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Int J Sports Med 2016; 37(03): 251-256
DOI: 10.1055/s-0035-1559688
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Jump Landing Characteristics Predict Lower Extremity Injuries in Indoor Team Sports

H. T. D. van der Does
1   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
2   University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands
,
M. S. Brink
1   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
2   University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands
,
A. Benjaminse
1   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
2   University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands
,
C. Visscher
2   University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands
,
K. A. P. M. Lemmink
1   School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands
2   University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands
› Author Affiliations
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Publication History



accepted after revision 24 July 2015

Publication Date:
17 November 2015 (online)

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Jump Landing Characteristics Predict Lower Extremity Injuries in Indoor Team SportsInt J Sports Med 2016; 37(03): e10-e10
DOI: 10.1055/s-0035-1569353

Abstract

The aim of this study is to investigate the predictive value of landing stability and technique to gain insight into risk factors for ankle and knee injuries in indoor team sport players. Seventy-five male and female basketball, volleyball or korfball players were screened by measuring landing stability after a single-leg jump landing and landing technique during a repeated counter movement jump by detailed 3-dimensional kinematics and kinetics. During the season 11 acute ankle injuries were reported along with 6 acute and 7 overuse knee injuries by the teams’ physical therapist. Logistic regression analysis showed less landing stability in the forward and diagonal jump direction (OR 1.01–1.10, p≤0.05) in players who sustained an acute ankle injury. Furthermore landing technique with a greater ankle dorsiflexion moment increased the risk for acute ankle injury (OR 2.16, p≤0.05). A smaller knee flexion moment and greater vertical ground reaction force increased the risk of an overuse knee injury (OR 0.29 and 1.13 respectively, p≤0.05). Less one-legged landing stability and suboptimal landing technique were shown in players sustaining an acute ankle and overuse knee injury compared to healthy players. Determining both landing stability and technique may further guide injury prevention programs.

