Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening
Non-contact anterior cruciate ligament injuries typically occur during cutting maneuvers and are associated with high peak knee abduction moments (KAM) within early stance. To screen athletes for injury risk or quantify the efficacy of prevention programs, it may be necessary to design tasks that mi...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Sports and Active Living |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2022.983888/full |
| _version_ | 1818471163583528960 |
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| author | Patrick Mai Patrick Mai Kevin Bill Katharina Glöckler Mireia Claramunt-Molet Mireia Claramunt-Molet Julia Bartsch Julia Bartsch Mathias Eggerud Anniken Tidemann Pedersen Fredrik Sæland Reidar Bergh Moss Lasse Mausehund Steffen Willwacher Steffen Willwacher Uwe G. Kersting Ola Eriksrud Tron Krosshaug |
| author_facet | Patrick Mai Patrick Mai Kevin Bill Katharina Glöckler Mireia Claramunt-Molet Mireia Claramunt-Molet Julia Bartsch Julia Bartsch Mathias Eggerud Anniken Tidemann Pedersen Fredrik Sæland Reidar Bergh Moss Lasse Mausehund Steffen Willwacher Steffen Willwacher Uwe G. Kersting Ola Eriksrud Tron Krosshaug |
| author_sort | Patrick Mai |
| collection | DOAJ |
| description | Non-contact anterior cruciate ligament injuries typically occur during cutting maneuvers and are associated with high peak knee abduction moments (KAM) within early stance. To screen athletes for injury risk or quantify the efficacy of prevention programs, it may be necessary to design tasks that mimic game situations. Thus, this study compared KAMs and ranking consistency of female handball players in three sport-specific fake-and-cut tasks of increasing complexity. The biomechanics of female handball players (n = 51, mean ± SD: 66.9 ± 7.8 kg, 1.74 ± 0.06 m, 19.2 ± 3.4 years) were recorded with a 3D motion capture system and force plates during three standardized fake-and-cut tasks. Task 1 was designed as a simple pre-planned cut, task 2 included catching a ball before a pre-planned cut in front of a static defender, and task 3 was designed as an unanticipated cut with three dynamic defenders involved. Inverse dynamics were used to calculate peak KAM within the first 100 ms of stance. KAM was decomposed into the frontal plane knee joint moment arm and resultant ground reaction force. RANOVAs (α ≤ 0.05) were used to reveal differences in the KAM magnitudes, moment arm, and resultant ground reaction force for the three tasks. Spearman's rank correlations were calculated to test the ranking consistency of the athletes' KAMs. There was a significant task main effect on KAM (p = 0.02; ηp2 = 0.13). The KAM in the two complex tasks was significantly higher (task 2: 1.73 Nm/kg; task 3: 1.64 Nm/kg) than the KAM in the simplest task (task 1: 1.52 Nm/kg). The ranking of the peak KAM was consistent regardless of the task complexity. Comparing tasks 1 and 2, an increase in KAM resulted from an increased frontal plane moment arm. Comparing tasks 1 and 3, higher KAM in task 3 resulted from an interplay between both moment arm and the resultant ground reaction force. In contrast to previous studies, unanticipated cutting maneuvers did not produce the highest KAMs. These findings indicate that the players have developed an automated sport-specific cutting technique that is utilized in both pre-planned and unanticipated fake-and-cut tasks. |
| first_indexed | 2024-04-13T21:47:04Z |
| format | Article |
| id | doaj.art-4844b254abe447e7bd13422d92138642 |
| institution | Directory Open Access Journal |
| issn | 2624-9367 |
| language | English |
| last_indexed | 2024-04-13T21:47:04Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Sports and Active Living |
| spelling | doaj.art-4844b254abe447e7bd13422d921386422022-12-22T02:28:31ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672022-11-01410.3389/fspor.2022.983888983888Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screeningPatrick Mai0Patrick Mai1Kevin Bill2Katharina Glöckler3Mireia Claramunt-Molet4Mireia Claramunt-Molet5Julia Bartsch6Julia Bartsch7Mathias Eggerud8Anniken Tidemann Pedersen9Fredrik Sæland10Reidar Bergh Moss11Lasse Mausehund12Steffen Willwacher13Steffen Willwacher14Uwe G. Kersting15Ola Eriksrud16Tron Krosshaug17Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, GermanyDepartment of Mechanical and Process Engineering, Offenburg University, Offenburg, GermanyInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, GermanyInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, GermanyDigital Health Unit, Eurecat Centre Tecnològic de