Biomechanical Studies on ACL Injury Risk Factor During Cutting; Utilizing the Point Cluster Technique

  • Yasuharu Nagano
  • Hirofumi Ida
  • Hideyuki Ishii
  • Toru Fukubayashi

Abstract

The purpose of this paper is to clarify gender specific differences in strategies adopted by athletes during a cutting maneuver, based on results of recent research. The experimental task selected for detection of the risk of an injury to the anterior cruciate ligament (ACL) during a cutting maneuver should also involve trunk control. An example of such a task is shuttle run cutting. Trunk control during this task can then be analyzed. Important factors for understanding the strategy adopted by female athletes during a cutting maneuver involve gender differences in trunk and knee kinematics and kinetics, and the athlete’s reaction to instruction. Both posture and reaction to instruction in female athletes during the cutting maneuver differ from those of their male counterparts. To decrease the risk of ACL injury, trunk position during the cutting task should be screened for forward and lateral inclination. A forward inclination of the trunk in female athletes can be achieved by improving hip and trunk muscle activity.

Keywords

Gender difference Biomechanics Performance Injury Anterior Cruciate ligament injury 

Notes

Acknowledgements

This research was supported by JSPS KAKENHI Grant Number 23700786. The authors thank Sayumi Iwamoto, Toyo University, for providing an opportunity to perform the measurements.

Conflict of Interest Statement

No author of this manuscript has any conflict of interest.

References

  1. Agel J, Arendt EA, Bershadsky B (2005) Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 33:524–530PubMedCrossRefGoogle Scholar
  2. Andriacchi TP, Alexander EJ, Toney MK, Dyrby C, Sum J (1998) A point cluster method for in vivo motion analysis: applied to a study of knee kinematics. J Biomech Eng 120:743–749PubMedCrossRefGoogle Scholar
  3. Bloomfield J, Polman R, O’Donoghue P (2007) Physical demands of different positions in FA Premier League soccer. J Sports Sci Med 6:63–70PubMedCentralPubMedCrossRefGoogle Scholar
  4. Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578PubMedGoogle Scholar
  5. Boden BP, Torg JS, Knowles SB, Hewett TE (2009) Video analysis of anterior cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med 37:252–259PubMedCrossRefGoogle Scholar
  6. Brown TN, Palmieri-Smith RM, McLean SG (2009) Sex and limb differences in hip and knee kinematics and kinetics during anticipated and unanticipated jump landings: implications for anterior cruciate ligament injury. Br J Sports Med 43:1049–1056PubMedCrossRefGoogle Scholar
  7. Ford KR, Myer GD, Toms HE, Hewett TE (2005) Gender differences in the kinematics of unanticipated cutting in young athletes. Med Sci Sports Exerc 37:124–129PubMedCrossRefGoogle Scholar
  8. Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ et al (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. Am J Sports Med 33:492–501PubMedCrossRefGoogle Scholar
  9. Hewett TE, Torg JS, Boden BP (2009) Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med 43:417–422PubMedCentralPubMedCrossRefGoogle Scholar
  10. Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007a) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated run and crosscut maneuver. Am J Sports Med 35:1901–1911PubMedCrossRefGoogle Scholar
  11. Landry SC, McKean KA, Hubley-Kozey CL, Stanish WD, Deluzio KJ (2007b) Neuromuscular and lower limb biomechanical differences exist between male and female elite adolescent soccer players during an unanticipated side-cut maneuver. Am J Sports Med 35:1888–1900PubMedCrossRefGoogle Scholar
  12. Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE (2001) A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech (Bristol, Avon) 16:438–445CrossRefGoogle Scholar
  13. McLean SG, Neal RJ, Myers PT, Walters MR (1999) Knee joint kinematics during the sidestep cutting maneuver: potential for injury in women. Med Sci Sports Exerc 31:959–968PubMedCrossRefGoogle Scholar
  14. McLean SG, Lipfert SW, van den Bogert AJ (2004) Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Med Sci Sports Exerc 36:1008–1016PubMedCrossRefGoogle Scholar
  15. McLean SG, Walker KB, van den Bogert AJ (2005a) Effect of gender on lower extremity kinematics during rapid direction changes: an integrated analysis of three sports movements. J Sci Med Sport 8:411–422PubMedCrossRefGoogle Scholar
  16. McLean SG, Huang X, van den Bogert AJ (2005b) Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech (Bristol, Avon) 20:863–870CrossRefGoogle Scholar
  17. Nagano Y, Ida H, Akai M, Fukubayashi T (2011a) Relationship between three-dimensional kinematics of knee and trunk motion during shuttle run cutting. J Sports Sci 29:1525–1534PubMedCrossRefGoogle Scholar
  18. Nagano Y, Ishii H, Iwamoto S, Ida H, Akai M et al (2011b) Gender differences of lower limb kinematics and kinetics during shuttle run cutting with the instruction of trunk forward inclination. Jpn J Phys Fitness Sports Med 60:823Google Scholar
  19. Pollard CD, Davis IM, Hamill J (2004) Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver. Clin Biomech (Bristol, Avon) 19:1022–1031CrossRefGoogle Scholar
  20. Pollard CD, Sigward SM, Ota S, Langford K, Powers CM (2006) The influence of in-season injury prevention training on lower-extremity kinematics during landing in female soccer players. Clin J Sport Med 16:223–227PubMedCrossRefGoogle Scholar
  21. Sheehan FT, Sipprell WH 3rd, Boden BP (2012) Dynamic sagittal plane trunk control during anterior cruciate ligament injury. Am J Sports Med 40:1068–1074PubMedCentralPubMedCrossRefGoogle Scholar
  22. Sigward SM, Powers CM (2006) The influence of gender on knee kinematics, kinetics and muscle activation patterns during side-step cutting. Clin Biomech (Bristol, Avon) 21:41–48CrossRefGoogle Scholar
  23. Sigward SM, Powers CM (2007) Loading characteristics of females exhibiting excessive valgus moments during cutting. Clin Biomech (Bristol, Avon) 22:827–833CrossRefGoogle Scholar

Copyright information

© Springer Japan 2015

Authors and Affiliations

  • Yasuharu Nagano
    • 1
  • Hirofumi Ida
    • 2
  • Hideyuki Ishii
    • 3
  • Toru Fukubayashi
    • 4
  1. 1.Japan Women’s College of Physical EducationTokyoJapan
  2. 2.Jobu UniversityGunmaJapan
  3. 3.Rikkyo UniversitySaitamaJapan
  4. 4.Faculty of Sport SciencesWaseda UniversitySaitamaJapan

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