Contributions of Lower Extremity Joints To Energy Dissipation During Landings PDF

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APPLIED SCIENCES

Biodynamics

Contributions of lower 'extremity joints to


energy dissipation during landings
SONG-NING ZHANG, BARRY T. BATES. and JANET S. DUFEK
Exercise Science Unit, Biornechanics/Sports Medicine Laboratory, The Universily of Tennessee, Knoxville, Knoxville, TN
37996; and Universiry of Oregon, Eugene, OR

ABSTRACT
ZHANG, S-N.. B. T. BATES, and I. S. DUFEK. Contributions of lower extremity joints to energy dissipation during landings. Med.
Sci. Sports Exerc., Vol. 32, No. 4, pp. 812-5 19,2000. Purpose: The purpose of the study was to investigate changes in lower extremity
joint energy absorption for different landing heights and landing techniques. Methods: Nine healthy, active male subjects volunteered
to perform step-off landings from three different heights (0.32 m, 2.5 m-'; 0.62 m, 3.5 m^: and 1.03 m, 4.5 m") using three different
landing techniques (soft. SFL; normal. NML, and stiff landing, STL). Each subject initially performed five NML trials at 0.62 m to
serve as a baseline condition and subsequently executed five trials in each of the nine test conditions (3 heights X 3 techniques).
Results: The results demonstrated general increases in peak ground reaction forces, peak joint moments, and powers with increases
in landing height and stiffness. The mean eccentric work was 0.52. 0.74, and 0.87 J-kg-' by the ankle muscles, and 0.94, 1.31, and
2.15 J-kg-' by the hip extensors, at 0.32,0.62, and 1.03 m, respectively. The nvernge eccentric work performed by the knee extensors
was 1.21, 1.63. and 2.26 ].kg-' for the same three heights. Conclusions: The knee joint extensors were consistent contributors to energy
dissipation. The ankle plantarflexors contributed more in the STL landings. whereas the hip extensors were greater contributors during
the SFL landings. Also a shift from ankle to hip strategy was observed as landing height increased. Key Words: STRATEGIES,
MECHANICAL DEMAND. MUSCULAR WORK

uring foot contact with ground in vigorous locomo- basketball (19), tennis (24), football (15). volleyball (l2),
tion, the body experiences tremendous impact skiing (10). and the triathlon (3). Fifty-eight percent of all
forces. Maximum vertical ground reaction force injured female basketball players were engaged in landing
values as high as 14.4 times body weight (BW) have been from a jump at their time of injury (13) and 40% of high-
reported (20) for single-leg landings from a double 'back level volleyball players experienced knee problems during
somersault. Stacoff et al. (25) showed that the first peak (Fl) their playing careers (1 1). James et al. (16) reported knee
of the vertical component of ground reaction force (GRF) pain as the most common problem for runners.
ranged from 1000 to 2000 Newtons (N), whereas the second The studies on biomechanical behaviors of the lower
peak (F2) values ranged from 1000 to 6500 N in landings extremity in landing have been focused on prediction of
after a volleyball block jump. McNitt-Gray (17) demon- impact forces (9). comparisons of landing techniques (4),
strated that the maximum vertical ground reaction forces for effects of landing velocities (18). and manipulations of
trained gymnasts were 3.9, 6.3. and 11.0 times BW for landing distances, heights, and techniques (8). Dufek and
landing from heights of 32. 72, and 128 cm, respectively. Bates (8) demonstrated greater peak moments of the prox-
Accumulation of high impact forces may pose a threat to the imal extensors (i.e., hip extensors) compared with the distal
integrity of the lower extremity and related overuse injuries extensors (i.e., plantarflexors). Few studies, however, inves-
are often direct consequences of these impacts (22,23). tigated the contributions of various lower extremity muscle
Many of these injuries are often associated with the knee- groups to the total energy dissipation. DeVita and Skelly (4)
joint structure and reported as common in running (16), suggested that the ankle joint plantar flexors absorbed more
energy in a stiff landing, whereas the hip and knee extensors
0 195-9131/00/3204-0sl a 0 absorbed more energy in the soft landing. McNitt-Gray (18)
MEDICINE & SCIENCE LN SPORTS & EXERCISEo demonstrated that elite gymnasts dissipated more energy
Copyright t3 2000 by the American College of Sports Medicine .r with ankle and hip extensors at the higher height compared
Submitted for publication February 1998. with their recreational counterparts, whereas the latter group
Accepted for publication September 1998. adjusted their strategy by increasing hip flexion and by
8 12
C

