Simple verbal instruction improves knee biomechanics during landing in female athletes.

Knee injuries are highly prevalent in athletic populations, particularly among female athletes. Many of these injuries occur during landing from a jump. Various comprehensive knee injury prevention programs have been developed to date. However, there is a need to determine which components of these programs contribute directly to changes in knee biomechanics. Therefore, the purpose of this study was to investigate the immediate effect of three different simple verbal instructions on knee biomechanics during landing in adult female recreational athletes. Three-dimensional kinematic and kinetic analysis of landing from a countermovement jump was conducted in a counterbalanced cross-over repeated measures design. Results indicated that the instruction to land with equal weight distribution reduced the asymmetry of peak vertical ground reaction force compared to the control condition. The instruction to land softly reduced peak vertical ground reaction force and increased peak knee flexion compared to the control condition. The instruction to land with knees over toes increased peak knee flexion compared to the control condition. These findings indicate that verbal instruction may be a key component of the effects seen in previous research studies that have investigated the benefits of more complex training programs designed to reduce knee injury risk in female athletes.

[1]  D. Kirkendall,et al.  Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes , 2005, The American journal of sports medicine.

[2]  L. Engebretsen,et al.  Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons , 2003, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[3]  T. Chmielewski,et al.  Muscle strength in the lower extremity does not predict postinstruction improvements in the landing patterns of female athletes. , 2008, The Journal of orthopaedic and sports physical therapy.

[4]  Kevin R Ford,et al.  Valgus knee motion during landing in high school female and male basketball players. , 2003, Medicine and science in sports and exercise.

[5]  K. Manal,et al.  Comparison of surface mounted markers and attachment methods in estimating tibial rotations during walking: an in vivo study. , 2000, Gait & posture.

[6]  P. Devita,et al.  Effect of landing stiffness on joint kinetics and energetics in the lower extremity. , 1992, Medicine and science in sports and exercise.

[7]  L. F. Phillips,et al.  Quick and Easy , 1984 .

[8]  T. Hewett,et al.  Reliability of landing 3D motion analysis: implications for longitudinal analyses. , 2007, Medicine and science in sports and exercise.

[9]  E S Grood,et al.  A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. , 1983, Journal of biomechanical engineering.

[10]  C. Vaughan,et al.  Knee movement patterns of injured and uninjured adolescent basketball players when landing from a jump: A case-control study , 2006, BMC musculoskeletal disorders.

[11]  Orr Limpisvasti,et al.  Effect of a Neuromuscular Training Program on the Kinetics and Kinematics of Jumping Tasks , 2008, The American journal of sports medicine.

[12]  Bing Yu,et al.  Instruction of Jump-Landing Technique Using Videotape Feedback , 2005, The American journal of sports medicine.

[13]  F. Prince,et al.  Symmetry and limb dominance in able-bodied gait: a review. , 2000, Gait & posture.

[14]  B. Boden,et al.  Mechanisms of anterior cruciate ligament injury. , 2000, Orthopedics.

[15]  T. Hewett,et al.  Biomechanical Measures of Neuromuscular Control and Valgus Loading of the Knee Predict Anterior Cruciate Ligament Injury Risk in Female Athletes: A Prospective Study , 2005, The American journal of sports medicine.

[16]  J. Agel,et al.  Anterior Cruciate Ligament Injury in National Collegiate Athletic Association Basketball and Soccer: A 13-Year Review , 2005, The American journal of sports medicine.

[17]  F R Noyes,et al.  Plyometric Training in Female Athletes , 1996, The American journal of sports medicine.

[18]  Duane Knudson,et al.  Qualitative Analysis of Human Movement , 1997 .

[19]  Harry Prapavessis,et al.  Decreasing landing forces: effect of instruction , 2000, British journal of sports medicine.

[20]  H. Prapavessis,et al.  Effects of instruction in jumping technique and experience jumping on ground reaction forces. , 1999, The Journal of orthopaedic and sports physical therapy.

[21]  S. White,et al.  Effect of knee flexion angle on ground reaction forces, knee moments and muscle co-contraction during an impact-like deceleration landing: implications for the non-contact mechanism of ACL injury. , 2010, The Knee.

[22]  T. Hewett,et al.  Mechanisms of Anterior Cruciate Ligament Injury in Basketball , 2007, The American journal of sports medicine.

[23]  Kevin R Ford,et al.  Anterior Cruciate Ligament Injuries in Female Athletes , 2006, The American journal of sports medicine.

[24]  B. Nigg,et al.  Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry. , 1987, Journal of manipulative and physiological therapeutics.

[25]  M. Majewski,et al.  Epidemiology of athletic knee injuries: A 10-year study. , 2006, The Knee.

[26]  K. Shea,et al.  EFFECTS OF A KNEE LIGAMENT INJURY PREVENTION EXERCISE PROGRAM ON IMPACT FORCES IN WOMEN , 2004, Journal of strength and conditioning research.

[27]  B E Maki,et al.  Preferred placement of the feet during quiet stance: development of a standardized foot placement for balance testing. , 1997, Clinical biomechanics.

[28]  I. Pilih,et al.  Rate and risk of anterior cruciate ligament injury among sportswomen in Slovenia. , 2011, Journal of athletic training.

[29]  F. Noyes,et al.  The Effect of Neuromuscular Training on the Incidence of Knee Injury in Female Athletes , 1999, The American journal of sports medicine.

[30]  Ilhyeok Park,et al.  "Quick and Easy" Formulae for Approximating Statistical Power in Repeated Measures ANOVA , 1999 .

[31]  T. Hewett,et al.  Limb Asymmetries in Landing and Jumping 2 Years Following Anterior Cruciate Ligament Reconstruction , 2007, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[32]  C. Powers,et al.  The Influence of In-Season Injury Prevention Training on Lower-Extremity Kinematics during Landing in Female Soccer Players , 2006, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.