نوع مقاله : مقاله پژوهشی

نویسندگان

1 Shahid Beheshti University, velengak, Tehran, Iran

2 دانشگاه شهید بهشتی

چکیده

اخیرا کاربرد تمرینات عصبی عضلانی واکنشی(RNT) در پیشگیری از آسیب های ورزشی مورد توجه قرار گرفته است. این تمرینات به اصلاح سریع الگوهای غلط حرکتی در افراد کمک می کند. لذا هدف از مطالعه حاضر بررسی اثر هشت هفته تمرینات عصبی عضلانی واکنشی بر کینماتیک فرود زنان بسکتبالیست بود. 33 بازیکن از 3تیم لیگ برتر بسکتبال بانوان استان تهران در این مطالعه شرکت کردند. تیم ها به طور تصادفی به سه گروه تجربی1 (11نفر)، تجربی 2 (11نفر) و گروه کنترل (11نفر) تقسیم شدند. گروه تجربی 1 به مدت هشت هفته تمرینات برنامه پیشگیری از آسیب و بهبود عملکرد EPP و گروه تجربی دو تمرینات RNT +PEP را به جای گرم کردن اجرا نمودند. گروه کنترل تمرینات عادی خود را اجرا می کردند. کینماتیک تنه و اندام تحتانی در حین حرکت فرود به وسیله سیستم آنالیز حرکت در پیش آزمون و پس آزمون مورد بررسی قرار گرفت. داده ها به وسیله آزمون تحلیل واریانس تکراری 2در3 آنالیز شدند. نتایج نشان داد انجام هشت هفته تمرینات پیشگیری از آسیب عصبی عضلانی واکنشی بر میزان زاویه فلکشن ران در لحظه فرود اثر معنی داری دارد (F(2,27)=3.40, P=0.04, ηp2=0.20). اما اثر معنی داری در زوایای والگوس زانو، فلکشن زانو، دورسی فلکشن مچ پا و فلکشن تنه در لحظه فرود متعاقب اجرای تمرینات عصبی عضلانی واکنشی مشاهده نشد. این نتایج به طور کلی نشان داد برنامه پیشگیری از آسیب با استفاده از تمرینات عصبی-عضلانی واکنشی نمی تواند بر شاخص های پیشگیری از آسیب های لیگامنت متقاطع قدامی موثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Eight Weeks Reactive Neuromuscular Training on Lower Extremity kinematics during Landing in Female Basketball Players

نویسندگان [English]

  • Anoosheh Yadollahi 1
  • Mostafa Zarei 2
  • Mehdii gheiitasi 2

1 Shahid Beheshti University, velengak, Tehran, Iran

2 Shahid Beheshti University, velengak, Tehran, Iran

چکیده [English]

Recently the reactive neuromuscular training (RNT) has received increasing attention due to its function in decreasing the sport injuries. These exercises help athletes to quickly correct their faulty movement patterns. The aim of this study was to investigate the effect of eight weeks of reactive neuromuscular training on landing kinematics in Female Basketball Players. Thirty three players from the three teams of the Tehran Female's Basketball Premier League participated in this study. The teams were randomly divided into three groups: experimental 1 (n=11), experimental 2 (n=11) and control group (n=11). Experimental group 1 performed prevent injury and enhance performance (PEP) exercises for eight weeks and experimental group 2 performed PEP exercises with RNT instead of regular warming up. The control group performed their usual exercises. The kinematics of the trunk and lower extremity joints during landing were evaluated by pre-test and post-test. Three-dimensional lower-extremity kinematics was measured during drop jump with a single leg landing. Data were analyzed by 2-way repeated measures analysis of variance. The results showed that eight weeks of reactive neuromuscular training had a significant effect on hip flexion angle at landing (F(2,27)=3.40, P=0.04, ηp2=0.20). But there was no significant effect on knee valgus, knee flexion, ankle dorsiflexion, and trunk flexion at the moment of landing following RNT training. The presented results indicated that the injury prevention program using reactive neuromuscular exercises could well modify the athletes' movement patterns toward a lower risk of anterior cruciate ligament injury.

کلیدواژه‌ها [English]

  • Kinematics
  • Basketball
  • Landing
  • Reactive Neuromuscular trainig
  • Anterior Cruciate Ligament
  1. Fong DT-P, Lam M-H, Lai P-K, Yung PS-H, Fung K-Y, Chan K-M. Effect of anticipation on knee kinematics during a stop-jump task. Gait & posture. 2014;39(1):75-9.
  2. Marshall S, Padua D, McGrath M. Incidence of ACL injury. Understanding and preventing noncontact ACL injuries Champaign, IL: Human Kinetics. 2007:5-29.
  3. Padua DA, DiStefano LJ, Hewett TE, Garrett WE, Marshall SW, Golden GM, et al. National Athletic Trainers' Association Position Statement: Prevention of Anterior Cruciate Ligament Injury. Journal of athletic training. 2018;53(1):5-19.
  4. Dodwell ER, LaMont LE, Green DW, Pan TJ, Marx RG, Lyman S. 20 years of pediatric anterior cruciate ligament reconstruction in New York State. The American journal of sports medicine. 2014;42(3):675-80.
  5. Mather III RC, Koenig L, Kocher MS, Dall TM, Gallo P, Scott DJ, et al. Societal and economic impact of anterior cruciate ligament tears. The Journal of bone and joint surgery American volume. 2013;95(19):1751.
  6. Richmond SA, Fukuchi RK, Ezzat A, Schneider K, Schneider G, Emery CA. Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review. journal of orthopaedic & sports physical therapy. 2013;43(8):515-B19.
  7. Blagojevic M, Jinks C, Jeffery A, Jordan K. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and cartilage. 2010;18(1):24-33.
  8. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not returned by 12 months after surgery. The American journal of sports medicine. 2011;39(3):538-43.
  9. Ireland ML. The female ACL: why is it more prone to injury? Orthopedic Clinics. 2002;33(4):637-51.

