Kinematic comparison between single and double-leg jump landings in sagittal plane for male hand ball players

Double and single leg jump (SL) landing activities are considered stressful tasks for handball players. Most of the previous researches focused on kinetic analysis of these activities rather than kinematic analysis. Also, there is a lack of comparative studies that were performed between the two types of activities. The main aim of this study is to perform lower extremity kinematic analysis to find the kinematic differences between single and double-leg jump (DL) landings in the sagittal plane (SP),in male handball players. The lower extremity kinematics were measured in 15elite male handball players(while performing SL and DL landings), by using three-dimensional motion analysis system (VICON). The results revealed statistically significant difference between the lower limb kinematics of SPSL and SPDL. During the SPDL, the hip and knee flexion angles increased more than those in SPSL, while there was more knee adduction with internal rotation stress in SPSL than in SPDL(P< .05). The hip and knee flexion angles in the SPDL showed moderate association with those during the SPSL(R2, 0.49 and 0.44 respectively). In addition, the hip abduction in the SPDL showed moderate association with those during the SPSL (R2, 0.37). But, hip internal rotation, knee adduction, and knee internal rotation in the SPDL showed weak association with those during the SPSL (R2 = 0.02-0.041; P ˃ .05).The double-leg jump landing maybe considered as a less stressful task for the lower limb joints than the single-leg jump landing activity. As a clinical benefit, the double-leg jump landing activity may be used to screen the ACL injury risk in certain planes of joint motion.

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  • Beaulieu ML, Mclean SG. Sex-dimorphic landing mechanics and their role within the noncontact ACL injury mechanism : evidence, limitations and directions. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology, 2012; 4:10.
  • Breighner RE, Hardy DM, Shultz SJ. Hip extension, knee flexion paradox: A new mechanism for non-contact ACL injury. Journal of Biomechanics, 2011; 44: 577-585.
  • Cheatham SA, Johnson DL, Cheatham SA, Johnson DL. Current Concepts in ACL Injuries Current Concepts in ACL Injuries. The Physician and Sports Medicine, 2016; 38(3).
  • Dirx M, Bouter LM, Ma GHDG. A etiology of handball injuries : a case-control study. Br J Sports Med, 1992;26(3): 3–6.
  • From S, Team F. Mechanisms for noncontact anterior cruciate ligament injuries. The American Journal of Sports Medicine, 2010; 38(11).
  • Goetschius BJ, Smith HC, Vacek PM, Holterman LA, Sandra J, Tourville TW, et al. Application of a clinic-based algorithm as a tool to identify female athletes at risk for anterior cruciate ligament injury: a prospective cohort study with a nested, matched case-control analysis. American Journal of Sports Medicine, 2012; 40(9): 1978-84.
  • Harty CM, Dupont CE, Chmielewski TL, Mizner RL. Intertask comparison of frontal plane knee position and moment in female athletes during three distinct movement tasks. Scand J Med Sci Sports, 2011; 98–105.
  • Hewett TE, Torg JS, Boden BP. Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism A. NIH Public Access, 2014; 43(6): 417–22.
  • Imwalle LE, Myer GD, Ford KR, Hewett TE. Relationship Between Hip and Knee Kinematics In Athletic Women During Cutting Maneuvers: A Possible Link to Noncontact Anterior Cruciate Ligament Injury and Prevention. J Strength Cond Res, 2009; 23(8): 2223–30.
  • Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics : sex differences. Journal of Athletic Training, 2007; 42(1): 76–83.
  • Kanosue K, Ogawa T, Fukano M, Fukubayashi T. Sports Injuries and Prevention. Springer Japan, 2015.
  • Koga H, Nakamae A, Shima Y. Mechanisms for Noncontact Anterior Cruciate Ligament Injuries Knee Joint Kinematics in 10 Injury Situations From Female Team Handball and Basketball. The American Journal of Sports Medicine, Am J Sports Med. 2010; 38(11): 2218-25.
  • Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R. Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med, 2007; 35(3): 359-67.
  • Krosshaug T, Steffen K, Kristianslund E. The Vertical Drop Jump Is a Poor Screening Test for ACL Injuries in Female Elite Soccer and Handball Players A Prospective Cohort Study of 710 Athletes. The American Journal of Sports Medicine, 2016; 44(4): 874-83.
  • Lephart SM, Abt JP, Ferris CM, Sel TC, Naga T, Myers JB, Irrgang JJ. Neuromuscular and biomechanical characteristic changesin high school athletes: a plyometric versus basic resistance. Br J Sports Med, 2005; 39: 932–938.
  • Louw Q, Grimmer K, Vaughan. Knee injury patterns among young basketball players in Cape Town. Sports Medicine, 2003.
