Studies in Sport Medicine

The effect of acute lower limb fatigue on three-dimensional pelvic kinematics and lumbar curvature during unanticipated block among Adolescent Female Volleyball Players

Document Type : Research Paper

Authors

1 Department of Healthy and Sport Rehabilitation, Faculty of Sport Science and Health, Shahid Beheshti University, Tehran, Iran

2 Assistant Professor, Department of Healthy and Sport Rehabilitation, Faculty of Sport Science and Health, Shahid Beheshti University, Tehran, Iran

Abstract
Muscle fatigue can be an effective factor in the occurrence of sports injuries. The aim of this study was to investigate the effect of acute lower limb fatigue on three-dimensional pelvic kinematics and lumbar curvature during unanticipated block among adolescent female volleyball players. In this semi-experimental study, given the inclusion criteria, 16 adolescent female volleyball players were selected through a convenience sampling method. In the pre-test phase, the lumbar curvature of the participants was measured by a flexible ruler, and then each subject performed three unanticipated single leg jump-landing maneuvers and the data was recorded by a motion analysis device. Then the intervention of volleyball-specific lower-limb fatigue protocol was applied and the players were re-evaluated. The Shapiro-Wilk test was used to check the homogeneity of variances, the dependent t-test was used to analyze the data, and MATLAB software used to analyze the kinematic data. The results represented, a significant difference in the increase of anterior tilt and external rotation of the pelvic at the initial contact and the decrease of anterior tilt and increase internal rotation of the pelvic at the peak of landing after applying the fatigue protocol (P≤0.05). However, no significant difference was observed in other kinematic variables (P≥0.05). According to the results, it seems that the kinematic changes observed after applying the lower limb fatigue protocol can increase the risk of anterior cruciate ligament injury in volleyball players.

