前十字韧带重建者在双肢下落垂直跳跃过程中的下肢关节角度、力矩和协调性。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-05-20 DOI:10.1080/14763141.2024.2356845
Justin D Dennis, Skylar C Holmes, Caitlyn Heredia, Eric J Shumski, Derek N Pamukoff
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引用次数: 0

摘要

前交叉韧带重建(ACLR)患者的肢体之间采用不同的着地生物力学,但之前的分析并未考虑着地和推进过程中发生的连续或同步关节运动。本研究旨在比较前交叉韧带重建肢体和未受伤肢体在着地和推进过程中的矢状面踝/膝和膝/髋协调模式,以及踝、膝和髋角度、力矩和垂直地面反作用力(vGRF)。15 名女性和 13 名男性从一个 30 厘米的箱子上进行了垂直落体跳跃,箱子放置在离他们身高一半的力量平台上。使用改进的矢量编码技术和分选分析比较了协调性。运动学和动力学在波形分析中进行了时间归一化处理。肢体间的协调性没有差异。与未受伤的肢体相比,前交叉韧带损伤肢体的背屈角较小,着地时为11%至16%,着地和推进时为24%至75%;膝关节屈曲力矩较小,着地时为5%至15%,着地时为20%至31%,着地和推进时为35%至91%;vGRF较小,推进时为92%至94%。前交叉韧带复位的肢体表现出较小的背屈角度,可能会减少膝关节力矩臂,并在着地和推进过程中分别减轻对前交叉韧带复位膝关节的偏心和同心要求。
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Lower extremity joint angle, moment, and coordination throughout a double limb drop vertical jump in individuals with anterior cruciate ligament reconstruction.

Individuals with anterior cruciate ligament reconstruction (ACLR) utilise different landing biomechanics between limbs, but previous analyses have not considered the continuous or simultaneous joint motion that occurs during landing and propulsion. The purpose of this study was to compare sagittal plane ankle/knee and knee/hip coordination patterns as well as ankle, knee, and hip angles and moments and vertical ground reaction force (vGRF) between the ACLR and uninjured limbs during landing and propulsion. Fifteen females and thirteen males performed a drop vertical jump from a 30 cm box placed half their height from force platforms. Coordination was compared using a modified vector coding technique and binning analysis. Kinematics and kinetics were time normalised for waveform analyses. Coordination was not different between limbs. The ACLR limb had smaller dorsiflexion angles from 11 to 16% of landing and 24 to 75% of landing and propulsion, knee flexion moments from 5 to 15% of landing, 20 to 31% of landing, and 35 to 91% of landing and propulsion, and vGRF from 92 to 94% of propulsion compared with the uninjured limb. The ACLR limb exhibited smaller dorsiflexion angles to potentially reduce the knee joint moment arm and mitigate the eccentric and concentric demands on the ACLR knee during landing and propulsion, respectively.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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