Document Detail


Cruciate ligament forces between short-step and long-step forward lunge.
MedLine Citation:
PMID:  20195182     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to compare cruciate ligament forces between the forward lunge with a short step (forward lunge short) and the forward lunge with a long step (forward lunge long).
METHODS: Eighteen subjects used their 12-repetition maximum weight while performing the forward lunge short and long with and without a stride. EMG, force, and kinematic variables were input into a biomechanical model using optimization, and cruciate ligament forces were calculated as a function of knee angle. A two-factor repeated-measure ANOVA was used with a Bonferroni adjustment (P < 0.0025) to assess differences in cruciate forces between lunging techniques.
RESULTS: Mean posterior cruciate ligament (PCL) forces (69-765 N range) were significantly greater (P < 0.001) in the forward lunge long compared with the forward lunge short between 0 degrees and 80 degrees knee flexion angles. Mean PCL forces (86-691 N range) were significantly greater (P < 0.001) without a stride compared with those with a stride between 0 degrees and 20 degrees knee flexion angles. Mean anterior cruciate ligament (ACL) forces were generated (0-50 N range between 0 degrees and 10 degrees knee flexion angles) only in the forward lunge short with stride.
CONCLUSIONS: All lunge variations appear appropriate and safe during ACL rehabilitation because of minimal ACL loading. ACL loading occurred only in the forward lunge short with stride. Clinicians should be cautious in prescribing forward lunge exercises during early phases of PCL rehabilitation, especially at higher knee flexion angles and during the forward lunge long, which generated the highest PCL forces. Understanding how varying lunging techniques affect cruciate ligament loading may help clinicians prescribe lunging exercises in a safe manner during ACL and PCL rehabilitation.
Authors:
Rafael F Escamilla; Naiquan Zheng; Toran D Macleod; Rodney Imamura; W Brent Edwards; Alan Hreljac; Glenn S Fleisig; Kevin E Wilk; Claude T Moorman; Lonnie Paulos; James R Andrews
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  42     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1932-42     Citation Subset:  IM; S    
Affiliation:
Andrews-Paulos Research and Education Institute, Gulf Breeze, FL 32561, USA. rescamil@csus.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / injuries,  physiology*
Biomechanics
Female
Humans
Knee / physiology*
Knee Injuries / rehabilitation
Male
Posterior Cruciate Ligament / injuries,  physiology*
Range of Motion, Articular / physiology
Tibia / physiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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