Keywords

Main Subjects

  1. Devetag F, Mazzilli M, Benis R, La Torre A, Bonato M. Anterior cruciate ligament injury profile in Italian Serie A1-A2 women’s volleyball league. J Sports Med Phys Fitness. 2018;58(1-2):92-7.
  2. Bere T, Kruczynski J, Veintimilla N, Hamu Y, Bahr R. Injury risk is low among world-class volleyball players: 4-year data from the FIVB Injury Surveillance System. British Journal of Sports Medicine. 2015;49(17):1132-7.
  3. Bahr MA, Bahr R. Jump frequency may contribute to risk of jumper's knee: a study of interindividual and sex differences in a total of 11 943 jumps video recorded during training and matches in young elite volleyball players. British Journal of Sports Medicine. 2014;48(17):1322-6.
  4. Fatahi A, Yousefian Molla R, Ameli M, Khezri D. The effect of combined and core stability training program with protective measures on selected variables of physical fitness of junior and young volleyball players during the Coronavirus pandemic. Journal of Sport Biomechanics. 2021;7(3):162-71. (in Persian).
  5. Paz GA, de Freitas Maia M, Santana HG, Miranda H, Lima V, Willson JD. Knee frontal plane projection angle: a comparison study between drop vertical jump and step-down tests with young volleyball athletes. Journal of Sport Rehabilitation. 2019;28(2):153-8.
  6. Haymo JMV, Deol NS. Comparision of landing technique between male and female volleyball players. 2018.
  7. Zahradnik D, Jandacka D, Holcapek M, Farana R, Uchytil J, Hamill J. Blocking landing techniques in volleyball and the possible association with anterior cruciate ligament injury. Journal of Sports Sciences. 2018;36(8):955-61.
  8. Schaver AL, Grezda K, Willey MC, Westermann RW. Radiographic Cam Morphology of the Hip May Be Associated with ACL Injury of the Knee: A Case-Control Study. Arthroscopy, Sports Medicine, and Rehabilitation. 2021;3(4):e1165-e70.
  9. Wetters N, Weber AE, Wuerz TH, Schub DL, Mandelbaum BR. Mechanism of injury and risk factors for anterior cruciate ligament injury. Operative Techniques in Sports Medicine. 2016;24(1):2-6.
  10. Stone EE, Butler M, McRuer A, Gray A, Marks J, Skubic M, editors. Evaluation of the Microsoft Kinect for screening ACL injury. 2013 35th annual international conference of the IEEE Engineering in Medicine and Biology Society (EMBC); 2013: IEEE.
  11. Wasser JG, Tripp B, Bruner ML, Bailey DR, Leitz RS, Zaremski JL, et al. Volleyball-related injuries in adolescent female players: an initial report. The Physician and Sportsmedicine. 2021;49(3):323-30.
  12. Westbrook AE, Taylor JB, Nguyen A-D, Paterno MV, Ford KR. Effects of maturation on knee biomechanics during cutting and landing in young female soccer players. Plos One. 2020;15(5):e0233701.
  13. Bourne MN, Webster KE, Hewett TE. Is fatigue a risk factor for anterior cruciate ligament rupture? Sports Medicine. 2019;49(11):1629-35.
  14. Halson SL. Monitoring training load to understand fatigue in athletes. Sports Medicine. 2014;44(2):139-47.
  15. Enoka RM, Duchateau J. Translating fatigue to human performance. Medicine and Science in Sports and Exercise. 2016;48(11):2228.
  16. Farzami A, Anbarian M. The effects of fatigue on plantar pressure and balance in adolescent volleyball players with and without history of unilateral ankle injury. Science & Sports. 2020;35(1):29-36.
  17. Shaw MY, Gribble PA, Frye JL. Ankle bracing, fatigue, and time to stabilization in collegiate volleyball athletes. Journal of Athletic Training. 2008;43(2):164-71.
  18. McNeal JR, Sands WA, Stone MH. Effects of fatigue on kinetic and kinematic variables during a 60-second repeated jumps test. International Journal of Sports Physiology and Performance. 2010;5(2):218-29.
  19. Proske U. Exercise, fatigue and proprioception: A retrospective. Experimental Brain Research. 2019;237(10):2447-59.
  20. Radzak KN, Putnam AM, Tamura K, Hetzler RK, Stickley CD. Asymmetry between lower limbs during rested and fatigued state running gait in healthy individuals. Gait & Posture. 2017;51:268-74.
  21. Lessi GC, Dos Santos AF, Batista LF, de Oliveira GC, Serrão FV. Effects of fatigue on lower limb, pelvis and trunk kinematics and muscle activation: Gender differences. Journal of Electromyography and Kinesiology. 2017;32:9-14.
  22. Yokota Y, Sonoda T, Tashiro Y, Suzuki Y, Kajiwara Y, Zeidan H, et al. Effect of Capacitive and Resistive electric transfer on changes in muscle flexibility and lumbopelvic alignment after fatiguing exercise. J Phys Ther Sci. 2018;30(5):719-25.
  23. Maas E. Musculoskeletal loading and adaptation in novice runners. 2018.
  24. Grabara M. Comparison of posture among adolescent male volleyball players and non-athletes. Biology of Sport. 2015;32(1):79-85.