, ,. .)nging the landing phase. Different views still exist in


literaturc regarding the various contributions made by
the platform, and thc ccnter ot' grnvity as stcady as possible
before the step-off. The subjects were instructed to keep
tllc. lower extrcrnity muscle groups to the reduction of im- both hands on their buttock so that their upper limbs were
pact and energy. The femur and tibia are among the longest parallel to the sagittal plane and clear from obstructing their
bones in human body and significantly greater loading at the hip reflective markers during landing. Among the 10 con-
b e e joint are expected. High mechanical output by the knee ditions, the first was a base-line condition performed at the
musculature should be experienced consequently. Research beginning with normal landing from the median height (i.e.,
in this area, however. still fails to agree on the issue. There- 0.63 m). Subsequently, the subjects were asked to perform
fore. the purpose of the study was to investigate changes in landings in nine test conditions which were a combination of
?..?r_ryabsorption of lower extremity joints for different SFL, NML, and STL landing trials from the three landing
I:. ding heights and landing techniques. heights of 0.32,0.63, and 1.03 m representing three contact
velocities (i.e., 2.5,3.5, and 4.5 mas-'). The order of heights
was from the lowest to the highest to minimize potential risk
METHODS
of injury. The landing techniques were randomized in such
+
Nine active men (ages: 25 5 yr, mass: 74.4 2 6.3 kg) a way that the soft and stiff landing occurred randomly
volunteered to participate as subjects in the study. Each either before or after normal landing at each height.
subject signed an Informed Consent Form approved by the The right sagittal view was recorded using two high-
Institutional Review Board at the University of Oregon, speed video cameras (200 Hz, Motion Analysis Corpora-
:,hich was consistent with the human subject policy of the tion, Santa Rosa. CA) with one camera focusing on the'
.merican College of Sports Medicine before the experi- performance of lower extremity and the other camera on the
. mental sessions. All subjects were actively involved in total body. The lower extremity view was mapped on to the
recreational sports on a regular basis (at least 2-3 times per total body view to obtain more accurate measurement of
week) and had participated in sporting activities requiring lower extremity kinematics. Retro-reflective markers were
jumpingllanding skills. They were free of injury or other placed on the right side of the ear canal, acromion, lateral
physical impairment in the lower extremity at the time of humeral epicondyle, radial styloid process, greater trochani
testing. ter, lateral femoral epicondyle, lateral malleolus, heel, and
The subjects participated in two test sessions. The first head of the fifth metatarsal. Two force platforms (AMTI)
lest session was used to familiarize the subjects with the were used to collect data of ground reaction forces (GRF)
:xperimental protocol and to obtain mean maximum knee and moments of force for left and right limbs. Only the right
flexion angles for the nine test conditions that were combi- side signals were used for further analyses. The electrogo'-
nations of soft (SFL), normal (NML), and stiff (STL) land- niometer was placed on the right knee joint to monitor the
ing techniques (stiffness) and three landing heights (0.32 m, maximum knee flexion angles and landing stiffness (tech-
0.62111,and 1.03 m). The subjects were asked to perform five nique-defined as maximum knee flexion angle) during the
landing trials in each of the 10 conditions and the right knee test sessions. The force platform and electrogoniometer
flexion angles were monitored using an electrogoniometer signals were sampled at 1000 Hz using a biomechanical
(Penny and Gile,,1000 Hz). The mean maximum knee system (Ariel Dynamics Inc., Trabuco Canyon, CA). The
flexion angles obtained were used to determine the range of synchronization between the video, force platform, and
maximum knee flexion angle for each of the nine test electrogoniometer systems was accomplished through a
conditions for each subject with following equation: light-emitting-diode which was present in the video views,
triggered by the force platform and fed as an analog channel
%npc = ffmax 2 90
to the Ariel system. The video images were digitized to
where a,,,, = range of maximum knee flexion angle and obtain coordinates of the joints using the commercial soft-
a, = mean maximum knee flexion angle. The 9' criterion ware (Motion Analysis). The data of the kinematic coordi-
was derived from the data of maximum knee flexion of nates, ground reaction forces, and moments were imported
normal landings from a 60-cm height and two standard into customized software to compute typical joint kinemat-
deviations were applied to ensure proper range of variation ics, segmental inertia properties (14), and joint kinetics via
(5). The a,,, values thus obtained for each subject at each an inverse dynamics model (26).
height X technique combination (condition) were used to The variables evaluated included the range of motion
monitor landing technique during the second test session. (ROM) of the three lower extremity joints, peak GRF,peak
Any trial with a maximum knee flexion angle beyond % ,, joint moments and powers, and total eccentric work per-
was discarded and an additional landing was performed. formed by the different lower extremity muscle groups.
The second session began with an anthropometric mea- Critical values were assessed with statistical procedures, and
surement portion and was followed by the activity testing the time-history of the kinematic and kinetic variables was
protocol. All subjects were encouraged to actively warm up examined qualitatively. The ground reaction forces and joint
before the testing. Subjects performed five step-off landing kinetic values were normalized to the body mass for each
trials from a raised platform in each of the 10 conditions for individual subject while the representative moment and
a total of 50 trials. The landings were initiated with right power curves were normalized to landing phase; the latter
foot leading forward, the left foot remaining in contact with was defined as the time from foot contact to the minimal
LANDING BIOMECHANICS Medicine & Science In Sports & Exercise@ 8 13
.ABLE 1. Collapsed group means and SD of maximum GRF and selected ROM across techniques or heights.
F1 F9
Condition (N.kgI1) (N.ktl) Ankle ROM (.) Knee ROM (4) Hip ROM (.)
32 8.27' 25.14' 30.24' 52.02' 40.22"

