دوره 11، شماره 4 - ( 12-1404 )                   جلد 11 شماره 4 صفحات 484-466 | برگشت به فهرست نسخه ها

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Mohammad Zaheri R, Majlesi M, Fatahi A. Impact of Lower-Limb Fatigue on Kinetic Risk Factors for ACL Injury During Post-Spike Landings in Volleyball Athletes. J Sport Biomech 2026; 11 (4) :466-484
URL: http://biomechanics.iauh.ac.ir/article-1-404-fa.html
محمد ظاهری رافع، مجلسی مهدی، فتاحی علی. تأثیر خستگی اندام تحتانی بر عوامل خطر کینتیکی آسیب‌دیدگی رباط متقاطع قدامی زانو در فرود پس از اسپک در والیبالیست‌ها. مجله بیومکانیک ورزشی. 1404; 11 (4) :466-484

URL: http://biomechanics.iauh.ac.ir/article-1-404-fa.html

تأثیر خستگی اندام تحتانی بر عوامل خطر کینتیکی آسیب‌دیدگی رباط متقاطع قدامی زانو در فرود پس از اسپک در والیبالیست‌ها
رافع محمد ظاهری1 ، مهدی مجلسی*1 ، علی فتاحی2
1- گروه بیومکانیک ورزشی، واحد همدان، دانشگاه آزاد اسلامی، همدان، ایران.
2- گروه تربیت‌بدنی و علوم ورزشی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.
چکیده:   (544 مشاهده)

هدف شواهد محدودی در مورد عدم‌تقارن‌های بیومکانیکی بین اندام غالب و غیرغالب پس از خستگی در فرودهای دوپا وجود دارد. مطالعه حاضر به بررسی عوامل بالقوه خطر آسیب رباط صلیبی قدامی (ACL) در هنگام فرود پس از اسپک در والیبالیست‌های حرفه‌ای پرداخت.
روش‌ها این پژوهش از طرح مقطعی ـ تجربی استفاده کرد و با حضور ۲۸ بازیکن والیبال حرفه‌ای مرد انجام شد. برای ایجاد خستگی از آزمون پرش اسکوات بوسکو استفاده گردید و فرودهای پس از اسپک قبل و بعد از اعمال خستگی ارزیابی شدند. داده‌های کینماتیک سه‌بعدی (با فرکانس 200 هرتز، سیستم Vicon) و نیروهای عکس‌العمل زمین (با فرکانس 1000 هرتز، صفحه نیروی Kistler)  ثبت شدند و گشتاور مفاصل ران، زانو و مچ پا محاسبه گردید. تحلیل آماری شامل آزمون t زوجی و آنالیز واریانس با اندازه‌گیری مکرر دوطرفه (عوامل: خستگی × غالب یا غیرغالب بودن اندام، سطح معناداری , p < 0.05) بود.
یافته‌ها نتایج نشان داد که ارتفاع پرش عمودی بازیکنان پس از خستگی به‌طور معناداری کاهش یافت (p < 0.05) همچنین خستگی باعث کاهش قابل توجه گشتاور در تمامی مفاصل شد (p < 0.05). یافته‌ها بیانگر وجود عدم‌تقارن در مقادیر گشتاور بین پای غالب و غیرغالب بودند؛ به‌طوری که پای غالب در صفحه فرونتال گشتاور بیشتری و در صفحه ساجیتال گشتاور کمتری نسبت به پای غیرغالب نشان داد (p < 0.05).
نتیجه‌گیری بر اساس نتایج، خستگی منجر به کاهش ارتفاع پرش و در پی آن کاهش گشتاور در بیشتر مفاصل طی فرود گردید. علاوه بر این، صرف‌نظر از خستگی، تفاوت بین پای غالب و غیرغالب در اکثر موارد معنادار بود که بیانگر خطر بیشتر آسیب ACL در پای غالب است. بنابراین، عدم‌تقارن متغیرهای کینتیکی بین دو پا می‌تواند عامل مهم‌تری در خطر آسیب ACL محسوب شود.

