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This study investigated whether the directional balance and reach with and without rotation is a reliable screening tool to measure dynamic balance and ability to control motion in three planes. Twenty healthy, collegiate athletes participated. The directional balance and reach exhibited good to excellent levels of intra- and interrater reliability (intraclass correlation coefficient = .77-.99). The directional balance and reach provides clinicians with a reliable method that requires minimum financial. spatial. and temporal costs to administer in small and large screening, training, and evaluation programs to recognize asymmetries and deficits in assessing dynamic balance in all three planes of motion. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine changes in landing performance during fatigue that could result in increased stress fracture injury risk. Five participants performed nonfatigued and fatigued drop landings (0.60 m), while ground reaction force (GRF), electromyographic (EMG) activity, and kinematics were recorded. Fatigue was defined as a 5-20% reduction in vertical jumping performance. Single-subject analyses revealed that all participants were affected (p less than or equal to 0.05) by fatigue. Post hoc comparisons revealed a group effect (p less than or equal to 0.05) for selected variables. Participants landed with (a) less joint flexion at contact and used a greater range of motion, (b) greater GRF peaks and loading rates, and (c) less EMG activity. These changes were consistent with greater risk of stress fracture. (Contains 4 figures and 5 tables.)

Women are more prone to anterior cruciate ligament (ACL) injury during cutting sports than men. The purpose of this study was to examine knee kinematic and ground reaction forces (GRF) differences between genders during cutting. Male and female athletes performed cutting trials while force platform and video data were recorded (180 Hz). Differences (p [less than or equal to] 05) were observed between groups for knee flexion at contact and GRF at maximum knee flexion. Women averaged 5.8[degrees] less flexion at contact and 1.0 greater GRF at maximum flexion. Knee range of motion and peak GRF variables were not significantly different, but women had greater values. Women exhibited technique characteristics believed to increase ACL injury risk, but men exhibiting similar characteristics were also observed and could also be at risk.

This study sought to identify kinetic and electromyographic subphase characteristics distinguishing good from poor jumpers during countermovement vertical jumps (CMVJs), as defined by the reactive strength index (RSI, CMVJ displacement divided by jump time; cutoff = 0.46 m·s−1). A total of 15 men (1.8 [0.6] m, 84.5 [8.5] kg, 24 [2] y) were stratified by RSI into good (n = 6; RSI = 0.57 [0.07] m·s−1) and poor (n = 9; RSI = 0.39 [0.06] m·s−1) performance groups. The following variables were compared between groups using independent t tests (α =.05) and Cohen’s d effect sizes (d ≥ 0.8, large): jump height, propulsive impulse, eccentric rate of force development, and jump time, unloading, eccentric, and concentric subphase times, and average electromyographic amplitudes of 8 lower extremity muscles. Compared with the poor RSI group, the good RSI group exhibited a greater, though not statistically different CMVJ displacement (d = 1.07, P =.06). In addition, the good RSI group exhibited a significantly greater propulsive impulse (P =.04, d = 1.27) and a significantly more rapid unloading subphase (P =.04, d = 1.08). No other significant or noteworthy differences were detected. Enhanced RSI appears related to a quicker unloading phase, allowing a greater portion of the total jumping phase to be utilized generating positive net force. Poor jumpers should aim to use unloading strategies that emphasize quickness to enhance RSI during CMVJ. [ABSTRACT FROM AUTHOR]

Introduction: Recurrent lower back pain (rLBP) and neuromuscular fatigue are independently thought to increase the risk of lower extremity (LE) injury. Volitional preemptive abdominal contraction (VPAC) is thought to improve lumbar spine and pelvis control in individuals with rLBP. The effects of VPAC on fatigued landing performance in individuals with rLBP are unknown. Objectives: To determine the effects of VPAC and LE fatigue on landing performance in a rLBP population. Design: Cross-sectional pretest-posttest cohort control design. Setting: A clinical biomechanics laboratory. Subjects: 32 rLBP (age 21.2 ± 2.7 y) but without current symptoms and 33 healthy (age 20.9 ± 2.3 y) subjects. Intervention(s) : (i) Volitional preemptive abdominal contraction using abdominal bracing and (ii) fatigue using submaximal free-weight squat protocol with 15% body weight until task failure was achieved. Main Outcome Measure(s): Knee and ankle angles, moments, electromyographic measurements from semitendinosus and vastus medialis muscles, and ground reaction force (GRF) were collected during 0.30 m drop-jump landings. Results: The VPAC resulted in significantly earlier muscle onsets across all muscles with and without fatigue in both groups (mean ± SD, 0.063 ± 0.016 s earlier; P ≤ .001). Fatigue significantly delayed semitendinosus muscle onsets (0.033 ± 0.024 s later; P ≤ .001), decreased GRF (P ≤ .001), and altered landing kinematics in a variety of ways. The rLBP group exhibited delayed semitendinosus and vastus medialis muscle onsets (0.031 ± 0.028 s later; P ≤ .001) and 1.8° less knee flexion at initial contact (P ≤ .008). Conclusion: The VPAC decreases some of the detrimental effects of fatigue on landing biomechanics and thus may reduce LE injury risk in a rLBP population. [ABSTRACT FROM AUTHOR]

Objective The authors sought to examine the immediate effects of movement training aimed at improving use of gluteus maximus (GMAX) in the sagittal plane on hip internal rotation and self-reported patellofemoral pain (PFP) during single-limb landing. Methods Seventeen females with PFP participated. Lower extremity kinematics and kinetics, GMAX activation, and self-reported PFP were obtained before and after a single-session movement training program aimed at increasing the use of GMAX. Dependent variables of interest included self-reported PFP, average GMAX activation, average hip extensor moment, and peak hip internal rotation. Post-training changes were evaluated using paired t tests and Wilcoxon signed rank tests. Results Following movement training, self-reported PFP decreased significantly (mean [standard deviation]) (3.9 [1.1] vs 0.8 [1.3] on a 0–10 scale). Additionally, significant increases were observed for the average hip extensor moment (0.6 [0.3] vs 1.8 [0.4] Nm/kg) and average GMAX activation (41.0% [18.3] vs 51.6% [25.7] maximum voluntary isometric contraction), whereas peak hip internal rotation decreased significantly (8.5 degrees [5.8] vs 6.0 degrees [5.3]). Conclusion Movement training aimed at improving the use of GMAX in the sagittal plane resulted in clinically relevant changes in self-reported pain, GMAX activation, and hip kinetics and kinematics. Improving the use of GMAX during movement merits consideration when designing rehabilitation programs for females with PFP. Impact The current study highlights the clinical utility of movement training for persons with PFP and provides a biomechanical rationale for its use as a potential intervention in this population. [ABSTRACT FROM AUTHOR]