Key words

overuse - acute - knee - ankle - stability - biomechanics
 

  • References

  • 1 Aerts I, Cumps E, Verhagen E, Verschueren J, Meeusen R. A systematic review of different jump-landing variables in relation to injuries. J Sports Med Phys Fitness 2013; 53: 509-519
    PubMedGoogle Scholar
  • 2 Agel J, Arendt EA, Bershadsky B. Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 2005; 33: 524-530
    CrossrefPubMedGoogle Scholar
  • 3 Agel J, Palmieri-Smith RM, Dick R, Wojtys EM, Marshall SW. Descriptive epidemiology of collegiate women’s volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train. 2007 42. 295-302
    PubMedGoogle Scholar
  • 4 Andersen TE, Floerenes TW, Arnason A, Bahr R. Video analysis of the mechanisms for ankle injuries in football. Am J Sports Med 2004; 32: 69S-79S
    CrossrefPubMedGoogle Scholar
  • 5 Bahr R, Bahr IA. Incidence of acute volleyball injuries: a prospective cohort study of injury mechanisms and risk factors. Scand J Med Sci Sports 1997; 7: 166-171
    PubMedGoogle Scholar
  • 6 Bahr R, Karlsen R, Lian O, Ovrebo RV. Incidence and mechanisms of acute ankle inversion injuries in volleyball. A retrospective cohort study. Am J Sports Med 1994; 22: 595-600
    CrossrefPubMedGoogle Scholar
  • 7 Bisseling RW, Hof AL, Bredeweg SW, Zwerver J, Mulder T. Are the take-off and landing phase dynamics of the volleyball spike jump related to patellar tendinopathy?. Br J Sports Med 2008; 42: 483-489
    CrossrefPubMedGoogle Scholar
  • 8 Bisseling RW, Hof AL, Bredeweg SW, Zwerver J, Mulder T. Relationship between landing strategy and patellar tendinopathy in volleyball. Br J Sports Med 2007; 41: e8
    CrossrefPubMedGoogle Scholar
  • 9 Blackburn JT, Padua DA. Influence of trunk flexion on hip and knee joint kinematics during a controlled drop landing. Clin Biomech (Bristol, Avon) 2008; 23: 313-319
    CrossrefPubMedGoogle Scholar
  • 10 Boden BP, Torg JS, Knowles SB, Hewett TE. Video analysis of anterior cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med 2009; 37: 252-259
    CrossrefPubMedGoogle Scholar
  • 11 Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med 2009; 37: 2108-2116
    CrossrefPubMedGoogle Scholar
  • 12 Brenner JS. American Academy of Pediatrics Council on Sports Medicine and Fitness. Overuse injuries, overtraining, and burnout in child and adolescent athletes. Pediatrics 2007; 119: 1242-1245
    CrossrefPubMedGoogle Scholar
  • 13 Cohen J. Statistical power analysis for the behavioral sciences: Routledge Academic. 2013
    PubMedGoogle Scholar
  • 14 Cumps E, Verhagen E, Meeusen R. Prospective epidemiological study of basketball injuries during one competitive season: ankle sprains and overuse knee injuries. J Sports Sci Med 2007; 6: 204-211
    PubMedGoogle Scholar
  • 15 de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL, Hertel J. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?. Br J Sports Med 2006; 40: 824-828 discussion 828
    CrossrefPubMedGoogle Scholar
  • 16 Dick R, Hertel J, Agel J, Grossman J, Marshall SW. Descriptive epidemiology of collegiate men’s basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train. 2007 42. 194-201
    PubMedGoogle Scholar
  • 17 Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med 2014; 44: 123-140
    CrossrefPubMedGoogle Scholar
  • 18 Edwards S, Steele JR, Cook JL, Purdam CR, McGhee DE. Lower limb movement symmetry cannot be assumed when investigating the stop-jump landing. Med Sci Sports Exerc 2012; 44: 1123-1130
    CrossrefPubMedGoogle Scholar
  • 19 Ferran NA, Maffulli N. Epidemiology of sprains of the lateral ankle ligament complex. Foot Ankle Clin 2006; 11: 659-662
    CrossrefPubMedGoogle Scholar
  • 20 Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med 2007; 37: 73-94
    CrossrefPubMedGoogle Scholar
  • 21 Fransz DP, Huurnink A, Kingma I, van Dieen JH. How does postural stability following a single leg drop jump landing task relate to postural stability during a single leg stance balance task?. J Biomech 2014; 47: 3248-3253
    CrossrefPubMedGoogle Scholar
  • 22 Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hagglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med 2006; 40: 193-201
    CrossrefPubMedGoogle Scholar
  • 23 Godinho M, Fragoso I, Vieira F. Morphologic and anthropometric characteristics of high level Dutch korfball players. Percept Mot Skills 1996; 82: 35-42
    CrossrefPubMedGoogle Scholar
  • 24 Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. J Athl Train 2009; 44: 350-355
    CrossrefPubMedGoogle Scholar
  • 25 Hadzic V, Sattler T, Topole E, Jarnovic Z, Burger H, Dervisevic E. Risk factors for ankle sprain in volleyball players: a preliminary analysis. Isokinetics Exerc Sci 2009; 17: 155-160
    PubMedGoogle Scholar
  • 26 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
    Article in Thieme ConnectPubMedGoogle Scholar
  • 27 Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 2005; 33: 492-501