  • Louw Q, Grimmer K. Biomechanical factors associated with the risk of knee injury when landing from a jump. SAJSM, 2006; 18(1): 18–23.
  • Mclean SG. ACL Injuries: Do We Know the Mechanisms? 2007; 37(2).
  • Myer GD, Ford KR, Hewett TE. Tuck Jump Assessment for Reducing Anterior Cruciate Ligament Injury Risk. Athl Ther Today, 2008; 13(5): 39–44.
  • Nagano Y, Ida H, Akai M, Fukubayashi T. Effects of jump and balance training on knee kinematics and electromyography of female basketball athletes during a single limb drop landing : pre-post intervention study. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology, 2011; 3: 14.
  • Noyes FR, Barber-westin SD, Fleckenstein C, Walsh C, West J. The drop-jump screening test difference in lower limb control by gender and effect of neuromuscular training in female athletes. The American Journal of Sports Medicine, 2005; 33(2): 197–207.
  • Olsen O, Myklebust G, Engebretsen L, Bahr R. Injury Mechanisms for Anterior Cruciate, 2000; 1002–12.
  • Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury pattern in youth team handball: A comparison of two prospective registration methods. Scand J Med Sci Sport, 2006; 16(6): 426–32.
  • Padua DA, Distefano LJ, Beutler AI, Motte SJ De, Distefano MJ, Marshall SW. The landing error scoring system as a screening tool for an anterior cruciate ligament injury–prevention program in elite-youth soccer athletes. Journal of Athletic Training, 2015; 50(6): 589–95.
  • Portney LG, Watkins MP. Foundation of clinical research: Application to practice. 3rd edition. Amazon, 2009.
  • Quatman CE, Hewett TE. The anterior cruciate ligament injury controversy : is "valgus collapse" a sex-specific mechanism? Br J Sports Med, 2009; 43: 328–35.
  • Renstrom P, Ljungqvist A, Arendt E, Beynnon B, Fukubayashi T, Garrett W, et al. Foundation of clinical research: Application to practice - Deel 2. Sport enGeneeskd, 2008;41(4): 20–30.
  • Schmitz RJ, Kulas AS, Perrin DH, Riemann BL, Shultz SJ. Sex differences in lower extremity biomechanics during single leg landings. Clinical Biomechanics, 2007; 22: 681–8.
  • Schmitz RJ, Shultz SJ, Nguyen A. Dynamic valgus alignment and functional strength in males and females during maturation. Journal of Athletic Training, 2009; 44(1): 26–32.
  • Setuain I, Millor N, Alfaro J, Gorostiaga E. Izquierdo M. Jumping performance differences among elite professional handball players with or without previous ACL reconstruction. J Sports Med Phys Fitness, 2015; 55(10): 1184-92.
  • Silvers HJ, Mandelbaum BR. Prevention of anterior cruciate ligament injury in the female athlete. Br J Sports Med, 2007; 41: 52–9.
  • Strategies M, Straub SJ. Effects of plyometric training on performance in female athletes. Journal of Athletic Training, 2004; 39(1): 24–31.
  • Taylor JB, Ford KR, Nguyen A, Shultz SJ. Biomechanical Comparison of Single- and Double-Leg Jump Landings in the Sagittal and Frontal Plane. Orthop J Sports Med, 2016; 4(6): 1–9.
  • Tsai L, Powers CM. Increased hip and knee flexion during landing decreases tibiofemoral compressive forces in women who have undergone anterior cruciate ligament. The American Journal of Sports Medicine, 2012; 41(2).
  • Voskanian N. ACL Injury prevention in female athletes : review of the literature and practical considerations in implementing an ACL prevention program. Curr Rev Musculoskelet Med, 2013; 158–63.
  • Xaverova Z, Dirnberger J, Lehnert M, Belka J, Wagner H, Orechovska K. Isokinetic Strength Profile of Elite Female Handball Players. Journal of Human Kinetics, 2015; 49: 257-66.
  • Yong S, Sandra J. The Relationships among sagittal-plane lower extremity moments : implication for landing strategy in anterior cruciate injury prevention. Journal of Athletic Training, 2009; 44(1): 33-38.
  • Yu B, Lin C, Garrett WE. Lower extremity biomechanics during the landing of a stop-jump task. Clinical Biomechanics, 2006; 21:297-305.
  • Yu B, Lin CF, Garrett WE. Lower extremity biomechanics during the landing of a stop-jump task. Clin Biomech, 2006; 21(3): 297-305.
  • Zhang S, Bates BT, Dufek JS. Energy dissipation during landings. Med Sci Sports Exerc, 2000; 32(4): 812–9.