Abstract
Purpose
The purpose of this study was to compare kinetics, kinematics and muscle activation strategies between male and female collegiate level athletes during unanticipated sidestepping tasks to further the understanding of sex-specific differences in injury incidence and their potential influence on ACL injury risk.
Methods
Three-dimensional kinematics, ground reaction forces and surface electromyography of eight lower limb muscles were recorded during unanticipated sidestepping in 20 male soccer and 17 female field hockey National Collegiate Athletics Association Division 1 athletes. Trunk, hip and knee kinematics, knee joint moments, total muscle activation (TMA: knee, gluteal, quadriceps, hamstrings and gastrocnemii) and directed co-contraction ratios (DCCR) were compared between groups with two-sample t tests.
Results
No sex differences were observed for peak frontal and transverse plane knee moments (P > 0.05), however males had 10% greater knee flexion moments (P = 0.047). Females had lower hip flexion and abduction and greater hip internal rotation angles than males likely concomitant with the 30% reduction in gluteal TMA (P < 0.05). Females had lower quadriceps TMA during pre-contact and weight acceptance and higher hamstrings TMA during weight acceptance (P < 0.05). Group averages for DCCR were not representative of individual patterns, where the majority of males were quadriceps dominant compared with females.
Conclusions
Female and male team sport athletes display similar frontal and transverse plane knee moments, however their ability to support/counter the load applied (i.e., muscle activations strategies) to the knee joint differed.
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References
Agel J, Arendt EA, Bershadsky B. Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med. 2005;33(4):524–31.
Beaulieu ML, Lamontagne M, Xu L. Lower limb muscle activity and kinematics of an unanticipated cutting manoeuvre: a gender comparison. Knee Surg Sports Traumatol Arthrosc. 2009;17(8):968–76.
Bencke J, Zebis MK. The influence of gender on neuromuscular pre-activity during side-cutting. J Electromyogr Kinesiol. 2011;21(2):371–5.
Besier TF, Lloyd DG, Ackland TR. Muscle activation strategies at the knee during running and cutting maneuvers. Med Sci Sports Exerc. 2003;35(1):119–27.
Besier TF, Lloyd DG, Ackland TR, Cochrane JL. Anticipatory effects on knee joint loading during running and cutting maneuvers. Med Sci Sports Exerc. 2001;33(7):1176–81.
Besier TF, Lloyd DG, Cochrane JL, Ackland TR. External loading of the knee joint during running and cutting maneuvers. Med Sci Sports Exerc. 2001;33(7):1168–75.
Besier TF, Sturnieks DL, Alderson JA, Lloyd DG. Repeatability of gait data using a functional hip joint centre and a mean helical knee axis. J Biomech. 2003;36(8):1159–68.
Buchanan TS, Lloyd DG. Muscle activation at the human knee during isometric flexion–extension and varus–valgus loads. J Orthop Res. 1997;15(1):11–7.
Buford WL Jr, Ivey FM Jr, Nakamura T, Patterson RM, Nguyen DK. Internal/external rotation moment arms of muscles at the knee: moment arms for the normal knee and the ACL-deficient knee. Knee. 2001;8(4):293–303.
Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sports Med. 2002;30(2):261–7.
Cochrane JL, Lloyd DG, Buttfield A, Seward H, McGivern J. Characteristics of anterior cruciate ligament injuries in Australian football. J Sci Med Sport. 2007;10(2):96–104.
Cohen J. Statistical power analyses for the social sciences. Hillsdale: Lawrence Erlbauni Associates; 1988.
Dempsey AR, Lloyd DG, Elliott BC, Steele JR, Munro BJ, Russo KA. The effect of technique change on knee loads during sidestep cutting. Med Sci Sports Exerc. 2007;39(10):1765–73.
Devaprakash D, Weir GJ, Dunne JJ, Alderson JA, Donnelly CJ. The influence of digital filter type, amplitude normalisation method, and co-contraction algorithm on clinically relevant surface electromyography data during clinical movement assessments. J Electromyogr Kinesiol. 2016;31:126–35.
Donnelly CJ, Elliott BC, Doyle TLA, Finch CF, Dempsey AR, Lloyd DG. Changes in muscle activation following balance and technique training and a season of Australian football. J Sci Med Sport. 2015;18(3):348–52.
Donnelly CJ, Elliott BC, Doyle TL, Finch CF, Dempsey AR, Lloyd DG. Changes in knee joint biomechanics following balance and technique training and a season of Australian football. Br J Sports Med. 2012;46(13):917–22.
Ferber R, Davis IM, Williams Iii DS. Gender differences in lower extremity mechanics during running. Clin Biomech. 2003;18(4):350–7.
Filbay SR, Ackerman IN, Russell TG, Macri EM, Crossley KM. Health-related quality of life after anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med. 2014;42(5):1247–55.
Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35(10):1745–50.
Hanson AM, Padua DA, Troy Blackburn J, Prentice WE, Hirth CJ. Muscle activation during side-step cutting maneuvers in male and female soccer athletes. J Athl Train. 2008;43(2):133–43.
Hashemi J, Breighner R, Chandrashekar N, Hardy DM, Chaudhari AM, Shultz SJ, Beynnon BD. Hip extension, knee flexion paradox: a new mechanism for non-contact ACL injury. J Biomech. 2011;44(4):577–85.
Hashemi J, Breighner R, Jang T-H, Chandrashekar N, Ekwaro-Osire S, Slauterbeck JR. Increasing pre-activation of the quadriceps muscle protects the anterior cruciate ligament during the landing phase of a jump: an in vitro simulation. Knee. 2010;17(3):235–41.
Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech. 2009;24(10):833–41.
