Estimating Knee Joint Reaction Force Using Five Basic Motor Tests

Document Type : Research Paper

Authors

1 Ph.D,, Department of Sport Injury and Corrective Exercise, School of Physical Education and Sports Sciences, University of Isfahan, Isfahan, Iran

2 Associate Professor of Pathology and Reformation Department, Faculty of Physical Education and Sport Sciences, Isfahan University, Isfahan, Iran

3 School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of Sport Injuries and Corrective Exercises, Faculty of Exercise Sciences, University of Tehran, Tehran, Iran

Abstract

Background and Aim: Evaluation of functional movements is a motor assessment method for identifying risk factors and detecting injuries. Therefore, the purpose of the present study was to determine the factors that are more critical in estimating knee joint reaction force. Materials and Methods: The study sample consisted of 40 boys aged 18-25 years who were selected according to the percentage rank of functional movement screening test. Their age, height and weight were 21.88±2.94 years, 179.57±7.71 cm and 72.67±11.85 kg, respectively. Landing in the laboratory was recorded using a motion capture system for subject and scored based on the landing error scoring system. Then the knee joint reaction force was calculated using OpenSim software. Subjects’ scores were also recorded on the single leg squat, Y Balance and Landing Error Scoring System- Real Time tests. Multiple regression analysis was used to determine the factors that have the most decisive role in estimating knee joint reaction force.
Results: The results showed that landing error scoring system significantly (ADJR2 = 0.91, p≤0.000) predicts knee joint reaction force.
Conclusion: jumping technique is the most important indicator for the knee joint reaction force in the studied age group. Therefore, the score of LESS test or in fact the jumping technique can be used to estimate the knee reaction force and thus predict the landing injury.