62
(2.58)
17.30'
(8.52)
32.17b
(p)
3 .99
(21.02)
56.74"
(26.75)
49.86'
(4.55) (8.27) (6.82) (19.11) (26.94)
103 30.60e 46.50' 34.42' 63.61 ' 65.35'
(6.07) (10.24) (7.74) (1 7.42) (24.25)
SFL 16.48d 29.17" 34.38 77.Md 79.26"

NML
(10.48) (1 1.99) (6.72)
STL 21 .Oaf 41.45' 28.69'
(10.34) 11 1.661 (6.751
Values in parenthesis are standard deviation (SD); Significant difference level: p < 0.05; see text for full description ot the variables.
a Significantly different between 32 and 62 cm.
' Significantly different between 62 and 103 cm.
CSignificantly different between 103 and 32 cm.
dSignificantly different between SFL and NML.
*Significantly different between NML and STL.
'Significantly different between STL and SFL.

vertical center of gravity (COG) position during landing. By of the increased loading to the body with increases in either
convention, both the positive and negative values for joint landing height or landing stiffness.
moment would represent extensor and flexor moment, and Joint ROM. A change of landing technique (stiffneps) is
the positive and negative power values would indicate en- practically defined as a change of lower extremity joint
ergy generation and absorption. A three-factor 3 X 3 X3 angles during landings. More specifically stiffness was de-
(height X technique X joint) univariate analysis of variance fined as a change of maximal knee joint flexion angle during
(ANOVA) was computed for the total work performed by the landing phase in this study. The 3 X 3 ANOVA
lower extremity muscle goups. Two-factor 3 X 3 ANOVAs (height X technique) results indicated highly significant
(height X technique) were performed on the peak GRF, omnibus F ( P < 0.0001), and significant main effects for
ROM, and moment and power variables. Because the peak height and technique (P < 0.0001) for the hip, knee, and
moments and powers do not occur at the same time and do ankle ROM. The hip and ankle ROM demonstrated insig-
not fully reflect the total effort involved in the energy nificant interactions between height and technique, whereas
reduction, only the height and technique were adopted as the the interaction for the knee ROM was significant (P <
factors without consideration of the joint in the analyses. 0.01). The collapsed mean ROM values for the lower ex-
Unless mentioned otherwise, the significant level for differ- tremity joints generally increased with enhancements in
ence was set at P < 0.05. landing height except the changes in the ankle ROM from
62 to 103 cm (Table 1). Meanwhile the decreases in the
ROM with increases in landing stiffness (technique) were
RESULTS seen across all three joints except the changes in the ankle
Ground reaction force magnitudes. The typical joint ROM from SFL to NML. The ankle joint ROM main-
time-history curve of the vertical ground reaction force tained small changes from SFL to STL and the most drops
demonstrated two distinctive maximums with first peak (Fl) in ROM at all three heights were accounted for mainly by
related to toe contact and second peak (F2)associated with the hip and knee joint.
heel contact (6,7). A summary of the selected critical events Kinetics. Mean representative curves of hip, knee, and
collapsed by height across techniques and by technique ankle joint moment and power normalized to landing phase
across heights is provided in Table 1. The 3 X 3 ANOVA for NML at 0.62 m are provided in Figure 1 and 2. Two
