Document Detail


Knee biomechanics during a jump-cut maneuver: effects of sex and ACL surgery.
MedLine Citation:
PMID:  23190595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to compare kinetic and knee kinematic measurements from male and female anterior cruciate ligament (ACL)-intact (ACLINT) and ACL-reconstructed (ACLREC) subjects during a jump-cut maneuver using biplanar videoradiography.
METHODS: Twenty subjects were recruited; 10 ACLINT (5 men and 5 women) and 10 ACLREC (4 men and 6 women, 5 yr postsurgery). Each subject performed a jump-cut maneuver by landing on a single leg and performing a 45° side-step cut. Ground reaction force (GRF) was measured by a force plate and expressed relative to body weight. Six-degree-of-freedom knee kinematics were determined from a biplanar videoradiography system and an optical motion capture system.
RESULTS: ACLINT female subjects landed with a larger peak vertical GRF (P < 0.001) compared with ACLINT male subjects. ACLINT subjects landed with a larger peak vertical GRF (P ≤ 0.036) compared with ACLREC subjects. Regardless of ACL reconstruction status, female subjects underwent less knee flexion angle excursion (P = 0.002) and had an increased average rate of anterior tibial translation (0.05%·ms ± 0.01%·ms, P = 0.037) after contact compared with male subjects. Furthermore, ACLREC subjects had a lower rate of anterior tibial translation compared with ACLINT subjects (0.05%·ms ± 0.01%·ms, P = 0.035). Finally, no striking differences were observed in other knee motion parameters.
CONCLUSION: Women permit a smaller amount of knee flexion angle excursion during a jump-cut maneuver, resulting in a larger peak vertical GRF and increased rate of anterior tibial translation. Notably, ACLREC subjects also perform the jump cut maneuver with lower GRF than ACLINT subjects 5 yr postsurgery. This study proposes a causal sequence whereby increased landing stiffness (larger peak vertical GRF combined with less knee flexion angle excursion) leads to an increased rate of anterior tibial translation while performing a jump-cut maneuver.
Authors:
Daniel L Miranda; Paul D Fadale; Michael J Hulstyn; Robert M Shalvoy; Jason T Machan; Braden C Fleming
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  45     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-19     Completed Date:  2014-02-04     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  942-51     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament Reconstruction*
Female
Humans
Image Processing, Computer-Assisted
Knee Injuries / physiopathology
Knee Joint / physiology*,  physiopathology
Male
Movement / physiology*
Sex Factors
Tibia / physiology,  physiopathology
Young Adult
Grant Support
ID/Acronym/Agency:
2P20-GM104937/GM/NIGMS NIH HHS; 2R01 AR047910/AR/NIAMS NIH HHS; P20 RR024484/RR/NCRR NIH HHS; R01 AR047910/AR/NIAMS NIH HHS
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