    CrossrefPubMedGoogle Scholar
  • 28 Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 2007; 42: 311-319
    PubMedGoogle Scholar
  • 29 Lian O, Engebretsen L, Ovrebo RV, Bahr R. Characteristics of the leg extensors in male volleyball players with jumper’s knee. Am J Sports Med 1996; 24: 380-385
    CrossrefPubMedGoogle Scholar
  • 30 Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med 2005; 33: 561-567
    CrossrefPubMedGoogle Scholar
  • 31 Louw Q, Grimmer K, Vaughan C. Knee movement patterns of injured and uninjured adolescent basketball players when landing from a jump: a case-control study. BMC Musculoskelet Disord 2006; 7: 22
    CrossrefPubMedGoogle Scholar
  • 32 McClay IS, Robinson J, Andriacchi T, Frederick E, Gross T, Martin P, Valliant G, Williams K, Cavanagh P. A profile of ground reaction forces in professional basketball. J Appl Biomech 1994; 10: 222-236
    PubMedGoogle Scholar
  • 33 McGuine TA, Greene JJ, Best T, Leverson G. Balance as a predictor of ankle injuries in high school basketball players. Clin J Sport Med 2000; 10: 239-244
    CrossrefPubMedGoogle Scholar
  • 34 McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med 2001; 35: 103-108
    CrossrefPubMedGoogle Scholar
  • 35 Myer GD, Ford KR, Hewett TE. Tuck jump assessment for reducing anterior cruciate ligament injury risk. Athl Ther Today 2008; 13: 39-44
    PubMedGoogle Scholar
  • 36 Myer GD, Ford KR, Khoury J, Succop P, Hewett TE. Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury. Br J Sports Med 2011; 45: 245-252
    CrossrefPubMedGoogle Scholar
  • 37 Myer GD, Ford KR, Khoury J, Succop P, Hewett TE. Clinical correlates to laboratory measures for use in non-contact anterior cruciate ligament injury risk prediction algorithm. Clin Biomech (Bristol, Avon) 2010; 25: 693-699
    CrossrefPubMedGoogle Scholar
  • 38 Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med 2004; 32: 1002-1012
    CrossrefPubMedGoogle Scholar
  • 39 Smith MD, Bell DR. Negative effects on postural control after anterior cruciate ligament reconstruction as measured by the balance error scoring system. J Sport Rehabil 2013; 22: 224-228
    PubMedGoogle Scholar
  • 40 Ter Stege MH, Dallinga JM, Benjaminse A, Lemmink KA. Effect of interventions on potential, modifiable risk factors for knee injury in team ball sports: a systematic review. Sports Med 2014; 44: 1403-1426
    CrossrefPubMedGoogle Scholar
  • 41 Terada M, Pietrosimone B, Gribble PA. Individuals with chronic ankle instability exhibit altered landing knee kinematics: potential link with the mechanism of loading for the anterior cruciate ligament. Clin Biomech (Bristol, Avon) 2014; 29: 1125-1130
    CrossrefPubMedGoogle Scholar
  • 42 Tillman MD, Hass CJ, Brunt D, Bennett GR. Jumping and landing techniques in elite women’s volleyball. J Sports Sci Med 2004; 3: 30-36
    PubMedGoogle Scholar
  • 43 Walden M, Hagglund M, Werner J, Ekstrand J. The epidemiology of anterior cruciate ligament injury in football (soccer): a review of the literature from a gender-related perspective. Knee Surg Sports Traumatol Arthrosc 2011; 19: 3-10
    CrossrefPubMedGoogle Scholar
  • 44 Wang HK, Chen CH, Shiang TY, Jan MH, Lin KH. Risk-factor analysis of high school basketball-player ankle injuries: a prospective controlled cohort study evaluating postural sway, ankle strength, and flexibility. Arch Phys Med Rehabil 2006; 87: 821-825
    CrossrefPubMedGoogle Scholar
  • 45 Wikstrom EA, Tillman MD, Chmielewski TL, Cauraugh JH, Borsa PA. Dynamic postural stability deficits in subjects with self-reported ankle instability. Med Sci Sports Exerc 2007; 39: 397-402
    CrossrefPubMedGoogle Scholar
  • 46 Wikstrom EA, Tillman MD, Chmielewski TL, Cauraugh JH, Naugle KE, Borsa PA. Discriminating between copers and people with chronic ankle instability. J Athl Train 2012; 47: 136-142
    PubMedGoogle Scholar
  • 47 Wikstrom EA, Tillman MD, Chmielewski TL, Cauraugh JH, Naugle KE, Borsa PA. Dynamic postural control but not mechanical stability differs among those with and without chronic ankle instability. Scand J Med Sci Sports 2010; 20: e137-e144
    CrossrefPubMedGoogle Scholar
  • 48 Wikstrom EA, Tillman MD, Schenker SM, Borsa PA. Jump-landing direction influences dynamic postural stability scores. J Sci Med Sport 2008; 11: 106-111
    CrossrefPubMedGoogle Scholar
  • 49 Wikstrom EA, Tillman MD, Smith AN, Borsa PA. A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. J Athl Train 2005; 40: 305-309
    PubMedGoogle Scholar
  • 50 Willems TM, Witvrouw E, Delbaere K, Mahieu N, De Bourdeaudhuij I, De Clercq D. Intrinsic risk factors for inversion ankle sprains in male subjects: a prospective study. Am J Sports Med 2005; 33: 415-423
    CrossrefPubMedGoogle Scholar
  • 51 Zwerver J, Bredeweg SW, van den Akker-Scheek I. Prevalence of jumper’s knee among nonelite athletes from different sports: a cross-sectional survey. Am J Sports Med 2011; 39: 1984-1988
    CrossrefPubMedGoogle Scholar