The effects of menstrual cycle on lower extremity joints and segments kinematics during squat at different loads

Document Type : Research Paper

Authors

1 Department of Biomechanics and Sports Pathology, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran

2 Department of Sports Biomechanics and Sports Pathology, Faculty of Physical Education, Kharazmi University

Abstract

The aim of this study was to investigate the effect of menstrual cycle phases on the lower limb joints and segments kinematics during squats at different loads. Ten female subjects with normal and regular menstrual cycle voluntarily participated in this study. Kinematics of the lower limbs of subjects were recorded using Myomotion device in three phases of primary follicular (first to third days of the menstrual cycle), secondary follicular (eleventh to fifteenth days of the menstrual cycle), and luteal (twenty-first to twenty-fifth days menstrual cycles) during squats with body weight, 10 kg barbell, 25% body weight, and 50% body weight. Range of motion (ROM) and maximum angles of thigh flexion, adduction, and internal rotation, knee adduction and flexion, tibia internal rotation and ankle dorsiflexion in preferred leg of the subjects were calculated. The results of repeated measures analysis of variance showed that the ROM and maximum angles in different loads significantly increased in the secondary follicular phase with increase in load. Moreover, the ROM and maximum angles were generally higher in the luteal phase compared to the follicular phase in squat with body weight and higher loads. According to the results, it suggests female athletes use resistance exercises with lighter weights with more caution at the peak of the secondary follicular phase (ovulation). Moreover, it is siggests to reduce resistance training during luteal phase.

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Main Subjects

References

  1. Balachandar, V., Marciniak, J., Wall, O. (2017). "Effects of the menstrual cycle on lower-limb biomechanics , neuromuscular control , and anterior cruciate ligament injury risk". Muscles Ligaments Tendons Journal, 136–146.

    Jennifer, n., Merkle, b. (2005)"The effect of phase of the menstrual cycle on frontal plane knee kinematics during landing". Exercise Sport Science Journal, 70–77.

    Mcnulty, K., ElliottSale, K., Dolan, E., et al. (2020) "The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis". Sport Medicine Journal, 50(10):18–27.

    Robert, J., Roger, J., Jennifer, M., Reid, N. (2017). "The Effect of Phases of the Menstrual Cycle on Frontal Plane Knee Kinematics During Landing". Yoga Practice And Physiotherapy Journal, 5(4): 133.

    Cesar, G., Pereira, V., Santiago, P, et al. (2011). "Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle". The Knee,18(4): 24–30. [1]

    RomeroMoraleda, B., Coso, J., Hellín, J., Grgic, J., Lara, B. (2019). "The influence of the menstrual cycle on muscle strength and power performance". Human Kinetic Jouranl, 68(1):123–133.

    Freemas, J., Baranauskas, M., Constantini, K., Constantini, N. et al. (2021). "Exercise Performance Is Impaired during the Midluteal Phase of the Menstrual Cycle". Medicine & Science in Sports & Exercise Journal, 53(2): 442–452.

    Tenan, M.(2016). Sex Hormones, Exercise and Women. springer

    Pallavi, L., Souza, U., Shivaprakash, G. (2017). "Assessment of Musculoskeletal Strength and Levels of Fatigue during Different Phases of Menstrual Cycle in Young Adults". Clinical &  Diagnostic Research Journal, 11(2): 11–13.

    Park, S., Stefanyshyn, D., Ramage, B., Hart, D., Ronsky, J. (2021). "Relationship between knee joint laxity and knee joint mechanics during the menstrual cycle". British of Sports Medicine Journal, 43(3): 174–9.

    Bell, D., Troy, B., Hackney, A., Marshall, S., Beutler, A., Padua, D (2014). "Jump-Landing Biomechanics and Knee-Laxity Change Across the Menstrual Cycle in Women With Anterior Cruciate Ligament Reconstruction". Athletice Training Journal, 49(2): 154–62.

    Choenfeld, B. (2010). "Squatting Kinematics And Kinetics And Their Applicxation To Exersice Performance". Strength and Conditioning Research Journal, 24(12): 3497–3506.

    Dahn, T. (2012). The Effect of Sex and Menstrual Cycle Phase on Neuromuscular Control of Trunk Musculature.

    Slauterbeck, J., Fuzie, S., Smith, M., Clark, R.et al. (2002). "The Menstrual Cycle, Sex Hormones, and Anterior Cruciate Ligament Injury". Athletic Training Journal, 37(3): 275–278.

    Warren, D., Stephen, H., Liu, M., Joshua, D. et al. (1999). "Effect of estrogen on cellular metabolism of the human anterior cruciate ligament". Clinical Orthopedic and Related Research Journal, 366: 229–238.

