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Contributions of Lower Extremity Joints To Energy Dissipation During Landings PDF
Contributions of Lower Extremity Joints To Energy Dissipation During Landings PDF
Contributions of Lower Extremity Joints To Energy Dissipation During Landings PDF
Biodynamics
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
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
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
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.
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
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