The relationships among sagittal-plane lower extremity moments: Implications for landing strategy in anterior cruciate ligament injury prevention

Yohei Shimokochi, Sae Yong Lee, Sandra J. Shultz, Randy J. Schmitz

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Context: Excessive quadriceps contraction with insufficient hamstrings muscle cocontraction has been shown to be a possible contributing factor for noncontact anterior cruciate ligament (ACL) injuries. Assessing the relationships among lower extremity internal moments may provide some insight into avoiding muscle contraction patterns that increase ACL injury risk. Objective: To examine the relationships of knee-extensor moment with ankle plantar-flexor and hip-extensor moments and to examine the relationship between knee moment and center of pressure as a measure of neuromuscular response to center-of-mass position. Design: Cross-sectional study. Setting: Applied Neuromechanics Research Laboratory. Patients or Other Participants: Eighteen healthy, recrea-tionally active women (age = 22.3 ± 2.8 years, height = 162.5 ± 8.1 cm, mass = 57.8 ± 9.3 kg). Intervention(s): Participants performed a single-leg landing from a 45-cm box onto a force plate. Kinetic and kinematic data were collected. Main Outcome Measure(s): Pearson product moment correlation coefficients were calculated among the net peak knee-extensor moment (KEMpk), sagittal-plane ankle (AM) and hip (HM) net internal moments, and anterior-posterior center of pressure relative to foot center of mass at KEMpk (COP). Results: Lower KEMpk related to both greater AM (r =-0.942, P <.001) and HM (r =-0.657, P =.003). We also found that more anterior displacement of COP was related to greater AM (r =-0.750, P <.001) and lower KEMpk (r = 0.618, P =.006). Conclusions: Our results suggest that participants who lean the whole body forward during landing may produce more plantar-flexor moment and less knee-extensor moment, possibly increasing hip-extensor moment and decreasing knee-extensor moment production. These results suggest that leaning forward may be a technique to decrease quadriceps contraction demand while increasing hamstrings cocontraction demand during a single-leg landing.

Original languageEnglish
Pages (from-to)33-38
Number of pages6
JournalJournal of Athletic Training
Volume44
Issue number1
DOIs
Publication statusPublished - 2009 Jan 1

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Lower Extremity
Knee
Hip
Ankle
Leg
Pressure
Muscle Contraction
Biomechanical Phenomena
Foot
Healthy Volunteers
Cross-Sectional Studies
Outcome Assessment (Health Care)
Anterior Cruciate Ligament Injuries
Research

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

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title = "The relationships among sagittal-plane lower extremity moments: Implications for landing strategy in anterior cruciate ligament injury prevention",
abstract = "Context: Excessive quadriceps contraction with insufficient hamstrings muscle cocontraction has been shown to be a possible contributing factor for noncontact anterior cruciate ligament (ACL) injuries. Assessing the relationships among lower extremity internal moments may provide some insight into avoiding muscle contraction patterns that increase ACL injury risk. Objective: To examine the relationships of knee-extensor moment with ankle plantar-flexor and hip-extensor moments and to examine the relationship between knee moment and center of pressure as a measure of neuromuscular response to center-of-mass position. Design: Cross-sectional study. Setting: Applied Neuromechanics Research Laboratory. Patients or Other Participants: Eighteen healthy, recrea-tionally active women (age = 22.3 ± 2.8 years, height = 162.5 ± 8.1 cm, mass = 57.8 ± 9.3 kg). Intervention(s): Participants performed a single-leg landing from a 45-cm box onto a force plate. Kinetic and kinematic data were collected. Main Outcome Measure(s): Pearson product moment correlation coefficients were calculated among the net peak knee-extensor moment (KEMpk), sagittal-plane ankle (AM) and hip (HM) net internal moments, and anterior-posterior center of pressure relative to foot center of mass at KEMpk (COP). Results: Lower KEMpk related to both greater AM (r =-0.942, P <.001) and HM (r =-0.657, P =.003). We also found that more anterior displacement of COP was related to greater AM (r =-0.750, P <.001) and lower KEMpk (r = 0.618, P =.006). Conclusions: Our results suggest that participants who lean the whole body forward during landing may produce more plantar-flexor moment and less knee-extensor moment, possibly increasing hip-extensor moment and decreasing knee-extensor moment production. These results suggest that leaning forward may be a technique to decrease quadriceps contraction demand while increasing hamstrings cocontraction demand during a single-leg landing.",
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The relationships among sagittal-plane lower extremity moments : Implications for landing strategy in anterior cruciate ligament injury prevention. / Shimokochi, Yohei; Lee, Sae Yong; Shultz, Sandra J.; Schmitz, Randy J.

