Download PDF
Int J Sports Med 2016; 37(04): 334-338
DOI: 10.1055/s-0035-1565104
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Knee Control and Jump-Landing Technique in Young Basketball and Floorball Players

M. Leppänen
1   Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland
,
K. Pasanen
1   Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland
,
J.-P. Kulmala
2   University of Jyvaskyla, Department of Biology of Physical Activity, Jyvaskyla, Finland
3   Agora Center, University of Jyvaskyla, Jyvaskyla, Finland
,
U. M. Kujala
4   University of Jyvaskyla, Department of Health Sciences, Jyvaskyla, Finland
,
T. Krosshaug
5   Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway
,
P. Kannus
6   Injury and Osteoporosis Research Center, UKK Institute for Health Promotion Research, Tampere, Finland
7   Medical School, University of Tampere, and Department of Orthopedics and Trauma Surgery, Tampere University Hospital, Tampere, Finland
,
J. Perttunen
8   Tampere University of Applied Sciences, Tampere, Finland
,
T. Vasankari
8   Tampere University of Applied Sciences, Tampere, Finland
,
J. Parkkari
1   Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland
› Author Affiliations
Further Information

Publication History



accepted after revision 01 October 2015

Publication Date:
23 December 2015 (online)

Also available at
    Permissions and Reprints

Abstract

Poor knee alignment is associated with increased loading of the joints, ligaments and tendons, and may increase the risk of injury. The study purpose was to compare differences in knee kinematics between basketball and floorball players during a vertical drop jump (VDJ) task. We wanted to investigate whether basketball players, whose sport includes frequent jump-landings, exhibited better knee control compared with floorball players, whose sport involves less jumping. Complete data was obtained from 173 basketball and 141 floorball players. Peak knee valgus and flexion angles during the VDJ were analyzed by 3D motion analysis.Larger knee valgus angles were observed among basketball players (− 3.2°, 95%CI −4.5 to − 2.0) compared with floorball players (− 0.9°, 95%CI −2.3 to 0.6) (P=0.022). Basketball players landed with a decreased peak knee flexion angle (83.1°, 95%CI 81.4 to 84.8) compared with floorball players (86.5°, 95%CI 84.6 to 88.4) (P=0.016). There were no significant differences in height, weight or BMI between basketball and floorball players. Female athletes exhibited significantly greater valgus angles than males. This study revealed that proper knee control during jump-landing does not seem to develop in young athletes simply by playing the sport, despite the fact that jump-landings occur frequently in practice and games.

