Trunk rotation enhances movement of the knee abduction angle while running among female collegiate middle- and long-distance runners
Keywords:Knee joint, Middle- and long-distance running, Trunk function, Patellofemoral pain, Sports health
This cohort study aimed to i) clarify the relationship between abduction of the knee joint and trunk motion during running in the stance phase, and ii) clarify the relationship between abduction of the knee joint during running in the stance phase and the amount of trunk rotation measured in a static position. Twenty-nine female collegiate middle- and long-distance runners participated. The knee abduction angle and absolute angles to the floor were calculated using a three-dimensional motion analysis device. Static trunk rotation was calculated. Trunk rotation angle to the supporting side (r = 0.525), thigh posterior tilt angle (r = -0.510), thigh adduction angle (r = 0.417), lower leg anterior tilt angle (r = -0.483), and static trunk rotation to the supporting side (r = -0.429) were significantly correlated with knee abduction angle. Trunk rotation angle to the supporting side (ß = 0. 465), thigh adduction angle (ß = 0.374), lower leg anterior tilt angle (ß = 0.228), and static trunk rotation to the supporting side (ß = -0.256) (R2 = .556) were significantly correlated with the knee abduction angle. The increase or decrease in the knee abduction angle should consider the mutual influence of the lower limb and trunk motion.
Baur, H., Divert, C., Hirschmüller, A., Müller, S., Belli, A., & Mayer, F. (2004). Analysis of gait differences in healthy runners and runners with chronic Achilles tendon complaints. Isokinetics and Exercise Science, 12(2), 111-116. https://doi.org/10.3233/ies-2004-0161
Bendjaballah, M. Z., Shirazi-Adl, A., & Zukor D. J. (1997). Finite element in varus-valgus analysis of human knee joint. Clinical Biomechanics (Bristol, Avon), 12(3), 139-148. https://doi.org/10.1016/s0268-0033(97)00072-7
Besier, T. F., Gold, G. E., Delp, S. L., Fredericson, M., & Beaupréet, G. S. (2008). The influence of femoral internal and external rotation on cartilage stresses within the patellofemoral joint. Journal of Orthopedic Research, 26(12), 1627-1635. https://doi.org/10.1002/jor.20663
Boling, M., Padua, D., Marshall, S., Guskiewicz, M., Pyne, S., & Beutler, A. (2010). Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scandinavian Journal of Medicine & Science in Sport, 20(5), 725-730. https://doi.org/10.1111/j.1600-0838.2009.00996.x
Cheung, R. T. H., & Davis, I. S. (2011). Landing pattern modification to improve patellofemoral pain in runners: a case series. The Journal of Orthopedic & Sports Physical Therapy, 41(12), 914-919. https://doi.org/10.2519/jospt.2011.3771
Claiborne, T. L., Armstrong, C. W., Gandhi, V, & Pincivero, D. M. (2006). Relationship between hip and knee strength and knee valgus during a single leg squat. Journal of Applied Biomechanics, 22(1), 41-50. https://doi.org/10.1123/jab.22.1.41
Cornwall, M. W., & Mcpoil, T. G. (1995). Footwear and foot orthotic effectiveness research: a new approach. The Journal of Orthopedic & Sports Physical Therapy, 21(6), 337-344. https://doi.org/10.2519/jospt.19126.96.36.1997
Dierks, T. A., Manal, K. T., Hamill, J., & Davis, I. S. (2008). Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. The Journal of Orthopedic & Sports Physical Therapy, 38(8), 448-456. https://doi.org/10.2519/jospt.2008.2490
Gretchen, B. S., & Frances, L. R. (2010). Do females with patellofemoral pain have abnormal hip and knee kinematics during gait?. Physiotherpy Theory and Practice, 26(3), 150-159. https://doi.org/10.3109/09593980903423111
Hewett, T. E., Myer G.D., & Ford, K. R. (2005a). Reducing knee and anterior cruciate ligament injuries among female athletes: a systematic review of neuromuscular training interventions. The Journal of Knee Surgery, 18(1), 82-88. https://doi.org/10.1055/s-0030-1248163
Hewett, T. E., Myer, G.D., Ford, K. R., Heidt Jr, R. S., Colosimo, A. J., McLean, S. G., van den Bogert, A. J., Paterno, M. V., & Succop, P. (2005b). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes a prospective study. The American Journal of Sports Medicine, 33(4), 492-501. https://doi.org/10.1177/0363546504269591
Hewett, T. E., Torg, J. S., & Boden, B. P. (2009). Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. British Journal of Sports Medicine, 43(6), 417-422. https://doi.org/10.1136/bjsm.2009.059162
Houck, J. R., Duncan, A., & De Haven, K. E. (2006). Comparison of frontal plane trunk kinematics and hip and knee moments during anticipated and unanticipated walking and side step cutting tasks. Gait & Posture, 24(3), 314-322. https://doi.org/10.1016/j.gaitpost.2005.10.005
Huberti, H.H., & Hayes, W. C. (1984). Patellofemoral contact pressures. The influence of q-angle and tendofemoral contact. The Journal of Bone Joint Surgery, American volume, 66(5), 715-724. https://doi.org/10.2106/00004623-198466050-00010
Keller, T. S., Weisberger A. M., Ray J. L., Hasan S. S, Shiavi R. G., & Spengler D. M. (1996). Relationship between vertical ground reaction force and speed during walking, slow jogging, and running. Clinical Biomechanics (Bristol, Avon), 11(5), 253-259. https://doi.org/10.1016/0268-0033(95)00068-2
Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Medicine, 36(3), 189-198. https://doi.org/10.2165/00007256-200636030-00001
Lee, T. Q., Yang, B. Y., Sandusky, M. D., & McMahon, P. J. (2001). The effects of tibial rotation on the patellofemoral joint: Assessment of the changes in in situ strain in the peripatellar retinaculum and the patellofemoral contact pressures and areas. Journal of Rehabilitation and Development, 38(5), 463-469.