Hermens HJ, Freriks B. The state of the art on sensors and sensor placement procedures for surface electromyography: a proposal for sensor placement procedures. Deliverable of the SENIAM Project. 1997.
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.
Hewett Timothy E, Myer GD, Ford KR, Heidt RS, Colosimo AJ, McLean SG, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. Am J Sports Med. 2005;33(4):492–501.
Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311.
Janssen KW, Orchard JW, Driscoll TR, Van Mechelen W. High incidence and costs for anterior cruciate ligament reconstructions performed in Australia from 2003–2004 to 2007–2008: time for an anterior cruciate ligament register by Scandinavian model? Scand J Med Sci Sports. 2012;22(4):495–501.
Krosshaug T, Slauterbeck JR, Engebretsen L, Bahr R. Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports. 2007;17(5):508–19.
Leardini A, Benedetti MG, Berti L, Bettinelli D, Nativo R, Giannini S. Rear-foot, mid-foot and fore-foot motion during the stance phase of gait. Gait Posture. 2007;25(3):453–62.
Lloyd DG, Buchanan TS. Strategies of muscular support of varus and valgus isometric loads at the human knee. J Biomech. 2001;34(10):1257–67.
Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech. 2001;16(5):438–45.
Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL. Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res. 1995;13(6):930–5.
McLean SG, Huang X, Su A, Van Den Bogert AJ. Sagittal plane biomechanics cannot injure the ACL during sidestep cutting. Clin Biomech. 2004;19(8):828–38.
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. Clin Biomech. 2005;20(8):863–70.
McLean SG, Lipfert SW, Van Den Bogert AJ. Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Med Sci Sports Exerc. 2004;36(6):1008.
Morgan KD, Donnelly CJ, Reinbolt JA. Elevated gastrocnemius forces compensate for decreased hamstrings forces during the weight-acceptance phase of single-leg jump landing: implications for anterior cruciate ligament injury risk. J Biomech. 2014;47(13):3295–302.
Myer GD, Ford KR, Hewett TE. The effects of gender on quadriceps muscle activation strategies during a maneuver that mimics a high ACL injury risk position. J Electromyogr Kinesiol. 2005;15(2):181–9.
Øiestad BE, Engebretsen L, Storheim K, Risberg MA. Winner of the 2008 systematic review competition: knee osteoarthritis after anterior cruciate ligament injury. Am J Sports Med. 2009;37(7):1434–43.
Padua DA, Carcia CR, Arnold BL, Granata KP. Gender differences in leg stiffness and stiffness recruitment strategy during two-legged hopping. J Mot Behav. 2005;37(2):111–26.
Pataky TC, Robinson MA, Vanrenterghem J. Vector field statistical analysis of kinematic and force trajectories. J Biomech. 2013;46(14):2394–401.
Pollard CD, Davis IM, Hamill J. Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver. Clin Biomech. 2004;19(10):1022–31.
Sigward SM, Pollard CD, Havens KL, Powers CM. The influence of sex and maturation on knee mechanics during side-step cutting. Med Sci Sports Exerc. 2012;44(8):1497.
Sigward SM, Powers CM. The influence of gender on knee kinematics, kinetics and muscle activation patterns during side-step cutting. Clin Biomech. 2006;21(1):41–8.
Sigward S, Powers CM. The influence of experience on knee mechanics during side-step cutting in females. Clin Biomech. 2006;21(7):740–7.
Winter DA. Biomechanics and motor control of human movement. Hoboken: Wiley; 2009.
Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D, Witte H. ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: ankle, hip, and spine. J Biomech. 2002;35(4):543–8.
Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewett TE. Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther. 2005;35(5):292–9.
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42978_2019_19_MOESM1_ESM.tif
Supplementary Fig. 1. Individual mean and standard deviations for externally applied peak knee flexion (a), valgus (b) and internal rotation (c) moments during unanticipated sidestepping for males (black) and females (grey). Lines represent average for males (black) and females (grey). (TIFF 833 kb)
42978_2019_19_MOESM2_ESM.tif
Supplementary Fig. 2. Individual mean and standard deviations for peak sagittal, frontal and transverse plane trunk (a-c), hip (d-f) and knee angles (h & i) during stance and knee flexion angle at foot strike (g) for males (black) and females (grey). Lines represent average for males (black) and females (grey). (TIFF 1154 kb)
42978_2019_19_MOESM3_ESM.tif
Supplementary Fig. 3. Individual mean and standard deviations for total muscle activation of muscle groups crossing the knee and hip during pre-contact (50 ms prior to foot-strike), and weight acceptance for males (black) and females (grey). Lines represent average for males (black) and females (grey). (TIFF 991 kb)
42978_2019_19_MOESM4_ESM.tif
Supplementary Fig. 4. Individual mean and standard deviations for directed co-contraction ratio (DCCR) of the quadriceps and hamstrings during pre-contact (50 ms prior to foot-strike) (a), and weight acceptance (b) for males (black) and females (grey). Lines represent average for males (black) and females (grey). A DCCR > 0 indicates co-contraction is directed toward the hamstrings, DCCR < 0 indicates co-contraction is directed toward the quadriceps and DCCR = 0 indicates maximal co-contraction. (TIFF 639 kb)
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Weir, G., Stillman, M., van Emmerik, R. et al. Differences in Kinetics, Kinematics and Muscle Activation Strategies in Male and Female Team Sport Athletes During Unanticipated Sidestepping. J. of SCI. IN SPORT AND EXERCISE 1, 159–167 (2019). https://doi.org/10.1007/s42978-019-0019-2
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DOI: https://doi.org/10.1007/s42978-019-0019-2