    Lee, H., Petrofsky, J., Daher, N., Berk, L., Laymon, M. (2013). "Differences in anterior cruciate ligament elasticity and force for knee flexion in women: oral contraceptive users versus non-oral contraceptive users". European Journal of Applied Physiology, 114(2): 285–294.

    Park, D. Stefanyshyn, B. et al. (1999). "Hormonal Changes Throughout the Menstrual Cycle and Increased Anterior Cruciate Ligament Laxity in Females". Athletic Training Journal, 34(2): 144-149.

    Shultz, S., Schmitz, R., Nguyen, A., Levine, B. et al. (2011). "Knee Joint Laxity and Its Cyclic Variation Influence Tibiofemoral Motion during Weight Acceptance". Medicine & Science in Sports & Exercise Journal, 43(2): 287–295.

    Eiling, E., Bryant, A., Petersen, W., Murphy, A., Hohmann, E. (2006). "Effects of menstrual-cycle hormone fluctuations on musculotendinous stiffness and knee joint laxity". Knee Surgery, Sport Traumatology, Arthroscopy, 15(2): 126–32.

    Hewett, T. (2012). "Neuromuscular and Hormonal Factors Associated With Knee Injuries in Female Athletes". Sport Medicine Journal, 29(5):313–327.

    Hewett, T., Myer, G., Ford, K., Heidt, R., Colosimo, A. et al. (2005). "Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study". American Journal of Sports Medicine, 33(4):492–501.

    Khowailed, I., Petrofsky, J., Lohman, E., Daher, N., Mohamed, O. (2015). "17β-estradiol induced effects on anterior cruciate ligament laxness and neuromuscular activation patterns in female runners". Journal of Women’s Health, 24(8): 670–680.

    Enns, D., Tiidus, P. (2010). "The influence of estrogen on skeletal muscle: Sex matters". Sport Medicine, 40(1): 41–58.

    Reza, M., Amir, L., Andrew, F., Mehdi, K., Julien, B. (2020). "Segmental coordination and variability of change in direction in long- standing groin pain". Gait & Posture, 77: 36-42. (In persian)

    Buchman-Pearle, J., Kingston, D., Acker, S. (2021). "Lower Limb Movement Pattern Differences Between Males and Females in Squatting and Kneeling". Journal of Applied Biomechanics, 37(3): 204–214.

    Okazaki, M., Kaneko, M., Ishida, Y., Murase, N., Katsumura, T. (2017). "Changes in the Width of the Tibiofibular Syndesmosis Related to Lower Extremity Joint Dynamics and Neuromuscular Coordination on Drop Landing During the Menstrual Cycle". Orthopedic Journal of Sport Medicine, 5(9).

    Fridén, C., Hirschberg, A., Saartok, T., Bäckström, T., Leanderson, J., Renström, P. (2003). "The influence of premenstrual symptoms on postural balance and kinesthesia during the menstrual cycle". Gynecological Endocrinology, 17(6):433–40.

    Yamazaki, T., Maruyama, S., Sato, Y., Suzuki, Y., Shimizu, S., Kaneko, F. et al. (2021). "A preliminary study exploring the change in ankle joint laxity and general joint laxity during the menstrual cycle in cis women". Journal of Foot and Ankle Research, 14-21

    Carmichael, M., Thomson, R., Moran, L., Wycherley, T. (2021). "The impact of menstrual cycle phase on athletes’ performance: a narrative review". International Journal of Environmental Research and Public Health, 18(4):1-24

    Cheng, K., Wang, Y., Kuo, S., Wang, K., Huang, Y. (2015). "Perform kicking with or without jumping: joint coordination and kinetic differences between Taekwondo back kicks and jumping back kicks". Journal of Sports Sciences, 33(15):1614–1621.

    Reynolds, T., Makhanova, A., Marcinkowska, U., Jasienska, G. et al. (2018). "Progesterone and women’s anxiety across the menstrual cycle". Hormones and Behavior, 102: 34-40.

    Şenol, D., Uçar, C., Toy, Ş., Kısaoğlu, A., Özbağ, D. et al. (2021). "Analysis of the effects of hypothalamic-pituitary-adrenal axis activity in menstrual cycle on ankle proprioception, dynamic balance scores and visual-auditory reaction times in healthy young women". Journal of Musculoskeletaland Neuronal Interactions, 21(1): 85-92.

    Tremback-Ball, A., Fulton, K., Giampietro, N. (2021). "Effect of the Menstrual Cycle on Athletic Performance in NCAA Division III Collegiate Athletes". Journal of Women's Health Physical Therapy, 45(1): 20–26.

     

     

     

    [1]. Şenol

    1. Tremback

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