Mcllroy, W. E., & Maki, B. E. (1997). Preferred placement of the feet during quiet stance: development of a standardized foot placement for balance testing. Clinical Biomechanics (Bristol, Avon), 12(1), 66-70. https://doi.org/10.1016/s0268-0033(96)00040-x
Moore, I. S., Phillips, D. J., Ashford, K. J., Mullen, R., Goom, T., & Gittoes, M. R. J. (2019). An interdisciplinary examination of attentional focus strategies used during running gait retraining. Scandinavian Journal of Medicine & Science in Sport, 29(10), 1572-1582. https://doi.org/10.1111/sms.13490
Neal, B. S., Barton, C. J., Gallie, R., O'Halloran, P., & Morrissey, D. (2016) . Runners with patellofemoral pain have altered biomechanics which targeted interventions can modify: A systematic review and meta-analysis. Gait & Posture, 45, 69-82. https://doi.org/10.1016/j.gaitpost.2015.11.018
Novacheck, T. F. (1998). The biomechanics of running. Gait & Posture, 7(1),77-95. https://doi.org/10.1016/s0966-6362(97)00038-6
Phanpho, C., Rao, S., & Moffat, M. (2019). Immediate effect of visual, auditory and combined feedback on foot strike pattern. Gait & Posture, 74, 212-217. https://doi.org/10.1016/j.gaitpost.2019.09.016
Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. The Journal of Orthopedic & Sports Physical Therapy, 33(11), 639-646. https://doi.org/10.2519/jospt.2003.33.11.639
Powers, C. M. (2010). The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. The Journal of Orthopedic & Sports Physical Therapy, 40(2), 42-51. https://doi.org/10.2519/jospt.2010.3337
Richard, N. H. (1987). Upper extremity function in running II. Angular momentum considerations. International Journal of Sport biomechanics, 3(3), 242-263. https://doi.org/10.1123/ijsb.3.3.242
Sasagawa Sports Foundation’s “Report on Sports Life,”. Available at: https://www.ssf.or.jp/thinktank/sports_life/data/jogrun_9818.html. [accessed 30.07.2020]
Slocum, D. B., & James, S. L. (1968). Biomechanics of running. JAMA, 205(11), 721-728. https://doi.org/10.1001/jama.1968.03140370023006
Takacs, J., & Hunt, M. A. (2012). The effect of contralateral pelvic drop and trunk lean on frontal plane knee biomechanics during single limb standing. Journal of Biomechanics, 45(16), 2791-2796. https://doi.org/10.1016/j.jbiomech.2012.08.041
Tenforde, A. S., Sayres, L. C., Mccurdy, M. L., Collado, H., Sainani, K. L., & Fredericson, M. (2011). Overuse injuries in high school runners: lifetime prevalence and prevention strategies. The Journal of Injury, Function and Rehabilitation, 3(2), 125-131. https://doi.org/10.1016/j.pmrj.2010.09.009
Thomas, M. J., Wood, L., Selfe, J., & Peatet, G. (2010). Anterior knee pain in younger adults as a precursor to subsequent patellofemoral osteoarthritis: a systematic review. BMC Musculoskeletal Disorders, 11, 201. https://doi.org/10.1186/1471-2474-11-201
van Gent, R. N., Siem, D., van Middelkoop, M., van Os, A. G., Bierma-Zeinstra, S. M. A., & Koes, B. W. (2007). Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. British Journal of Sports Medicine, 41(8), 469-480. https://doi.org/10.1136/bjsm.2006.033548
Williams, D. S. B., Zambardino, J. A., & Banning, V. A. (2008). Transverse-plane mechanics at the knee and tibia in runners with and without a history of achilles tendonopathy. The Journal of Orthopedic & Sports Physical Therapy, 38(12), 761-767. https://doi.org/10.2519/jospt.2008.2911
Willson, J. D., & Davis, I. S. (2008). Lower extremity mechanics of females with and without patellofemoral pain across activities with progressively greater task demands. Clinical Biomechanics (Bristol, Avon), 23(2), 203-211. https://doi.org/10.1016/j.clinbiomech.2007.08.025
Willson, J. D., & Davis, S. D. (2009). Lower extremity strength and mechanics during jumping in women with patellofemoral pain. Journal of Sport Rehabilitation, 18(1), 76-90. https://doi.org/10.1123/jsr.18.1.76
Yoshinori, K., Yasunari, Fujii., & Hidetsugu, Nishizono. (2015). Association between hip abductor function, rear-foot dynamic alignment, and dynamic knee valgus during single-leg squats and drop landings. Journal of Sport and Health Science, 4(2), 182-187. https://doi.org/10.1016/j.jshs.2013.08.002
Zazulak, B. T., Hewett, T. E., Reeves, N. P., Goldberg, B., & Cholewicki, J. (2007). Deficits in neuromuscular control of the trunk predict knee injury risk a prospective biomechanical-epidemiologic study. The American Journal of Sports Medicine, 35(7), 1123-1130. https://doi.org/10.1177/0363546507301585
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