(height X technique) results for F1 and F2 demonstrated distinctive peaks of first (AM 1 and Khl 1) and second (AM2
significant omnibus F (P < 0.0001). significant main effects and KM2) maximum moment were present in both ankle
for height and technique (P < 0.0001), and insignificant and knee joint moment curves (Fig. 1). Only one significant
height X technique interactions (P > 0.05). Due to the lack peak was observed in hip joint moment (HM) during the
of interactions, the data were collapsed across three tech- impact phase of landing. Similarly. two minimums were
niques for each height and across three heights for each observed for the power curves for the ankle (APl and AP2),
technique (Table 1). Similar combinations were also made and knee (KP1 and KP2) joint, whereas only one minimum
and presented for the ROM, peak moment, and power vari- was observed from the hip (HP) joint (Fig. 2). The maxi-
ables. The peak GRF values (F1 and F2) increased signifi- mum and minimum values in the moment and power curves
cantly (P C 0.05) from the lower to higher heights. When 1 occurred approximately at TI and T2, indicating their close
comparing these values under.the increased landing stiffness associations with the first and second impact forces.
conditions, the significantly augmented peaks were ob- Peak extensor moments and powers represent maximum
served as well (Table 1). These results demonstrated a trend efforts by certain muscle groups in energy absorption. The
8 14 Official Journal of the American College of Sports Medicine
-2.0 .
0 20 40 60 80 100 40 60
(a) Percent Percent

Figure 1-Representative average joint moment curves of (a) hip joint


.,
moment, (b) knee joint moment, and (c) ankle joint moment, for Figure %Representative average joint power curve of (a) hip joint
normal landing from 0.63 m. First and second vertical lines corre- power, (b) knee joint power, and (c) ankle joint power, for normal
sponding to TI and T2 of GRF. See text for full description of the landing from 0.63 m. First and second vertical lines corresponding to
labels. T1 and T2 of GRF. See text for full description of the labels.

3 X 3 ANOVAs (height X technique) were performed for the first impact force at the two higher heights. The peak hip
these variables. Significant effects were noticed for the moment and power that occurred later than AM1 and KM1
omnibus F (P < 0.0001), the main effects (P< 0.0001), and demonstrated significantly greater values than that of peak
insignificant interactions between height and technique (ex- ankle and knee extensor moments and power (Table 2 and
cept KM2),The values of AM1 and AP1 were significantly 3). The timings for those peaks were consistent and arranged
lower than the values of AM2 and AP2 for all conditions, in 'h sequential manner (Figs. 1 and 2).
indicating minimum effect of ankle plantarflexors in the The mean absolute and relative eccentric work is pro-
impact absorption at TI (Tables 2 and 3). However, the knee vided in Table 4. A 3 X 3 X 3 ANOVA (height X tech-
extensors became increasingly involved in the absorption of nique X joint) was conducted on the eccentric work
LANDING BIOMECHANICS Medicine & Science in Sports & Exercise* 8 15
,
TABLE 2. Collapsed group means and SD of maximum joint moments across techniques or heights.
Condition AM1 AM2 KM1 KM2 . HM
32 0.57. 1.54' 1.73d 2.04' 4.1ga -6
(0.17) (0.38) (0.55) (0.38) (1.33) 6;
62 1.07O 2.06b , 3.91b 2.64b 5.8~~ 4...
103