Key words

knee alignment - knee kinematics - injury risk - adolescents - team sports
 

  • References

  • 1 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
  • 2 Bates NA, Ford KR, Myer GD, Hewett TE. Kinetic and kinematic differences between first and second landings of a drop vertical jump task: Implications for injury risk assessments. Clin Biomech 2013; 28: 459-466
    CrossrefPubMedGoogle Scholar
  • 3 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
  • 4 Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sports Med 2002; 30: 261-267
    CrossrefPubMedGoogle Scholar
  • 5 Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc 2003; 35: 1745-1750
    CrossrefPubMedGoogle Scholar
  • 6 Ford KR, Myer GD, Hewett TE. Reliability of landing 3D motion analysis: Implications for longitudinal analyses. Med Sci Sports Exerc 2007; 39: 2021-2028
    CrossrefPubMedGoogle Scholar
  • 7 Fox AS, Bonacci J, McLean SG, Spittle M, Saunders N. What is normal? Female lower limb kinematic profiles during athletic tasks used to examine anterior cruciate ligament injury risk: a systematic review. Sports Med 2014; 44: 815-832
    CrossrefPubMedGoogle Scholar
  • 8 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
  • 9 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
  • 10 Homan KJ, Norcross MF, Goerger BM, Prentice WE, Blackburn JT. The influence of hip strength on gluteal activity and lower extremity kinematics. J Electromyogr Kinesiol 2013; 23: 411-415
    CrossrefPubMedGoogle Scholar
  • 11 Kernozek TW, Torry MR, Van Hoof H, Cowley H, Tanner S. Gender differences in frontal and sagittal plane biomechanics during drop landings. Med Sci Sports Exerc 2005; 37: 1003-1012
    PubMedGoogle Scholar
  • 12 Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L, Bahr R, Krosshaug T. Mechanisms for noncontact anterior cruciate ligament injuries: Knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med 2010; 38: 2218-2225
    CrossrefPubMedGoogle Scholar
  • 13 Kristianslund E, Krosshaug T. Comparison of drop jumps and sport-specific sidestep cutting. Implications for anterior cruciate ligament injury risk screening. Am J Sports Med 2013; 41: 684-688
    CrossrefPubMedGoogle Scholar
  • 14 Kristianslund E, Krosshaug T, van den Bogert AJ. Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention. J Biomech 2012; 45: 666-671
    CrossrefPubMedGoogle Scholar
  • 15 Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R. Mechanisms of anterior cruciate ligament injury in basketball: Video analysis of 39 cases. Am J Sports Med 2007; 35: 359-367
    CrossrefPubMedGoogle Scholar
  • 16 Leardini A, Chiari L, Croce UD, Cappozzo A. Human movement analysis using stereophotogrammetry: Part 3. soft tissue artifact assessment and compensation. Gait Posture 2005; 21: 212-225
    CrossrefPubMedGoogle Scholar
  • 17 Leppänen M, Aaltonen S, Parkkari J, Heinonen A, Kujala UM. Interventions to prevent sports related injuries: A systematic review and meta-analysis of randomised controlled trials. Sports Med 2014; 44: 473-486
    CrossrefPubMedGoogle Scholar
  • 18 Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech 2001; 16: 438-445
    CrossrefPubMedGoogle Scholar
  • 19 McLean SG, Walker K, Ford KR, Myer GD, Hewett TE, van den Bogert AJ. Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury. Br J Sports Med 2005; 39: 355-362
    CrossrefPubMedGoogle Scholar
  • 20 Messina DF, Farney WC, DeLee JC. The incidence of injury in texas high school basketball. A prospective study among male and female athletes. Am J Sports Med 1999; 27: 294-299
    CrossrefPubMedGoogle Scholar
  • 21 Myer GD, Ford KR, Barber Foss KD, Goodman A, Ceasar A, Rauh MJ, Divine JG, Hewett TE. The incidence and potential pathomechanics of patellofemoral pain in female athletes. Clin Biomech (Bristol, Avon) 2010; 25: 700-707
    CrossrefPubMedGoogle Scholar
  • 22 Myer GD, Ford KR, Di Stasi SL, Barber Foss KD, Micheli LJ, Hewett TE. High knee abduction moments are common risk factors for patellofemoral pain (PFP) and anterior cruciate ligament (ACL) injury in girls: Is PFP itself a predictor for subsequent ACL injury?. Br J Sports Med 2015; 49: 118-122
    CrossrefPubMedGoogle Scholar
  • 23 Nilstad A, Andersen TE, Bahr R, Holme I, Steffen K. Risk factors for lower extremity injuries in elite female soccer players. Am J Sports Med 2014; 42: 940-948
    CrossrefPubMedGoogle Scholar
  • 24 Nilstad A, Andersen TE, Kristianslund E, Bahr R, Myklebust G, Steffen K, Krosshaug T. Physiotherapists can identify female football players with high knee valgus angles during vertical drop jumps using real-time observational screening. J Orthop Sports Phys Ther 2014; 44: 358-365
    CrossrefPubMedGoogle Scholar
  • 25 Noyes FR, Barber-Westin SD, Fleckenstein C, Walsh C, West J. The drop-jump screening test: Difference in lower limb control by gender and effect of neuromuscular training in female athletes. Am J Sports Med 2005; 33: 197-207
    CrossrefPubMedGoogle Scholar
  • 26 Noyes FR, Barber-Westin SD, Smith ST, Campbell T, Garrison TT. A training program to improve neuromuscular and performance indices in female high school basketball players. J Strength Cond Res 2012; 26: 709-719
    CrossrefPubMedGoogle Scholar
  • 27 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
  • 28 Pasanen K, Parkkari J, Kannus P, Rossi L, Palvanen M, Natri A, Järvinen M. Injury risk in female floorball: A prospective one-season follow-up. Scand J Med Sci Sports 2008; 18: 49-54
    PubMedGoogle Scholar
  • 29 Pasanen K, Parkkari J, Pasanen M, Hiilloskorpi H, Mäkinen T, Järvinen M, Kannus P. Neuromuscular training and the risk of leg injuries in female floorball players: Cluster randomised controlled study. BMJ 2008; 337: a295 DOI: 10.1136/bmj.a295.
    PubMedGoogle Scholar
  • 30 Stearns KM, Powers CM. Improvements in hip muscle performance result in increased use of the hip extensors and abductors during a landing task. Am J Sports Med 2014; 42: 602-609
    CrossrefPubMedGoogle Scholar
  • 31 Stensrud S, Myklebust G, Kristianslund E, Bahr R, Krosshaug T. Correlation between two-dimensional video analysis and subjective assessment in evaluating knee control among elite female team handball players. Br J Sports Med 2011; 45: 589-595
    CrossrefPubMedGoogle Scholar
  • 32 Witvrouw E, Lysens R, Bellemans J, Cambier D, Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med 2000; 28: 480-489
    CrossrefPubMedGoogle Scholar
  • 33 Zebis MK, Bencke J, Andersen LL, Dossing S, Alkjaer T, Magnusson SP, Kjaer M, Aagaard P. The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med 2008; 18: 329-337
    CrossrefPubMedGoogle Scholar