Keywords


Adouni, M., & Shirazi-Adl, A. (2013). “Consideration of equilibrium equations at the hip joint alongside those at the knee and ankle joints has mixed effects on knee joint response during gait”, Journal of biomechanics, 46(3), 619-624.
Afonso, M. P. (2015). Modelling the gait of healthy and post-stroke individuals.
Ali, N., Robertson, D. G. E., & Rouhi, G. (2014). “Sagittal plane body kinematics and kinetics during single-leg landing from increasing vertical heights and horizontal distances: Implications for risk of non-contact ACL injury”. The Knee, 21(1), 38-46.
Andrews, M., Noyes, F. R., Hewett, T. E., & Andriacchi, T. P. (1996). “Lower limb alignment and foot angle are related to stance phase knee adduction in normal subjects: a critical analysis of the reliability of gait analysis data”, Journal of orthopaedic research, 14(2), 289-295.
Andriacchi, T. P. (1994). “Dynamics of knee malalignment”, The Orthopedic clinics of North America, 25(3), 395-403.
Araujo, S., Cohen, D., & Hayes, L. (2015). “Six weeks of core stability training improves landing kinetics among female capoeira athletes: a pilot study”, Journal of human kinetics, 45(1), 27-37.
Bates, N. A., Ford, K. R., Myer, G. D., & Hewett, T. E. (2013). “Timing differences in the generation of ground reaction forces between the initial and secondary landing phases of the drop vertical jump”, Clinical biomechanics, 28(7), 796-799.
Bell, D. R., Smith, M. D., Pennuto, A. P., Stiffler, M. R., & Olson, M. E. (2014). “Jump-landing mechanics after anterior cruciate ligament reconstruction: a landing error scoring system study”, Journal of athletic training, 49(4), 435-441.
Chao, E., Neluheni, E., Hsu, R., & Paley, D. (1994). “Biomechanics of malalignment”. The Orthopedic clinics of North America, 25(3), 379-386.
Chappell, J. D., Herman, D. C., Knight, B. S., Kirkendall, D. T., Garrett, W. E., & Yu, B. (2005). “Effect of fatigue on knee kinetics and kinematics in stop-jump tasks”. The American journal of sports medicine, 33(7), 1022-1029.
Chappell, J. D., Yu, B., Kirkendall, D. T., & Garrett, W. E. (2002). “A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks”, The American journal of sports medicine, 30(2), 261-267.
Chimera, N. J., Smith, C. A., & Warren, M. (2015). “Injury history, sex, and performance on the functional movement screen and Y balance test”, Journal of athletic training, 50(5), 475-485.
Clark, M. A. (2011). NASM Essentials of Corrective Exercise Training.
Cook, G. (2010). Movement: Functional Movement Systems: Screening, Assessment and Corrective Strategies. California.
Cook, G., Burton, L., Kiesel, K., Bryant, M., & Torine, J. (2010). Movement: functional movement systems: screening, assessment, and corrective strategies (Vol. 24): On Target Publications Aptos, CA.
Dallinga, J. M., Benjaminse, A., & Lemmink, K. A. (2012). “Which screening tools can predict injury to the lower extremities in team sports?” Sports medicine, 42(9), 791-815.
De Wit, B., De Clercq, D., & Lenoir, M. (1995). “The effect of varying midsole hardness on impact forces and foot motion during foot contact in running”, Journal of applied biomechanics, 11(4), 395-406.
Decker, M. J., Torry, M. R., Wyland, D. J., Sterett, W. I., & Steadman, J. R. (2003). “Gender differences in lower extremity kinematics, kinetics and energy absorption during landing”, Clinical biomechanics, 18(7), 662-669.
Delp, S. L., Anderson, F. C., Arnold, A. S., Loan, P., Habib, A., John, C. T., ... Thelen, D. G. (2007). “OpenSim: open-source software to create and analyze dynamic simulations of movement”, IEEE transactions on biomedical engineering, 54(11), 1940-1950.
Devita, P., & Skelly, W. A. (1992). “Effect of landing stiffness on joint kinetics and energetics in the lower extremity”, Med Sci Sports Exerc, 24(1), 108-115.
Donnelly, C. J., Lloyd, D. G., Elliott, B. C., & Reinbolt, J. A. (2012). “Optimizing whole-body kinematics to minimize valgus knee loading during sidestepping: implications for ACL injury risk”, Journal of biomechanics, 45(8), 1491-1497.
Dufek, J. S., & Bates, B. T. (1991). “Biomechanical factors associated with injury during landing in jump sports”, Sports medicine, 12(5), 326-337.
Ebben, R. L. J. a. W. P. (2005). Ground and knee joint reaction forces during variations of plyometric exercises.
Ford, K. R., Myer, G. D., & Hewett, T. E. (2003). “Valgus knee motion during landing in high school female and male basketball players”. Medicine & Science in Sports & Exercise, 35(10), 1745-1750.
Gribble, P. A., Mitterholzer, J., & Myers, A. N. (2012). “Normalizing considerations for time to stabilization assessment”, Journal of science and medicine in sport, 15(2), 159-163.
Hargrave, M. D., Carcia, C. R., Gansneder, B. M., & Shultz, S. J. (2003). “Subtalar pronation does not influence impact forces or rate of loading during a single-leg landing”, Journal of athletic training, 38(1), 18.
Harrison, R. N., Lees, A., McCullagh, P. J., & Rowe, W. B. (1986). “A bioengineering analysis of human muscle and joint forces in the lower limbs during running”, Journal of sports sciences, 4(3), 201-218.
Homan, K. J., Norcross, M. F., Goerger, B. M., Prentice, W. E., & Blackburn, J. T. (2013). “The influence of hip strength on gluteal activity and lower extremity kinematics”, Journal of Electromyography and Kinesiology, 23(2), 411-415.
Hunt, M. A., & Bennell, K. L. (2011). “Predicting dynamic knee joint load with clinical measures in people with medial knee osteoarthritis”, The Knee, 18(4), 231-234.