SFL
(0.55) (0.55) (2.1 5) (0.64) (2.49)
NML 1.106 1.96' 4.10' 2.75' 6.216
(0.61) (0.61) (2.34) (0.74) (2.70)
STL 1.33' 2.40' 4.42' 2.94' 6.80'
(0.65) (0.69) (2.29) (0.84) (2.70)
Peak moment unit is in N.m.kg-,; values in parenthesis are standard deviation (SD); significant difference level: p < 0.05; see text for full description of the variables.
a Significantly different between 32 and 62 cm.
bSignificantly different between 62 and 103 cm.
CSignificantly different between 103 and 32 cm.
"Significantly different between SFL and NML.
'Significantly different between NML and STL.
'Significantly different between STL and SFL.

performed by the lower extremity. The result demonstrated sors showed decreased contributions (45.3% to 20.9%) to
significant omnibus F, significant main effects for height, the total energy dissipation as the landing stiffness in-
technique and joint, and significant two-way interactionsfor creased. The increases in landing heights did not influence
joint X height and joint X technique (P < 0.01). The the relative contributions of each of the three lower extrem-
interaction between height and technique was not significant ity muscle groups consistently (Table 4). Clear anticipation
(P > 0.05) and no significant three-way interactions were by the subjects was demonstrated by the joint positions at
found. Two 3 X 3 ANOVAs (joint X height and joint X contact; these data suggested that the initial ankle joint
technique) were conducted as follow-up analyses. The in- positions remained constant while the initial knee and hip
teractions between joint and height as well as joint and joint angles demonstrated overall decreases as the landings
technique are shown in Figure 3. The absolute mean values became stiffer. t

of eccentric work during the landing phase displayed the


trends of change that are slightly different from the relative
(percent) eccentric work (Table 4). For absolute work, the
ankle muscle group predominantly demonstrated increased The purpose of the study was to examirie changes in
work with the increases in landing heights and slight im- lower extremity joint energy absorption for different landing
provement of eccentric work from SFL to STL. The hip and heights and landing techniques. The changes in the landing
knee joint extensor groups showed general decreased ec- heights and the landing techniques are closely related to the
centric efforts with increased stiffness and improved work changes in mechanical demands placed on human body
values with increased landing heights (Table 4, Fig. 3). For ' during the landing activities. The effects of mechanical

the relative eccentric work, however, the knee joint main- demands placed on the lower extremity and the correspond-
tained consistent and high mechanical outputs in all landing ing mechanical responses of lower extremity musculature
conditions. Meanwhile, the ankle muscles demonstrated in- during landing can be examined by evaluating changes in
creased contributions (12.5% to 38.1%) and the hip exten- landing techniques in relation to landing heights and the

TABLE 3. Collapsed group means and SD of minimum joint powers across techniques or heights.
Condition AP1 AP2 KP1 KP2 HP

103

SFL

NML

STL
(3.45) (3.47) (16.22) (7.85) (19.63)
s parenthesis are standard deviation (SD); significant difference level: P < 0.05; See text for full description of the variables.
Peak power unit is in W.kgml; ~ l u e in
'Significantly different between 32 and 62 cm.
bSignificantly different between 62 and 103 cm. I
cSi~nificantlydifferent between 103 and 32 cm.
dSlgnificantly different between SFL and NML.
a Significantly different between NML and STL.
'Significantly different between STL and SFL.

8 16 Official Journal of the American College of Sports Medicine


5~;
..;lean absolute and relal'~eeccentric work at individual lower extremity joints.
--
Work Percent Work
condition Ankle Knee Hlo Total Ankle Knee Hip
-7%~ 3.7SJ." 12.9 46.3 40.9
82 NML 2.78b,d 21.0 47.1 32.0
32 STL
62 SFL
62 NML
62 STL
103 SFL
103 NML
103 STL
/

Ecce !;lc work unit is in Jakg-': values in parenthesis are standard deviation (SD); significant difference level: p < 0.05; see text for full description of the variables.
rgifiereflt from NML at the same height.
bgifferent from STL at the same height.
~Qifferentfrom SFL at the same height.
dDiffereflt from 62 cm height with the same technique.
#Different from 103 cm height with the same technique.
'Different from 32 crn height with the same technique.