واژه‌های کلیدی: فرود اسپک والیبال، پای غالب/غیرغالب، رباط صلیبی قدامی، خستگی، اندام تحتانی
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نوع مطالعه: پژوهشي | موضوع مقاله: عمومى
دریافت: 1404/4/23 | پذیرش: 1404/7/15 | انتشار: 1404/7/15
فهرست منابع
1. Johnson JL, Capin JJ, Arundale AJH, Zarzycki R, Smith AH, Snyder-Mackler L. A Secondary Injury Prevention Program May Decrease Contralateral Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Injury Rates in the ACL-SPORTS Randomized Controlled Trial. Journal of Orthopaedic and Sports Physical Therapy. 2020;50(9):523-30. [DOI:10.2519/jospt.2020.9407] [PMID]
2. Chijimatsu M, Ishida T, Yamanaka M, Taniguchi S, Ueno R, Ikuta R, et al. Landing instructions focused on pelvic and trunk lateral tilt decrease the knee abduction moment during a single-leg drop vertical jump. Physical Therapy in Sport. 2020;46:226-3. [DOI:10.1016/j.ptsp.2020.09.010] [PMID]
3. Agel J, Arendt EA, Bershadsky B. Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. American Journal of Sports Medicine. 2005;33(4):524-30. [DOI:10.1177/0363546504269937] [PMID]
4. Hewett TE, Myer GD, Ford KR, Heidt RS, Jr., Colosimo AJ, McLean SG, 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. American Journal of Sports Medicine. 2005;33(4):492-501. [DOI:10.1177/0363546504269591] [PMID]
5. Levine JW, Kiapour AM, Quatman CE, Wordeman SC, Goel VK, Hewett TE, et al. Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms. The American Journal of Sports Medicine. 2013;41(2):385-95. [DOI:10.1177/0363546512465167] [PMID]
6. Larson D, Nathan Vannatta C, Rutherford D, Kernozek TW. Kinetic changes associated with extended knee landings following anterior cruciate ligament reconstruction in females. Physical Therapy in Sport. 2021;52:180-8. [DOI:10.1016/j.ptsp.2021.09.003] [PMID]
7. Saito A, Okada K, Sasaki M, Wakasa M. Influence of the trunk position on knee kinematics during the single-leg landing: implications for injury prevention. Sports Biomechanics. 2022;21(7):810-23. [DOI:10.1080/14763141.2019.1691642] [PMID]
8. Leppänen M, Pasanen K, Kujala UM, Vasankari T, Kannus P, Äyrämö S, et al. Stiff landings are associated with increased ACL injury risk in young female basketball and floorball players. The American Journal of Sports Medicine. 2017;45(2):386-93. [DOI:10.1177/0363546516665810] [PMID]
9. Dempsey AR, Elliott BC, Munro BJ, Steele JR, Lloyd DG. Whole body kinematics and knee moments that occur during an overhead catch and landing task in sport. Clinical Biomechanics. 2012;27(5):466-74. [DOI:10.1016/j.clinbiomech.2011.12.001] [PMID]
10. Zahradnik D, Jandacka D, Uchytil J, Farana R, Hamill J. Lower extremity mechanics during landing after a volleyball block as a risk factor for anterior cruciate ligament injury. Physical Therapy in Sport. 2015;16(1):53-8. [DOI:10.1016/j.ptsp.2014.04.003] [PMID]
11. Bates NA, Ford KR, Myer GD, Hewett TE. Impact differences in ground reaction force and center of mass between the first and second landing phases of a drop vertical jump and their implications for injury risk assessment. Journal of Biomechanics. 2013;46(7):1237-41. [DOI:10.1016/j.jbiomech.2013.02.024] [PMID]
12. Boden BP, Dean GS, Feagin JA, Garrett WE. Mechanisms of Anterior Cruciate Ligament Injury. Orthopedics. 2000;23(6):573-8. [DOI:10.3928/0147-7447-20000601-15] [PMID]
13. Cronström A, Creaby MW, Ageberg E. Do knee abduction kinematics and kinetics predict future anterior cruciate ligament injury risk? A systematic review and meta-analysis of prospective studies. BMC Musculoskeletal Disorders. 2020;21(1):1-11. [DOI:10.1186/s12891-020-03552-3] [PMID]
14. Migliorini F, Rath B, Tingart M, Niewiera M, Colarossi G, Baroncini A, et al. Injuries among volleyball players: a comprehensive survey of the literature. Sport Sciences for Health. 2019;15:281-93. [DOI:10.1007/s11332-019-00549-x]