Catalunya, Barcelona, SpainBiomechanical Engineering Lab, Universitat Politècnica de Catalunya, Barcelona, SpainDepartment of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, NorwayDepartment of Sport Science, University of Konstanz, Konstanz, GermanyDepartment of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, NorwayDepartment of Physical Performance, Norwegian School of Sports Sciences, Oslo, NorwayDepartment of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, NorwayDepartment of Physical Performance, Norwegian School of Sports Sciences, Oslo, NorwayDepartment of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, NorwayInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, GermanyDepartment of Mechanical and Process Engineering, Offenburg University, Offenburg, GermanyInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, GermanyDepartment of Physical Performance, Norwegian School of Sports Sciences, Oslo, NorwayDepartment of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, NorwayNon-contact anterior cruciate ligament injuries typically occur during cutting maneuvers and are associated with high peak knee abduction moments (KAM) within early stance. To screen athletes for injury risk or quantify the efficacy of prevention programs, it may be necessary to design tasks that mimic game situations. Thus, this study compared KAMs and ranking consistency of female handball players in three sport-specific fake-and-cut tasks of increasing complexity. The biomechanics of female handball players (n = 51, mean ± SD: 66.9 ± 7.8 kg, 1.74 ± 0.06 m, 19.2 ± 3.4 years) were recorded with a 3D motion capture system and force plates during three standardized fake-and-cut tasks. Task 1 was designed as a simple pre-planned cut, task 2 included catching a ball before a pre-planned cut in front of a static defender, and task 3 was designed as an unanticipated cut with three dynamic defenders involved. Inverse dynamics were used to calculate peak KAM within the first 100 ms of stance. KAM was decomposed into the frontal plane knee joint moment arm and resultant ground reaction force. RANOVAs (α ≤ 0.05) were used to reveal differences in the KAM magnitudes, moment arm, and resultant ground reaction force for the three tasks. Spearman's rank correlations were calculated to test the ranking consistency of the athletes' KAMs. There was a significant task main effect on KAM (p = 0.02; ηp2 = 0.13). The KAM in the two complex tasks was significantly higher (task 2: 1.73 Nm/kg; task 3: 1.64 Nm/kg) than the KAM in the simplest task (task 1: 1.52 Nm/kg). The ranking of the peak KAM was consistent regardless of the task complexity. Comparing tasks 1 and 2, an increase in KAM resulted from an increased frontal plane moment arm. Comparing tasks 1 and 3, higher KAM in task 3 resulted from an interplay between both moment arm and the resultant ground reaction force. In contrast to previous studies, unanticipated cutting maneuvers did not produce the highest KAMs. These findings indicate that the players have developed an automated sport-specific cutting technique that is utilized in both pre-planned and unanticipated fake-and-cut tasks.https://www.frontiersin.org/articles/10.3389/fspor.2022.983888/fullanterior cruciate ligamentjoint loadingsports medicineinverse dynamicschange of directioncutting |
| spellingShingle | Patrick Mai Patrick Mai Kevin Bill Katharina Glöckler Mireia Claramunt-Molet Mireia Claramunt-Molet Julia Bartsch Julia Bartsch Mathias Eggerud Anniken Tidemann Pedersen Fredrik Sæland Reidar Bergh Moss Lasse Mausehund Steffen Willwacher Steffen Willwacher Uwe G. Kersting Ola Eriksrud Tron Krosshaug Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening Frontiers in Sports and Active Living anterior cruciate ligament joint loading sports medicine inverse dynamics change of direction cutting |
| title | Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening |
| title_full | Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening |
| title_fullStr | Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening |
| title_full_unstemmed | Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening |
| title_short | Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening |
| title_sort | unanticipated fake and cut maneuvers do not increase knee abduction moments in sport specific tasks implication for acl injury prevention and risk screening |
| topic | anterior cruciate ligament joint loading sports medicine inverse dynamics change of direction cutting |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2022.983888/full |
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