interaction of these two factors. The results suggest that several investigators that biarticular muscles are used for
th e are general increases in biomechanical responses with power transportation during locomotion (2,21). Prilutsky
th.; increased landing heights. However, the two peak and Zatsiorsky (21) demonstrated that the direction of
ground reaction forces responded differently with such
changes. The average and relative increases with respect to
the lowest height (0.32 m) were 136% for F1 and 44% for 7
F2 with all three landing techniques, indicating a more
Newtonirtn~mechanicalresponse from the subjects for F l
than for F2 without much neuromuscular intervention. The
average times from the contact to F1 and F2 were 9.6 and
2 L.2 ms. The F2 responses occurred much later after the first t

impact and therefore were considered more neuromuscular,


allowing more time for the lower extremity muscles to
absorb the impact. DeVita and Skelly (4) observed a pre-
contact muscular activity during landing, which suggests a
preset central neuromuscular program. This anticipation
may enhance the tension of the musculotendinous structures
in the foot and ankle, and other lower extremity regions
before the occurrence of landing contact so that greater energy SFL NML STL
lissipation may happen immediately after the impact. (a)
As mentioned previously, the mechanical demands in-,
creased with an increase in landing heights. All three lower
extremity extensor groups responded with an increase in
peak and total mechanical output for the same technique
(Tables 2-4). However, these changes were not undertaken
in similar fashion among the different lower extremity mus-
cle groups. Although the eccentric work performed by the
ankle plantarflexors was increased slightly, the increases in
the work done by the knee and hip extensors was more
apparent as the height changed from 0.32 to 1.03 m (Table
4). The absolute work data from this study suggested that
the ankle muscle group was less capable of energy absorp-
tion compared with hip and knee muscle groups, especially
at the two higher heights. The proximal muscles of the lower 32 62 103
extremity tend to be larger in volume than the distal mus-
(b)
Figure &Interactions of R0R.I between (a) technique and joint*and
cles; this is mainly due t~ greater cross-sectional areas (271,
longer muscle fibers, and relatively shorter tendons (I). This
*,
(h) height and joint. H,nnkle joint; knee joint; A. hip joint. For (a),
no significant differences were found among techniques for ankle joint;
mangement reduces the moment of inertia relative to the the differences between knee and hip using SFL was not signflcant;
q e differences between hip and ankle using STL was not signifiant;
hip joint and allows the leg to move more efficiently while all other comparisons were significant. For (b), significant differences
it also limits the capacity of energy absorption and genera- found between different combinations of joint and height (P <
tion in more distal muscle groups. It has been suggested by 0.05).