  25. Grabara M, Hadzik A. Postural variables in girls practicing volleyball. Biomedical Human Kinetics. 2009;1:67-71.
  26. Jeevanathan K, Rajalakshmi I. Correlation of abdominal muscle activity and low back pain during drop jump performance among woman basketball and volleyball players.
  27. Clarsen B, Bahr R, Heymans M, Engedahl M, Midtsundstad G, Rosenlund L, et al. The prevalence and impact of overuse injuries in five N orwegian sports: Application of a new surveillance method. Scandinavian Journal of Medicine & Science in Sports. 2015;25(3):323-30.
  28. Borzabad FK, Venkatesh C. Relationship between flexibility of spinal column and volume of chest expansion among volleyball players. IJRAR-International Journal of Research and Analytical Reviews (IJRAR). 2020;7(1):158-62--62.
  29. Oakley PA, Ehsani NN, Harrison DE. Non-surgical reduction of lumbar hyperlordosis, forward sagittal balance and sacral tilt to relieve low back pain by Chiropractic BioPhysics® methods: a case report. Journal of Physical Therapy Science. 2019;31(10):860-4.
  30. Alizadeh S, Mattes K. How anterior pelvic tilt affects the lower extremity kinematics during the late swing phase in soccer players while running: A time series analysis. Human Movement Science. 2019;66:459-66.
  31. Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: a prospective biomechanical-epidemiologic study. Am J Sports Med. 2007;35(7):1123-30.
  32. Hewett TE, Zazulak BT, Myer GD, Ford KR. A review of electromyographic activation levels, timing differences, and increased anterior cruciate ligament injury incidence in female athletes. Br J Sports Med. 2005;39(6):347-50.
  33. De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity injuries in an athletic population? a systematic review. Phys Ther Sport. 2018;30:48-56.
  34. Chappell JD, Herman DC, Knight BS, Kirkendall DT, Garrett WE, Yu B. Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. Am J Sports Med. 2005;33(7):1022-9.
  35. Shokrian F, Khezry D, Matin Homayi H, Fattahi A. Comparing the electrical activity of selected ankle muscles in athletes during landing from different heights. The Scientific Journal of Rehabilitation Medicine. 2000;11(1):98-113. (in Persian).
  36. Murillo-Escobar J, Jaramillo-Munera YE, Orrego-Metaute DA, Delgado-Trejos E, Cuesta-Frau D. Muscle fatigue analysis during dynamic contractions based on biomechanical features and Permutation Entropy. Math Biosci Eng. 2020;17(3):2592-615.
  37. Wong TL, Huang CF, Chen PC. Effects of lower extremity muscle fatigue on knee loading during a forward drop jump to a vertical jump in female athletes. J Hum Kinet. 2020;72:5-13.
  38. Kim N, Lee SY, Lee SC, Rosen AB, Grindstaff TL, Knarr BA. Effect of isolated hip abductor fatigue on single-leg landing mechanics and simulated ACL loading. Knee. 2021;31:118-26.
  39. Xia R, Zhang X, Wang X, Sun X, Fu W. Effects of two fatigue protocols on impact forces and lower extremity kinematics during drop landings: implications for noncontact anterior cruciate ligament injury. J Healthc Eng. 2017;2017:5690519.
  40. Youdas JW, Hollman JH, Krause DA. The effects of gender, age, and body mass index on standing lumbar curvature in persons without current low back pain. Physiotherapy Theory and Practice. 2006;22(5):229-37.
  41. Pascual Huerta J, Ropa Moreno JM, Kirby KA, Garcia Carmona FJ, Orejana Garcia AM. Effect of 7-degree rearfoot varus and valgus wedging on rearfoot kinematics and kinetics during the stance phase of walking. Journal of the American Podiatric Medical Association. 2009;99(5):415-21.
  42. Khazaee Z, Gheitasi M, Barati AH. Effect of Lower Extremity Fatigue on Knee Joint Kinematics During Landing Maneuvers in Adult Soccer Players. SJRM. 2021;10(3):562-73. (in Persian).
  43. Mendiguchia J, Ford KR, Quatman CE, Alentorn-Geli E, Hewett TE. Sex differences in proximal control of the knee joint. Sports Med. 2011;41(7):541-57.
  44. Hertel J, Dorfman JH, Braham RA. Lower extremity malalignments and anterior cruciate ligament injury history. J Sports Sci Med. 2004;3(4):220-5.
  45. Kendall F, McCreary E, Provance P. Muscles Testing and Function Baltimore. MD: Williams & Wilkins. 1993;126.
  46. Delp SL, Hess WE, Hungerford DS, Jones LC. Variation of rotation moment arms with hip flexion. Journal of Biomechanics. 1999;32(5):493-501.
  47. Ross JR, Nepple JJ, Philippon MJ, Kelly BT, Larson CM, Bedi A. Effect of changes in pelvic tilt on range of motion to impingement and radiographic parameters of acetabular morphologic characteristics. The American Journal of Sports Medicine. 2014;42(10):2402-9.
  48. Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surgery, Sports Traumatology, Arthroscopy. 2009;17(7):705-29.
