Biomechanical Risk Assessment of Non-Contact Anterior Cruciate Ligament Injury in Taekwondo Athletes

Authors

  • Rongqiang Zheng Shandong Sports Science Research Center
  • Jingyi Zhou Jinan Fifth People’s Hospital
  • Teng Zhang Shandong Sport University

DOI:

https://doi.org/10.30564/jams.v3i3.1908

Abstract

Non-contact anterior cruciate ligament (ACL) injury can occur in many sports. It is interrelated with gender, anatomy, biomechanics, and neuromuscular control. Taekwondo athletes have a higher incidence of ACL injury than athletes from other sports. Objective: This study aimed to determine the biomechanical gender differences and mechanism of taekwondo athletes with ACL injury. Methods: A total of 28 taekwondo athletes (aged 14–19 years) were randomly selected and grouped by gender. Feet high floor, one foot high floor, and single leg squat were analyzed by a Vicon motion analysis system and Kistler 3D force platform for action. The knee joint angle and ground force were evaluated. Results: Results demonstrated biomechanical differences in knee joint between male and female athletes. Conclusion: ACL injury in taekwondo female athletes indicated the biomechanical mechanism of the knee joint, and it can be prevented by neuromuscular control training.

Keywords:

Knee; Anterior cruciate ligament; Biomechanics; Risk assessment

References

[1] Faigenbaum AD, Kraemer WJ, Blimkie CJ, et al. Youth resistance training: updated position statement paper from the National Strength and Conditioning Association. J Strength Cond Res. 2009;23(5 suppl):S60–79.

[2] Hewett TE, Lindenfeld TN, Riccobene JV, et al.of neuromuscular training on the incidence of knee injury in female athletes: a prospective study. Am J Sports Med.1999;27: 699–706.

[3] Kim S, Bosque J, Meehan JP, et al. Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg Am. 2011;93:994–1000.

[4] Miyasaka KC, Daniel DM, Stone ML. The incidence of knee ligament injuries in the general popluation. Am J Knee Surg. 1991;4:43–48.

[5] Gillquist J, Messner K. Anterior cruciate ligament reconstruction and the long-term incidence of gonarthrosis. Sports Med. 1999;27:143–156.

[6] Gray J, Taunton JE, McKenzie DC, Clement DB, et al. A survey of injuries to the anterior cruciate ligament of the knee in female basketball players.Int J Sports Med. 1985;6:314–316.

[7] Lohmander LS, Englund PM, Dahl LL, et al. The longterm consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med.2007;35:1756–1769.

[8] Lohmander LS, Ostenberg A, Englund M, et al. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury.Arthritis Rheum.2004;50:3145–3152.

[9] G-ffin H,Agel J,Albohm MJ,et al. Non-contact anterior cruciate ligament injuries: risk factors and Prevention strategies.J Ame and Orthop Surg,2000,8:141-150.

[10] Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature. Am J Sports Med.1995;23:694–701.

[11] Chandy TA, Grana WA. Secondary school athletic injury in boys and girls: a three-year comparison. Phys Sportsmed. 1985;13:106–111.

[12] Hewett TE, Lindenfeld TN, Riccobene JV, et al. The effect of neuromuscular training on the incidence of knee injury in female athletes: a prospective study.Am J Sports Med.1999;27: 699–706.

[13] Malone TR, Hardaker WT,Garrett WE, et al.Relationship of gender to anterior cruciate ligament injuries in intercollegiate basketball players. J South OrthopAssoc.1993;2: 36–39.

[14] Andrish JT. Anterior cruciate ligament injuries in the skeletally immature patient. Am J Orthop (Belle Mead NJ).2001;30:103–110.

[15] Gallagher SS, Finison K, Guyer B, et al.The incidence of injuries among 87,000 Massachusetts children andadolescents: results of the 1980–81 Statewide Childhood InjuryPrevention Program Surveillance System.Am J Public Health. 1984;74:1340–1347.

[16] Hewett TE, Myer GD, Ford KR. Anterior cruciate ligamentiInjuries in female athletes: Part 1. Mechanisms and risk factors. Am J Sports Med.2006;34:299–311.

[17] Quatman CE, Ford KR, Myer GD, Hewett TE. Maturation leads to gender differences in landing force and vertical jump performance: a longitudinal study.Am J Sports Med.2006;34:806–813.

[18] Quatman-Yates CC, Quatman CE, Meszaros AJ, et al.A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness?Br J Sports Med.2011 Apr 1. [Epub ahead of print]

[19] Boden BP, Dean GS, Feagin JA, Jr, et al. Mechanisms of anterior cruciate ligament injury. Orthopedics 2000;23:573–8 .

[20] Olsen OE, Myklebust G, Engebretsen L, et al. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med 2004;32:1002–12 .

[21] Griffin L Y, Teitz CC. Video analysis of ACL injuries. In: GriffinL Y, ed. Prevention of noncontact ACL injuries. Rosemont, IL: American Association of Orthopaedic Surgeons, 2001:87–92 .

[22] Krosshaug T, Nakamae A, Boden BP, et al. Estimating 3D joint kinematics from video sequences of running and cutting manoeuvres: assessing the accuracy of simple visual inspection. Gait Posture 2007;26:378–85 .

[23] Markolf KL, Graff-Radford A, Amstutz HC. In vivo knee stability. A quantitative assessment using an instrumented clinical testing apparatus. J Bone Joint Surg Am 1978;60:664–74 .

[24] Berns GS, Hull ML, Patterson HA. Strain in the anteromedial bundle of the anterior cruciate ligament under combination loading. J Orthop Res 1992;10:167–76 .

[25] Arms SW, Pope MH, Johnson RJ, et al. The biomechanics of anterior cruciate ligament rehabilitation and reconstruction. Am J Sports Med 1984;12:8–18 .

[26] DeMorat G, Weinhold P, Blackburn T, et al. Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. Am J Sports Med 2004;32:477–83 .

[27] Withrow TJ, Huston LJ, Wojtys EM, et al. The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated jump landing. Clin Biomech 2006;21:977–83 .

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Vol. 3 , Iss. 3 (July 2020)

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