L A N D I N G BIOMECHANICS Medicine & Science in Sports & E x e r c i s e 8 17


power transfcr during landing was from distal to proximal that all three possible techniques from three heights were
segments: it is therefore logical to assume that the energy systematically studied and both joint kinematic and kinetic
generated before landing contact can be transported from measurements were presented. In our study. it was clearly
the distal end to the more proximal and massive muscle demonstrated that the shift of energy absorption was fro[,,
group for further dissipation during impact. An indirect distal to proximal muscle groups with increased mechanical
evidence from this study indicated that the peak powers demand (i.e. increases in Ianding height). At the lower
reached at different times with the second peak knee power height. ankle and knee muscle groups were more effective in
and the peak hip power occurring at an later time than the energy dissipation in the stiff Ianding, whereas the knee and
second peak ankle power (Fig. 2). hip extensors were more involved in the soft landing. As the
The subjects displayed distinct strategies at the different height and mechanical loading increased. the lower extrem-
landing heights. In other words. each joint and muscle group ity posture became more tlexed. and the hip extensors be-
played significantly different roles of energy reduction in came increasinsly involved in energy dissipation. A Second
the various mechanical loading situations (Fig. 2). It was possible explanation may come from the differences in the
noted that the ankle maintained a stable mechanical output. control of techniques in the studies. In the present study, the
whereas the eccentric work by the knee and hip joint ex- three Ianding techniques were self-selected and predefined
tensors was reduced with changes of technique from the soft in a pretest session using an electrogoniometer for-each
to stiffer landings at each height. As a result of these subject in each test condition. The range of maximum knee
changes, the total work was decreased significantly due to flexion using the formula shown earlier was used to monitor
the reduced time for energy reduction in normal and stiff a subject's Ianding technique during the subsequent test
landing. The knee and hip extensors were equally important session. Because the joint range of motion for each tech-
in the landings with more lower extremity flexion (Table 4). nique was different for each subject, this control process
As the landing became stiffer, their ability in energy reduc- preserved the natural techniques of each subject under the
tion decreased in different fashions. The hip extensors were various test conditions. Even though there is no documented
less effective than the knee muscles in the STL condition at evidence that a change in natural technique will lead to
the low height. The same muscle group became more in- changes in joint kinetics during landing, it is logical to
volved in the energy reduction at 0.62 m and 1.03 m due to assume that such changes may occur. More research is
the increases in their mechanical advantages in STL with warranted_ for this aspect of landing biomechanics.
greater hip joint flexion. Main finding in this study was revealed by examining the
The present study presented a different energy dissipation relative contribution of each muscle group to the total en-
pattern than has been previously reported in the literature. ergy reduction. Although the absolute eccentric work data
The eccentric work by knee and ankle muscles was greater
for the knee and hip joints suggested the increases in the
for the soft landings compared with the stiff landings in a
energy absorption with the decreased landing stiffness at the
study reported by DeVita and Skelly (4). In the current
all three different heights (Table 4), the relative work values
experiment, significant increases in knee and hip work and
indicated the high and consistent outputs from the knee
decreases in ankle work were observed in the soft landing
condition. McNitt-Gray (18) reported high hip and knee . extensors. The ankle work was increasingly important in the
stiff landing at the lower heights; however, these percent-
work. and small ankle work for landings from medium and
ages decreased with an increase in landing heights and
high heights (0.72 and 1.28 m) for recreational athletes
using a normal landing technique. Although we observed mechanical demands. This is comprehensible due to the fact
similar changes in the knee and hip work, we saw an that the ankle plantarflexors exhibit lesser capacity for en-
increase in the ankle eccentric work as the landing height ergy absorption (I). The hip extensors were.involved min-
increased. It is logical to a g u e that with the increased lower imally in STL at the low height and they became more
extremity flexion and longer landing phase at higher involved as the mechanical demand increased and the hip
heights. the ankle musculature should perform more work. joint posture became more tlexed. due to the massive po-
One possible explanation for the discrepancies may lay in tential of energy reduction for the muscle group. These
the different activities involved in the present and previous observations were supported by the facts that the relative
studies. DeVita and Skelly investigated soft and stiff Iand- contribution of each joint Rob1 to the total change of ROM
ings from a 0.59 m height, whereas McNitt-Gray studied the demonstrated rather similar fashions (Table I).
self-selected landings from three different heights. It is Landings involved in many sport activities are repetitive
possible that minor changes in techniques may influence the and violent in nature. This type of stress has long been
biomechanical responses. It should be also noted that the associated with overuse injuries (22.23). With increased
subjects involved in this study were regular and active mechanical demands, loading to lower extremity joints es-
university students. whereas in McNitt-Gray's study, elite calates accordingly. It was demonstrated in this study that
and recreational gymnasts were used as the subjects. It was, the knee joint consistently experienced enormous mechan-
demonstrated that the strategies were different between the ical demands and high mechanical output in the different
two different subject groups ( 18). In the present research the landing conditions. At the greater mechanical demands,
three self-selected landing strategies were systetnatically most of energy is absorbed by the massive knee and hip
manipulated at three different heights. This is the tirst time extensors. Therefore. the eccentric strength and proper
5 18 Official Journal of the American College of Sports Medicine
, .~nuscularcontrol of these muscle groups are critical to This study was partially supported by the Orthopedic and Frac-
ture Clinic, Eugene, Oregon. The authors are grateful for the con-
integrity of the lower extremity. Finally, it was observed structive comments and recommendations from two anonymous
blltthe interactions of height and technique were significant reviewers.
for the knee ROM and second peak moment. These inter- Address for correspondence: Song-Ning Zhang. Department of
Exercise Science and Sport Management, Biomechanics/Sports
,,[ions may be due to differences in individual landing Medicine Laboratory, The University of Tennessee, Knoxville, 1914
and strategy, and further study is warranted. Andy Holt Ave., Knoxville, TN 37996; E-mail: szhang@utk.edu.

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LANDING BIOMECHANICS Medicine & Science in Sports & exercise^ 8 19

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