15. Mercado-Palomino E, Richards J, Molina-Molina A, Benítez JM, Espa AU. Can kinematic and kinetic differences between planned and unplanned volleyball block jump-landings be associated with injury risk factors? Gait and Posture. 2020;79:71-9. [DOI:10.1016/j.gaitpost.2020.04.005] [PMID]
16. Kim H, Son S, Seeley MK, Hopkins JT. Functional Fatigue Alters Lower-extremity Neuromechanics during a Forward-side Jump. International Journal of Sports Medicine. 2015;36(14):1192-200. [DOI:10.1055/s-0035-1550050] [PMID]
17. Wesley CA, Aronson PA, Docherty CL. Lower extremity landing biomechanics in both sexes after a functional exercise protocol. Journal of Athletic Training. 2015;50(9):914-20. [DOI:10.4085/1062-6050-50.8.03] [PMID]
18. Xia R, Zhang X, Wang X, Sun X, Fu W. Effects of Two Fatigue Protocols on Impact Forces and Lower Extremity Kinematics during Drop Landings: Implications for Noncontact Anterior Cruciate Ligament Injury. Journal of Healthcare Engineering. 2017;2017:5690519. [DOI:10.1155/2017/5690519] [PMID]
19. Borotikar BS, Newcomer R, Koppes R, McLean SG. Combined effects of fatigue and decision making on female lower limb landing postures: central and peripheral contributions to ACL injury risk. Clinical Biomechanics (Bristol, Avon). 2008;23(1):81-92. [DOI:10.1016/j.clinbiomech.2007.08.008] [PMID]
20. Wong TL, Huang CF, Chen PC. Effects of Lower Extremity Muscle Fatigue on Knee Loading During a Forward Drop Jump to a Vertical Jump in Female Athletes. Journal of Human Kinetics. 2020;72:5-13. [DOI:10.2478/hukin-2019-0122] [PMID]
21. Fox AS, Bonacci J, McLean SG, Spittle M, Saunders N. What is normal? Female lower limb kinematic profiles during athletic tasks used to examine anterior cruciate ligament injury risk: a systematic review. Sports Medicine. 2014;44:815-32. [DOI:10.1007/s40279-014-0168-8] [PMID]
22. Blackburn JT, Padua DA. Influence of trunk flexion on hip and knee joint kinematics during a controlled drop landing. Clinical Biomechanics (Bristol, Avon). 2008;23(3):313-9. [DOI:10.1016/j.clinbiomech.2007.10.003] [PMID]
23. Pappas E, Sheikhzadeh A, Hagins M, Nordin M. The effect of gender and fatigue on the biomechanics of bilateral landings from a jump: peak values. Journal of Sports Science & Medicine. 2007;6(1):77-84.
24. Chappell JD, Herman DC, Knight BS, Kirkendall DT, Garrett WE, Yu B. Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. American Journal of Sports Medicine. 2005;33(7):1022-9. [DOI:10.1177/0363546504273047] [PMID]
25. Benjaminse A, Habu A, Sell TC, Abt JP, Fu FH, Myers JB, et al. Fatigue alters lower extremity kinematics during a single-leg stop-jump task. Knee Surgery, Sports Traumatology, Arthroscopy. 2008;16(4):400-7. [DOI:10.1007/s00167-007-0432-7] [PMID]
26. Niu W, Wang Y, He Y, Fan Y, Zhao Q. Kinematics, kinetics, and electromyogram of ankle during drop landing: a comparison between dominant and non-dominant limb. Human Movement Science. 2011;30(3):614-23. [DOI:10.1016/j.humov.2010.10.010] [PMID]
27. Wang J, Fu W. Asymmetry between the dominant and non-dominant legs in the lower limb biomechanics during single-leg landings in females. Advances in Mechanical Engineering. 2019;11(5):1687814019849794. [DOI:10.1177/1687814019849794]
28. Van der Harst J, Gokeler A, Hof A. Leg kinematics and kinetics in landing from a single-leg hop for distance. A comparison between dominant and non-dominant leg. Clinical Biomechanics. 2007;22(6):674-80. [DOI:10.1016/j.clinbiomech.2007.02.007] [PMID]
29. Herman DC, Barth JT. Drop-Jump Landing Varies With Baseline Neurocognition: Implications for Anterior Cruciate Ligament Injury Risk and Prevention. American Journal of Sports Medicine. 2016;44(9):2347-53. [DOI:10.1177/0363546516657338] [PMID]
30. Ha S, Park S-K. The effect of box height during drop landing on risk factors of anterior cruciate ligament injury in female players. The Asian Journal of Kinesiology. 2018;20(3):24-31. [DOI:10.15758/ajk.2018.20.3.24]