In: Journal of Athletic Training, Vol. 44, No. 1, 01.01.2009, p. 33-38.

Research output: Contribution to journalArticle

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N2 - Context: Excessive quadriceps contraction with insufficient hamstrings muscle cocontraction has been shown to be a possible contributing factor for noncontact anterior cruciate ligament (ACL) injuries. Assessing the relationships among lower extremity internal moments may provide some insight into avoiding muscle contraction patterns that increase ACL injury risk. Objective: To examine the relationships of knee-extensor moment with ankle plantar-flexor and hip-extensor moments and to examine the relationship between knee moment and center of pressure as a measure of neuromuscular response to center-of-mass position. Design: Cross-sectional study. Setting: Applied Neuromechanics Research Laboratory. Patients or Other Participants: Eighteen healthy, recrea-tionally active women (age = 22.3 ± 2.8 years, height = 162.5 ± 8.1 cm, mass = 57.8 ± 9.3 kg). Intervention(s): Participants performed a single-leg landing from a 45-cm box onto a force plate. Kinetic and kinematic data were collected. Main Outcome Measure(s): Pearson product moment correlation coefficients were calculated among the net peak knee-extensor moment (KEMpk), sagittal-plane ankle (AM) and hip (HM) net internal moments, and anterior-posterior center of pressure relative to foot center of mass at KEMpk (COP). Results: Lower KEMpk related to both greater AM (r =-0.942, P <.001) and HM (r =-0.657, P =.003). We also found that more anterior displacement of COP was related to greater AM (r =-0.750, P <.001) and lower KEMpk (r = 0.618, P =.006). Conclusions: Our results suggest that participants who lean the whole body forward during landing may produce more plantar-flexor moment and less knee-extensor moment, possibly increasing hip-extensor moment and decreasing knee-extensor moment production. These results suggest that leaning forward may be a technique to decrease quadriceps contraction demand while increasing hamstrings cocontraction demand during a single-leg landing.

AB - Context: Excessive quadriceps contraction with insufficient hamstrings muscle cocontraction has been shown to be a possible contributing factor for noncontact anterior cruciate ligament (ACL) injuries. Assessing the relationships among lower extremity internal moments may provide some insight into avoiding muscle contraction patterns that increase ACL injury risk. Objective: To examine the relationships of knee-extensor moment with ankle plantar-flexor and hip-extensor moments and to examine the relationship between knee moment and center of pressure as a measure of neuromuscular response to center-of-mass position. Design: Cross-sectional study. Setting: Applied Neuromechanics Research Laboratory. Patients or Other Participants: Eighteen healthy, recrea-tionally active women (age = 22.3 ± 2.8 years, height = 162.5 ± 8.1 cm, mass = 57.8 ± 9.3 kg). Intervention(s): Participants performed a single-leg landing from a 45-cm box onto a force plate. Kinetic and kinematic data were collected. Main Outcome Measure(s): Pearson product moment correlation coefficients were calculated among the net peak knee-extensor moment (KEMpk), sagittal-plane ankle (AM) and hip (HM) net internal moments, and anterior-posterior center of pressure relative to foot center of mass at KEMpk (COP). Results: Lower KEMpk related to both greater AM (r =-0.942, P <.001) and HM (r =-0.657, P =.003). We also found that more anterior displacement of COP was related to greater AM (r =-0.750, P <.001) and lower KEMpk (r = 0.618, P =.006). Conclusions: Our results suggest that participants who lean the whole body forward during landing may produce more plantar-flexor moment and less knee-extensor moment, possibly increasing hip-extensor moment and decreasing knee-extensor moment production. These results suggest that leaning forward may be a technique to decrease quadriceps contraction demand while increasing hamstrings cocontraction demand during a single-leg landing.

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