 

  1. Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. Journal of athletic training. 2013;48(6):810-7.
  2. Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American journal of sports medicine. 2005;33(4):492-501.
  3. Myer GD, Ford KR, Hewett TE. Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes. Journal of athletic training. 2004;39(4):352.
  4. Mandelbaum BR, Silvers HJ, Watanabe DS, Knarr JF, Thomas SD, Griffin LY, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. The American journal of sports medicine. 2005;33(7):1003-10.
  5. Cook G, Burton L, Kiesel K, Bryant M, Torine J. Movement: functional movement systems: screening, assessment, and corrective strategies: On Target Publications Aptos, CA; 2010.
  6. Voight ML, Cook G. Clinical application of closed kinetic chain exercise. Journal of Sport Rehabilitation. 1996;5(1):25-44.
  7. Guido Jr JA, Stemm J. Reactive neuromuscular training: a multi-level approach to rehabilitation of the unstable shoulder. North American journal of sports physical therapy: NAJSPT. 2007;2(2):97.
  8. Thomas CL. Taber's Cyclopedic Medical Dictionary. FA Davis. Philadelphia, PA. 2017.
  9. Lephart S. Reestablishing proprioception, kinesthesia, joint position sense, and neuromuscular control in rehabilitation. Rehabilitation Techniques in Sports Medicine 2th edition USA: Mosby, St Louis, Missouri. 1994:118-37.
  10. Cook G, Burton L, Fields K. Reactive neuromuscular training for the anterior cruciate ligament-deficient knee: a case report. Journal of athletic training. 1999;34(2):194.
  11. Pittman M. Biomechanical Differences at the knee after two types of hip abductor training: Traditional vs. Reactive neuromuscular training: California State University, Fullerton; 2013.
  12. Duffell LD, Hope N, McGregor AH. Comparison of kinematic and kinetic parameters calculated using a cluster-based model and Vicon’s plug-in gait. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 2014 Feb;228(2):206-10.
  13. McLean SG, Huang X, van den Bogert AJ. Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clinical Biomechanics. 2005;20(8):863-70.
  14. Chaudhari AM, Andriacchi TP. The mechanical consequences of dynamic frontal plane limb alignment for non-contact ACL injury. Journal of biomechanics. 2006;39(2):330-8.
  15. Carrasco-Huenulef C, Moran J. Effects of a neuromuscular training program on anterior cruciate ligament injury risk factors in youth female basketball players: a pilot study. Gazzetta Medica Italiana Archivio per le Scienze Mediche. 2019;178(3):137-44.
  16. Hopper AJ, Haff EE, Joyce C, Lloyd RS, Haff GG. Neuromuscular training improves lower extremity biomechanics associated with knee injury during landing in 11–13 year old female netball athletes: a randomized control study. Frontiers in physiology. 2017;8:883.
  17. Kato S, Urabe Y, Kawamura K. Alignment control exercise changes lower extremity movement during stop movements in female basketball players. The Knee. 2008;15(4):299-304.
  18. Herrington L. Knee valgus angle during landing tasks in female volleyball and basketball players. The Journal of Strength & Conditioning Research. 2011;25(1):262-6.
  19. Herman DC, Weinhold PS, Guskiewicz KM, Garrett WE, Yu B, Padua DA. The effects of strength training on the lower extremity biomechanics of female recreational athletes during a stop-jump task. The American journal of sports medicine. 2008;36(4):733-40.
  20. Myer GD, Ford KR, Brent JL, Hewett TE. Differential neuromuscular training effects onACL injury risk factors in" high-risk" versus" low-risk" athletes. BMC musculoskeletal disorders. 2007;8(1):39.
  21. Myer GD, Ford KR, PALUMBO OP, Hewett TE. Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. The Journal of Strength & Conditioning Research. 2005;19(1):51-60.
  22. Pollard CD, Sigward SM, Ota S, Langford K, Powers CM. The influence of in-season injury prevention training on lower-extremity kinematics during landing in female soccer players. Clinical Journal of Sport Medicine. 2006;16(3):223-7.
  23. Ericksen HM, Thomas AC, Gribble PA, Armstrong C, Rice M, Pietrosimone B. Jump–landing biomechanics following a 4-week real-time feedback intervention and retention. Clinical Biomechanics. 2016;32:85-91.
  24. Mehl J, Diermeier T, Herbst E, Imhoff AB, Stoffels T, Zantop T, et al. Evidence-based concepts for prevention of knee and ACL injuries. 2017 guidelines of the ligament committee of the German Knee Society (DKG). Archives of orthopaedic and trauma surgery. 2018;138(1):51-61.
  25. Pappas E, Shiyko MP, Ford KR, Myer GD, Hewett TE. Biomechanical deficit profiles associated with ACL injury risk in female athletes. Medicine and science in sports and exercise. 2016;48(1):107.
  26. Makaruk H, Porter J, Czaplicki A, Sadowski J, Sacewicz T. MINERVA MEDICA COPYRIGHTŪ. The Journal of sports medicine and physical fitness. 2012;52:
    319-27.
  27. April SM. The use of resistance bands and a verbal cue on the frontal plane knee kinematics and kinetics during a drop vertical jump task. California State University, Fullerton; 2015.