31. Xu D, Jiang X, Cen X, Baker JS, Gu Y. Single-leg landings following a volleyball spike may increase the risk of anterior cruciate ligament injury more than landing on both-legs. Applied Sciences. 2020;11(1):130. [DOI:10.3390/app11010130]
32. Baugh CM, Weintraub GS, Gregory AJ, Djoko A, Dompier TP, Kerr ZY. Descriptive epidemiology of injuries sustained in National Collegiate Athletic Association men's and women's volleyball, 2013-2014 to 2014-2015. Sports health. 2018;10(1):60-9. [DOI:10.1177/1941738117733685] [PMID]
33. Xia R, Zhang X, Wang X, Sun X, Fu W. Effects of Two Fatigue Protocols on Impact Forces and Lower Extremity Kinematics during Drop Landings: Implications for Noncontact Anterior Cruciate Ligament Injury. Journal of Healthcare Engineering. 2017;2017:5690519. [DOI:10.1155/2017/5690519] [PMID]
34. Gabbett T. Incidence, site, and nature of injuries in amateur rugby league over three consecutive seasons. British Journal of Sports Medicine. 2000;34(2):98. [DOI:10.1136/bjsm.34.2.98] [PMID]
35. Ribeiro F, Santos F, Gonçalves P, Oliveira J. Effects of volleyball match-induced fatigue on knee joint position sense. European Journal of Sport Science. 2008;8(6):397-402. [DOI:10.1080/02614360802373060]
36. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-91. [DOI:10.3758/BF03193146] [PMID]
37. Jafarnezhadgero AA, Majlesi M, Azadian E. Gait ground reaction force characteristics in deaf and hearing children. Gait and Posture. 2017;53:236-40. [DOI:10.1016/j.gaitpost.2017.02.006] [PMID]
38. Zaheri RM, Majlesi M, Azadian E, Fatahi A. Kinematic and kinetic evaluation of jump-landing task in volleyball defense: implications for acl injury risk assessment. Kinesiologia Slovenica. 2022;28(1):141-55. [DOI:10.52165/kinsi.28.1.141-155]
39. Fu W, Fang Y, Gu Y, Huang L, Li L, Liu Y. Shoe cushioning reduces impact and muscle activation during landings from unexpected, but not self-initiated, drops. Journal of Science and Medicine in Sport. 2017;20(10):915-20. [DOI:10.1016/j.jsams.2017.03.009] [PMID]
40. Mohammad Zaheri R, Majlesi M, Fatahi A. Assessing the Effects of Fatigue on Ground Reaction Force Variations during Landing after a Spike in Professional Volleyball Players. Journal of Sport Biomechanics. 2024;10(1):54-68. [DOI:10.61186/JSportBiomech.10.1.54]
41. Bosco C, Luhtanen P, Komi PV. A simple method for measurement of mechanical power in jumping. European Journal of Applied Physiology and Occupational Physiology. 1983;50(2):273-82. [DOI:10.1007/BF00422166] [PMID]
42. Dabbs NC, Espericueta S, Bonilla S, Jones MT. The Effects of Whole-Body Vibration on Fatigue in Vertical Jump Performance and Isometric Mid-Thigh Pull Measures. Vibration. 2021;4(4):759-67. [DOI:10.3390/vibration4040042]
43. McNeal JR, Sands WA, Stone MH. Effects of fatigue on kinetic and kinematic variables during a 60-second repeated jumps test. International Journal of Sports Physiology and Performance. 2010;5(2):218-29. [DOI:10.1123/ijspp.5.2.218] [PMID]
44. Watkins CM, Barillas SR, Wong MA, Archer DC, Dobbs IJ, Lockie RG, et al. Determination of vertical jump as a measure of neuromuscular readiness and fatigue. The Journal of Strength & Conditioning Research. 2017;31(12):3305-10. [DOI:10.1519/JSC.0000000000002231] [PMID]
45. Smilios I. Effects of Varying Levels of Muscular Fatigue on Vertical Jump Performance. The Journal of Strength & Conditioning Research. 1998;12(3):204-8. [DOI:10.1519/00124278-199808000-00014]
46. Santamaria LJ, Webster KE. The effect of fatigue on lower-limb biomechanics during single-limb landings: a systematic review. Journal of Orthopaedic and Sports Physical Therapy. 2010;40(8):464-73. [DOI:10.2519/jospt.2010.3295] [PMID]
47. Sorkheh E, Majlesi M, Jafarnezhadgero AA. Frequency domain analysis of gait ground reaction forces in deaf and hearing children. Journal of Sport Biomechanics. 2018;4(2):17-27.
