Single-Joint and Whole-Body Movement Changes in Anterior Cruciate Ligament Athletes Returning to Sport.
Anterior Cruciate Ligament Injuries
/ physiopathology
Anterior Cruciate Ligament Reconstruction
Biomechanical Phenomena
Female
Hip Joint
/ physiology
Humans
Joints
/ physiology
Knee Joint
/ physiology
Lower Extremity
/ physiology
Male
Movement
Muscle, Skeletal
/ physiology
Pelvis
/ physiology
Principal Component Analysis
Return to Sport
Thorax
/ physiology
Young Adult
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
pubmed:
23
2
2020
medline:
2
2
2021
entrez:
22
2
2020
Statut:
ppublish
Résumé
Athletes returning to sport after anterior cruciate ligament reconstruction (ACLR) demonstrate prolonged changes in landing kinematics, kinetics, and muscle activation, predisposing them for reinjury, knee osteoarthritis, and/or knee instability. So far, researchers have been focusing on how kinematics and kinetics change in every joint separately. However, as the human body operates within a kinetic chain, we will assess whether single-joint changes are associated with whole-body changes. Twenty-one athletes who had an ACLR and 21 uninjured controls performed five unilateral landing tasks, whereas lower limb kinematics, kinetics, and muscle activations of vastus medialis, vastus lateralis, biceps femoris, semitendinosus, semimembranosus, gastrocnemius, and gluteus medius were recorded. Single-joint landing kinematics, kinetics, and muscle activations of the ACL-injured leg were compared with the uninjured leg and compared with the control group. Whole-body changes were assessed by decomposing movements into fundamental components using marker-based principal component analysis (PCA). We found several single-joint changes in landing kinematics, kinetics, and muscle activations in the athletes with ACLR that were seen across all tasks and therefore of major interest as they are likely to occur during sports as well. Hamstrings activation increased and external knee flexion moments decreased in the ACL-injured leg compared with their uninjured leg. Furthermore, hip adduction moments and knee abduction angles decreased compared with the control group. The PCA could detect changes in whole-body movement, which were task-specific. Athletes with ACLR still show protective task-independent single-joint kinematic, kinetic, and muscle activation changes during single-leg landings at the time of return to sport. These single-joint changes were not consistently accompanied by changes in whole-body movements (revealed by marker-based PCA). Whole-body expressions of the single-joint compensations are likely to be affected by the demands of the task.
Identifiants
pubmed: 32079913
doi: 10.1249/MSS.0000000000002308
pii: 00005768-202008000-00003
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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