Abstract

BackgroundAlthough it is well known that quadriceps force generates anterior tibial force, it has been unclear whether quadriceps force causes great anterior tibial force during the early phase of a landing task. The purpose of the present study was to examine whether the quadriceps force induced great anterior tibial force during the early phase of a landing task.MethodsFourteen young, healthy, female subjects performed a single-leg landing task. Muscle force and anterior tibial force were estimated from motion capture data and synchronized force data from the force plate. One-way repeated measures analysis of variance and the post hoc Bonferroni test were conducted to compare the peak time of the vertical ground reaction force, quadriceps force and anterior tibial force during the single-leg landing. In addition, we examined the contribution of vertical and posterior ground reaction force, knee flexion angle and moment to peak quadriceps force using multiple linear regression.ResultsThe peak times of the estimated quadriceps force (96.0 ± 23.0 ms) and anterior tibial force (111.9 ± 18.9 ms) were significantly later than that of the vertical ground reaction force (63.5 ± 6.8 ms) during the single-leg landing. The peak quadriceps force was positively correlated with the peak anterior tibial force (R = 0.953, P < 0.001). Multiple linear regression analysis showed that the peak knee flexion moment contributed significantly to the peak quadriceps force (R2 = 0.778, P < 0.001).ConclusionThe peak times of the quadriceps force and the anterior tibial force were obviously later than that of the vertical ground reaction force for the female athletes during successful single-leg landings. Studies have reported that the peak time of the vertical ground reaction force was close to the time of anterior cruciate ligament (ACL) disruption in ACL injury cases. It is possible that early contraction of the quadriceps during landing might induce ACL disruption as a result of excessive anterior tibial force in unanticipated situations in ACL injury cases.

Highlights

  • It is well known that quadriceps force generates anterior tibial force, it has been unclear whether quadriceps force causes great anterior tibial force during the early phase of a landing task

  • The present study showed that the peak times of the estimated quadriceps force and anterior tibial force were significantly later than that of vertical ground reaction force during successful single-leg landings for the young female athletes

  • The peak time of the quadriceps force and anterior tibial force were obviously later than the time of maximum anterior tibial translation during in vitro simulated single-leg landing, as Kiapour et al [14] previously reported, while the peak time of the vertical ground reaction force was close to the time of Anterior cruciate ligament (ACL) disruption in ACL injury cases [22]

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Summary

Introduction

It is well known that quadriceps force generates anterior tibial force, it has been unclear whether quadriceps force causes great anterior tibial force during the early phase of a landing task. The purpose of the present study was to examine whether the quadriceps force induced great anterior tibial force during the early phase of a landing task. ACL reconstruction is a common treatment, and approximately 100,000 reconstructions are performed annually in the U.S [2]. 67% of patients cannot return to competitive sports by 12 months post surgery [5]. Patients require a long postoperative rehabilitation period after their ACL reconstruction. Effective ACL prevention programs are urgently needed. To resolve this problem, it is necessary to understand the ACL injury mechanism in more detail

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