48. Davis RB, Õunpuu S, Tyburski D, Gage JR. A gait analysis data collection and reduction technique. Human Movement Science. 1991;10(5):575-87. [DOI:10.1016/0167-9457(91)90046-Z]
49. Bresler B, Frankel J. The forces and moments in the leg during level walking. Transactions of the American Society of Mechanical Engineers. 1950;72(1):27-36. [DOI:10.1115/1.4016578]
50. Yeow CH, Lee PV, Goh JC. Regression relationships of landing height with ground reaction forces, knee flexion angles, angular velocities and joint powers during double-leg landing. Knee. 2009;16(5):381-6. [DOI:10.1016/j.knee.2009.02.002] [PMID]
51. Zadpoor AA, Nikooyan AA. The effects of lower extremity muscle fatigue on the vertical ground reaction force: a meta-analysis. Proceedings of the Institution of Mechanical Engineers Part H: Journal of Engineering in Medicine. 2012;226(8):579-88. [DOI:10.1177/0954411912447021] [PMID]
52. Enoka RM. Muscle fatigue-from motor units to clinical symptoms. Journal of Biomechanics. 2012;45(3):427-33. [DOI:10.1016/j.jbiomech.2011.11.047] [PMID]
53. Zadpoor AA, Nikooyan AA. The relationship between lower-extremity stress fractures and the ground reaction force: a systematic review. Clinical Biomechanics. 2011;26(1):23-8. [DOI:10.1016/j.clinbiomech.2010.08.005] [PMID]
54. James CR, Scheuermann BW, Smith MP. Effects of two neuromuscular fatigue protocols on landing performance. Journal of Electromyography and Kinesiology. 2010;20(4):667-75. [DOI:10.1016/j.jelekin.2009.10.007] [PMID]
55. Decker MJ, Torry MR, Wyland DJ, Sterett WI, Richard Steadman J. Gender differences in lower extremity kinematics, kinetics and energy absorption during landing. Clinical Biomechanics (Bristol, Avon). 2003;18(7):662-9. [DOI:10.1016/S0268-0033(03)00090-1]
56. Payne S, Alloto S, Wilkins J, Simons A. The Effect of Fatigue on Lower Extremity Joint Kinematics and Performance. Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association. 2023;9(1):1. [DOI:10.25035/jsmahs.09.01.01]
57. Taylor JB, Wright ES, Waxman JP, Schmitz RJ, Groves JD, Shultz SJ. Ankle Dorsiflexion Affects Hip and Knee Biomechanics During Landing. Sports Health. 2022;14(3):328-35. [DOI:10.1177/19417381211019683] [PMID]
58. Madigan ML, Pidcoe PE. Changes in landing biomechanics during a fatiguing landing activity. Journal of Electromyography and Kinesiology. 2003;13(5):491-8. [DOI:10.1016/S1050-6411(03)00037-3] [PMID]
59. McPherson AL, Dowling B, Tubbs TG, Paci JM. Sagittal plane kinematic differences between dominant and non-dominant legs in unilateral and bilateral jump landings. Physical Therapy in Sport. 2016;22:54-60. [DOI:10.1016/j.ptsp.2016.04.001] [PMID]
60. Peebles AT, Dickerson LC, Renner KE, Queen RM. Sex-based differences in landing mechanics vary between the drop vertical jump and stop jump. Journal of Biomechanics. 2020;105:109818. [DOI:10.1016/j.jbiomech.2020.109818] [PMID]
61. Parrington L, Ball K. Biomechanical considerations of laterality in sport. Laterality in Sports: Elsevier; 2016. p. 279-308. [DOI:10.1016/B978-0-12-801426-4.00013-4]
62. Morishige Y, Harato K, Kobayashi S, Niki Y, Matsumoto M, Nakamura M, et al. Difference in leg asymmetry between female collegiate athletes and recreational athletes during drop vertical jump. Journal of Orthopaedic Surgery and Research. 2019;14(1):1-6. [DOI:10.1186/s13018-019-1490-5] [PMID]
63. Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. The American Journal of Sports Medicine 2010;38(10):1968-78. [DOI:10.1177/0363546510376053] [PMID]
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