Iida, Y., Kanehisa, H., Inaba, Y., & Nakazawa, K. (2011). “Activity modulations of trunk and lower limb muscles during impact-absorbing landing”, Journal of Electromyography and Kinesiology, 21(4), 602-609.
Kaufman, K. R., An, K.-N., Litchy, W. J., Morrey, B. F., & Chao, E. Y. (1991). “Dynamic joint forces during knee isokinetic exercise”, The American journal of sports medicine, 19(3), 305-316.
Kiesel, K., Plisky, P. J., & Voight, M. L. (2007). “Can serious injury in professional football be predicted by a preseason functional movement screen”, N Am J Sports Phys Ther, 2(3), 147-158.
Kraus, K., Schutz, E., Taylor, W. R., & Doyscher, R. (2014). “Efficacy of the functional movement screen: a review”, The Journal of Strength & Conditioning Research, 28(12), 3571-3584.
Louw, Q., & Grimmer, K. (2006). “Biomechanical factors associated with the risk of knee injury when landing from a jump”, South African Journal of Sports Medicine, 18(1), 18-23.
Marouane, H., Shirazi-Adl, A., & Hashemi, J. (2015). “Quantification of the role of tibial posterior slope in knee joint mechanics and ACL force in simulated gait”, Journal of biomechanics, 48(10), 1899-1905.
McNair, P. J., Prapavessis, H., & Callender, K. (2000). “Decreasing landing forces: effect of instruction”, British journal of sports medicine, 34(4), 293-296.
McNair, P., Marshall, R., & Matheson, J. (1990). “Important features associated with acute anterior cruciate ligament injury”, The New Zealand Medical Journal, 103(901), 537-539.
Mizrahi, J., & Susak, Z. (1982). “Analysis of parameters affecting impact force attenuation during landing in human vertical free fall”, Engineering in Medicine, 11(3), 141-147.
Olsen, O.-E., Myklebust, G., Engebretsen, L., & Bahr, R. (2004). “Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis”, The American journal of sports medicine, 32(4), 1002-1012.
Padua, D. A., Boling, M. C., DiStefano, L. J., Onate, J. A., Beutler, A. I., & Marshall, S. W. (2011). “Reliability of the landing error scoring system-real time, a clinical assessment tool of jump-landing biomechanics”, Journal of Sport Rehabilitation, 20(2), 145-156.
Padua, D. A., DiStefano, L. J., Beutler, A. I., De La Motte, S. J., DiStefano, M. J., & Marshall, S. W. (2015). “The Landing Error Scoring System as a screening tool for an anterior cruciate ligament injury-prevention program in elite-youth soccer athletes”, Journal of athletic training, 50(6), 589-595.
Plisky, P. J., Gorman, P. P., Butler, R. J., Kiesel, K. B., Underwood, F. B., & Elkins, B. (2009). “The reliability of an instrumented device for measuring components of the star excursion balance test”, North American journal of sports physical therapy: NAJSPT, 4(2), 92.
Pohl, M. B., Patel, C., Wiley, J. P., & Ferber, R. (2013). “Gait biomechanics and hip muscular strength in patients with patellofemoral osteoarthritis”, Gait & posture, 37(3), 440-444.
Pollard, C. D., Sigward, S. M., & Powers, C. M. (2010). “Limited hip and knee flexion during landing is associated with increased frontal plane knee motion and moments”, Clinical biomechanics, 25(2), 142-146.
Reilly, D. T., & Martens, M. (1972). “Experimental analysis of the quadriceps muscle force and patello-femoral joint reaction force for various activities”, Acta Orthopaedica Scandinavica, 43(2), 126-137.
Santana, J. C. (2016). Functional Training: human Kinetics.
Schmitz, A. (2008). Accuracy of Six Degree of Freedom joint kinematics and kinetic measures during normal and pathological gait: a simulation study. University of Wisconsin-Madison,        
Seth, A., Hicks, J. L., Uchida, T. K., Habib, A., Dembia, C. L., Dunne, J. J., . . . Millard, M. (2018). OpenSim: Simulating musculoskeletal dynamics and neuromuscular control to study human and animal movement. PLoS computational biology, 14(7), e1006223.
Sultan, S., & Marler, T. (2015). Multi-Scale Predictive Human Model for Preventing Injuries in the Ankle and Knee. Procedia Manufacturing, 3, 3767-3774.
Ugalde, V., Brockman, C., Bailowitz, Z., & Pollard, C. D. (2015). “Single leg squat test and its relationship to dynamic knee valgus and injury risk screening”, PM&R, 7(3), 229-235.
Weinhandl, J. T., Earl-Boehm, J. E., Ebersole, K. T., Huddleston, W. E., Armstrong, B. S. R., & O'Connor, K. M. (2014). “Reduced hamstring strength increases anterior cruciate ligament loading during anticipated sidestep cutting”, Clinical biomechanics, 29(7), 752-759.
Wu, X., Zhang, S., Liu, Y., Zhang, D., & Xie, B. (2013). “Do knee concentric and eccentric strength and sagittal-plane knee joint biomechanics differ between jumpers and non-jumpers in landing?” Human movement science, 32(6), 1299-1309.
Xie, D., Urabe, Y., Ochiai, J., Kobayashi, E., & Maeda, N. (2013). “Sidestep cutting maneuvers in female basketball players: stop phase poses greater risk for anterior cruciate ligament injury”, The Knee, 20(2), 85-89.
Yeow, C. H., Lee, P. V. S., & Goh, J. C. H. (2011). “An investigation of lower extremity energy dissipation strategies during single-leg and double-leg landing based on sagittal and frontal plane biomechanics”, Human movement science, 30(3), 624-635.
Yu, B., Lin, C.-F., & Garrett, W. E. (2006). “Lower extremity biomechanics during the landing of a stop-jump task”, Clinical biomechanics, 21(3), 297-305.
Zhang, S.-N., Bates, B. T., & Dufek, J. S. (2000). “Contributions of lower extremity joints to energy dissipation during landings”. Medicine & Science in Sports & Exercise, 32(4), 812-819.