  49. Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. Journal of Orthopaedic & Sports Physical Therapy. 1996;24(2):91-7.
  50. Whyte EF, Richter C, O’connor S, Moran KA. The effect of high intensity exercise and anticipation on trunk and lower limb biomechanics during a crossover cutting manoeuvre. Journal of Sports Sciences. 2018;36(8):889-900.
  51. Levine D, Whittle MW. The effects of pelvic movement on lumbar lordosis in the standing position. Journal of Orthopaedic & Sports Physical Therapy. 1996;24(3):130-5.
  52. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Archives of physical Medicine and Rehabilitation. 1995;76(3):218-24.
  53. Roncarati A, McMullen W. Correlates of low back pain in a general population sample: a multidisciplinary perspective. Journal of Manipulative and Physiological Therapeutics. 1988;11(3):158-64.
  54. Hart JM, Kerrigan DC, Fritz JM, Ingersoll CD. Jogging kinematics after lumbar paraspinal muscle fatigue. Journal of Athletic Training. 2009;44(5):475-81.
  55. Madigan ML, Davidson BS, Nussbaum MA. Postural sway and joint kinematics during quiet standing are affected by lumbar extensor fatigue. Human Movement Science. 2006;25(6):788-99.
  56. Wilson EL, Madigan ML, Davidson BS, Nussbaum MA. Postural strategy changes with fatigue of the lumbar extensor muscles. Gait & Posture. 2006;23(3):348-54.
  57. Leppänen M, Rossi MT, Parkkari J, Heinonen A, Äyrämö S, Krosshaug T, et al. Altered hip control during a standing knee‐lift test is associated with increased risk of knee injuries. Scandinavian Journal of Medicine & Science in Sports. 2020;30(5):922-31.
  58. Ueno R, Navacchia A, DiCesare CA, Ford KR, Myer GD, Ishida T, et al. Knee abduction moment is predicted by lower gluteus medius force and larger vertical and lateral ground reaction forces during drop vertical jump in female athletes. Journal of Biomechanics. 2020;103:109669.
  59. Weeks BK, Carty CP, Horan SA. Effect of sex and fatigue on single leg squat kinematics in healthy young adults. BMC musculoskeletal Disorders. 2015;16(1):1-9.
  60. Neumann DA. Kinesiology of the hip: a focus on muscular actions. Journal of Orthopaedic & Sports Physical Therapy. 2010;40(2):82-94.
  61. Wilczyński B, Zorena K, Ślęzak D. Dynamic knee valgus in single-leg movement tasks. Potentially modifiable factors and exercise training options. A literature review. International Journal of Environmental Research and Public Health. 2020;17(21):8208.
  62. Dill KE, Begalle RL, Frank BS, Zinder SM, Padua DA. Altered knee and ankle kinematics during squatting in those with limited weight-bearing–lunge ankle-dorsiflexion range of motion. Journal of Athletic Training. 2014;49(6):723-32.
  63. Lima YL, Ferreira VMLM, de Paula Lima PO, Bezerra MA, de Oliveira RR, Almeida GPL. The association of ankle dorsiflexion and dynamic knee valgus: a systematic review and meta-analysis. Physical Therapy in Sport. 2018;29:61-9.
  64. Patrek MF, Kernozek TW, Willson JD, Wright GA, Doberstein ST. Hip-abductor fatigue and single-leg landing mechanics in women athletes. Journal of Athletic Training. 2011;46(1):31-42.
  65. Borotikar BS, Newcomer R, Koppes R, McLean SG. Combined effects of fatigue and decision making on female lower limb landing postures: central and peripheral contributions to ACL injury risk. Clinical Biomechanics. 2008;23(1):81-92.
  66. Schmidt RA, Wrisberg CA. Motor learning and performance: A situation-based learning approach. Champaign: Human Kinetics; 2008.
  67. Besier TF, Lloyd DG, Ackland TR, Cochrane JL. Anticipatory effects on knee joint loading during running and cutting maneuvers. Medicine and Science in Sports and Exercise. 2001;33(7):1176-81.
  68. Mendiguchia J, Ford KR, Quatman CE, Alentorn-Geli E, Hewett TE. Sex differences in proximal control of the knee joint. Sports Medicine. 2011;41(7):541-57.
  69. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004;36(6):926-34.
  70. Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewett TE. Gender comparison of hip muscle activity during single-leg landing. Journal of Orthopaedic & Sports Physical Therapy. 2005;35(5):292-9.
  71. Roberts A. Gait analysis: normal and pathological function J. Perry and JM Burnfield Pp. 576. Thorofare: SLACK Incorporated, 2010. ISBN: 978-1-55642-766-4. $92.95. The British Editorial Society of Bone and Joint Surgery; 2010.
  72. Pozzo T, Berthoz A, Lefort L. Head stabilization during various locomotor tasks in humans. Experimental Brain Research. 1990;82(1):97-106.

 

Studies in Sport Medicine
Volume 15, Issue 37
September 2023
Pages 37-56

  • Receive Date 08 November 2022
  • Revise Date 17 February 2023
  • Accept Date 24 May 2023

Home

Publication Ethics

Submit Manuscript

news

Journal Metrics

Contact Us