scholarly journals Relationship Between Knee Valgus Asymmetry During Running And Side-Step Cutting Mechanics in Female Lacrosse Players.

2018 ◽  
Vol 50 (5S) ◽  
pp. 42-43
Author(s):  
Bhushan Thakkar ◽  
Jenna Kostiuk ◽  
Kathryn Harrison ◽  
Jacqueline Morgan ◽  
Gregory Crosswell ◽  
...  
Author(s):  
Ali Mohammed Alzahrani ◽  
Msaad Alzhrani ◽  
Saeed Nasser Alshahrani ◽  
Wael Alghamdi ◽  
Mazen Alqahtani ◽  
...  

This study aimed to systematically review research investigating the association between hip muscle strength and dynamic knee valgus (DKV). Four databases (MEDLINE, PubMed, CINAHL, and SPORTDiscus) were searched for journal articles published from inception to October 2020. Seven studies investigating the association between hip muscle strength and DKV using a two-dimensional motion analysis system in healthy adults were included. The relationship between hip abductor muscle strength and DKV was negatively correlated in two studies, positively correlated in two studies, and not correlated in three studies. The DKV was associated with reduced hip extensor muscle strength in two studies and reduced hip external rotator muscle strength in two studies, while no correlation was found in three and five studies for each muscle group, respectively. The relationship between hip muscle strength, including abductors, extensors, and external rotators and DKV is conflicting. Considering the current literature limitations and variable methodological approaches used among studies, the clinical relevance of such findings should be interpreted cautiously. Therefore, future studies are recommended to measure the eccentric strength of hip muscles, resembling muscular movement during landing. Furthermore, high-demand and sufficiently challenging functional tasks revealing lower limb kinematic differences, such as cutting and jumping tasks, are recommended for measuring the DKV.


2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0006
Author(s):  
Gretchen D. Oliver ◽  
Kenzie B. Friesen ◽  
Regan E. Shaw ◽  
David Shannon ◽  
Jeffrey Dugas ◽  
...  

Background: Softball pitchers have an eminent propensity for injury due to the high repetition and ballistic nature of the pitch. As such, trunk pathomechanics during pitching have been associated with upper extremity pain. The single leg squat (SLS) is a simple diagnostic tool used to examine LPHC and trunk stability. Research shows a lack of LPHC stability is often associated with altered pitching mechanics consequently increasing pain and injury susceptibility. Hypothesis/Purpose: The purpose of this study was to examine the relationship between trunk compensatory kinematics during the SLS and kinematics during foot contact of the windmill pitch. The authors hypothesized there would be a relationship between SLS compensations and pitch kinematics previously associated with injury. In using a simple clinical assessment such as the SLS, athletes, coaches, parents, and clinicians can identify potential risk factors that may predispose the athlete to injurious movement patterns. Methods: Fifty-five youth and high school softball pitchers (12.6±2.2 years, 160.0±11.0 cm, 60.8±15.5 kg) were recruited to participate. Kinematic data were collected at 100Hz using an electromagnetic tracking device. Participants were asked to complete a SLS on their stride leg (contralateral to their throwing arm), then throw 3 fastballs at maximal effort. Values of trunk flexion, trunk lateral flexion, and trunk rotation at peak depth of the SLS were used as the dependent variables in three separate backward elimination regression analyses. Independent variables examined at foot contact of the pitch included: trunk flexion, trunk lateral flexion, trunk rotation, center of mass, stride length, and stride knee valgus. Results: The SLS trunk rotation regression, F(1,56) = 4.980, p = .030, revealed trunk flexion significantly predicted SLS trunk rotation (SE = .068, t = 2.232, p = .030) and explained approximately 7% of variance (Adj. R2 = .066). The SLS trunk flexion regression, F(1,56) = 5.755, p = .020, revealed stride knee valgus significantly predicted SLS trunk flexion (SE = .256, t = 2.399, p = .020) and explained approximately 8% of variance (Adj. R2 = .078). Conclusion/Significance: Additional trunk rotation and trunk flexion at peak depth of the SLS indicate increased knee valgus and trunk flexion at foot contact of the pitch, both of which suggest poor LPHC stability, may increase the potential for injury. Athletes, coaches and clinicians should acknowledge the risk of poor LPHC in softball pitching and implement exercises to improve LPHC stability in effort to decrease pitching pathomechanics and associated pain.


2021 ◽  
pp. 1-6
Author(s):  
Young Jin Jo ◽  
Young Kyun Kim

BACKGROUND: Dynamic knee valgus (DKV) is a known risk factor for acute and chronic knee injuries and is more frequently diagnosed in females. A real-time single-leg squat test (SLST) could screen for DKV to prevent injuries. OBJECTIVE: To compare the differences in lower extremity strength and range of motion (ROM) in female soccer athletes with and without DKV during an SLST. METHODS: Eighteen subjects with DKV (DKV group) and 18 subjects without DKV (control group) during a single-leg squat were included. Hip strength (flexion, extension, abduction, adduction, internal rotation, and external rotation) was measured with a hand-held dynamometer. Hip ROM (internal and external rotation), and ankle ROM (dorsiflexion with the knee flexed and extended) were measured. Independent t-test was used to compare the averages of the groups. RESULTS: There were significant differences in hip abduction to adduction strength ratio (DKV: 1.48 ± 0.3, control: 1.22 ± 0.26, p< 0.01) and ankle dorsiflexion with knee flexed (DKV: 17.22 ± 6.82, control: 21.22 ± 4.55, p< 0.05) and extended (DKV: 10.14 ± 4.23, control: 14.75 ± 3.40, p< 0.001) between the groups. CONCLUSION: The hip abduction to adduction strength ratio and gastrocnemius and soleus flexibility may be associated factors in dynamic knee valgus and therefore should be assessed and treated, if indicated, as a possible preventive measure in female athletes with this variation.


Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e213-e214
Author(s):  
F.-H. Chang ◽  
K.-T. Huang ◽  
W.-Y. Chen ◽  
Y.-F. Shih

Author(s):  
Demeng Che ◽  
Jacob Smith ◽  
Kornel F. Ehmann

The unceasing improvements of polycrystalline diamond compact (PDC) cutters have pushed the limits of tool life and cutting efficiency in the oil and gas drilling industry. However, the still limited understanding of the cutting mechanics involved in rock cutting/drilling processes leads to unsatisfactory performance in the drilling of hard/abrasive rock formations. The Finite Element Method (FEM) holds the promise to advance the in-depth understanding of the interactions between rock and cutters. This paper presents a finite element (FE) model of three-dimensional face turning of rock representing one of the most frequent testing methods in the PDC cutter industry. The pressure-dependent Drucker-Prager plastic model with a plastic damage law was utilized to describe the elastic-plastic failure behavior of rock. A newly developed face turning testbed was introduced and utilized to provide experimental results for the calibration and validation of the formulated FE model. Force responses were compared between simulations and experiments. The relationship between process parameters and force responses and the mechanics of the process were discussed and a close correlation between numerical and experimental results was shown.


2020 ◽  
Vol 5 (3) ◽  
pp. 69-95
Author(s):  
Dorota Kochman ◽  
◽  
Aneta Studzińska ◽  

Introduction. Faulty posture is define as the syndrome of bad posture that we characterize as minimal, individual anomalies upon proper poise which are potentially curable with professional passive and active exercises. An im-portant function at develop posture anomalies has factors which induce to take improper silhouette. To the above factors mainly belong: bad posture while relaxation, wrong place to study or hefting overloaded packs. Aim. Depiction of common problem among children at school age which is exposure of faulty posture and specification of factors which produce faulty posture. Material and methods. In the thesis was used method of evaluation and diag-nostic survey method. With the object of execution the questionnaire surveys applied an anonymous and authorial questionnaire at the same time. A hundred of children at 11-14 age entered the survey. Based on data, computed BMI rate and the anthropometric parameters were evaluated according to centile grid. Results. A hundred of children entered the research (49% boys, 51% girls). 24% of children had diagnose of faulty posture namely 16 girls and 8 boys. Fallen arches was detected at 11 children, it is about 46% of people with bad posture, whereas none of children had knees valgus (0%). 38% of children who are active less than hour per day were diagnosed with faulty posture, whereas group of people with 1-2 hours daily physical activity had only 16,1% of chil-dren with faulty posture. On the other hand with students who spare over two hours on activity daily were not any fault. 87,5% of respondents with wrong BMI rate level suffer from bad posture. Children (66%), who do not respect right rules of carrying pack have diagnosed faulty posture. Conclusion. Every fourth child at research group has bad posture. The com-mon type of faulty posture is fallen arches, but the rarest is knee valgus. Low level of physical activity and wrong way of carrying pack significantly contrib-ute to develop faulty posture among school age children. Furthermore inade-quate result of BMI also has negative impact on body posture of child.


Author(s):  
Suryadiwansa HARUN ◽  
Naoyuki EDA ◽  
Toshiro SHIBASAKA ◽  
Toshimichi MORIWAKI ◽  
Morihiro HIDETA ◽  
...  

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11731
Author(s):  
Farhah Nadhirah Aiman Sahabuddin ◽  
Nazatul Izzati Jamaludin ◽  
Nurul Hidayah Amir ◽  
Shazlin Shaharudin

Background A range of non-contact injuries such as anterior cruciate ligament tear, and patellofemoral pain syndrome are caused by disordered knee joint loading from excessive dynamic knee valgus (DKV). Previous systematic reviews showed that DKV could be modified through the influence of hip strength and ankle range of motion. Therefore, the purpose of this systematic review was to examine the effects of exercise intervention which involved either top-down or bottom-up kinetic chains on minimizing DKV in male and female adults and adolescents, with and without existing knee pain. Methodology Electronic searches were conducted in SAGE, Science Direct, SCOPUS, and Pubmed. The search strategy consisted of medical subject headings and free-text search keywords, synonyms and variations of ‘exercise intervention,’ ‘knee alignment,’ ‘dynamic knee valgus’, ‘knee abduction’ that were merged via the Boolean operator ‘AND’ and ‘OR’. The search was conducted on full-text journals that documented the impact of the exercise intervention program involving either the bottom-up or top-down DKV mechanism on the knee kinematics. Furthermore, exercise intervention in this review should last at least one week which included two or three sessions per week. This review also considered both men and women of all ages with a healthy or symptomatic knee problem. The risk of bias of the included studies was assessed by Cochrane risk assessment tool. The protocol of this review was registered at PROSPERO (registration number: CRD42021219121). Results Ten studies with a total of 423 participants (male = 22.7%, female = 77.3%; adults = 249, adolescents = 123; pre-adolescent = 51) met the inclusion criteria of this review. Seven studies showed the significant effects of the exercise intervention program (range from two weeks to ten weeks) on reducing DKV. The exercise training in these seven studies focused on muscle groups directly attached to the knee joint such as hamstrings and gastrocnemius. The remaining three studies did not show significant improvement in DKV after the exercise intervention (range between eight weeks to twelve weeks) probably because they focused on trunk and back muscles instead of muscles crossing the knee joint. Conclusion Exercises targeting specific knee-joint muscles, either from top-down or bottom-up kinetic chain, are likely to reduce DKV formation. These results may assist athletes and coaches to develop effective exercise program that could minimize DKV and ultimately prevent lower limb injuries.


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