Engineering, Lawrence Technological University, Southfield, MI, USA

    Eric G. Meyer

  4. Department of Physical Education, Yonsei University, Seoul, Korea

    Sae Yong Lee

  5. Applied Neuromechanics Research Laboratory, Department of Kinesiology, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC, USA

    Sandra J. Shultz

Authors
  1. Yohei Shimokochi
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  2. Jatin P. Ambegaonkar
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  3. Eric G. Meyer
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  4. Sae Yong Lee
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  5. Sandra J. Shultz
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Correspondence to Yohei Shimokochi.

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Shimokochi, Y., Ambegaonkar, J.P., Meyer, E.G. et al. Changing sagittal plane body position during single-leg landings influences the risk of non-contact anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc 21, 888–897 (2013). https://doi.org/10.1007/s00167-012-2011-9

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  • DOI: https://doi.org/10.1007/s00167-012-2011-9

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