Stepping into a safer movement: The relationship between foot progression angle and lower extremity biomechanics during a 45-degree run-cut maneuver

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-04-15 DOI:10.1016/j.clinbiomech.2025.106529

Josh Riesenberg , Lauren Butler , Hannah Olander , Ashley L. Erdman , Sophia Ulman

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引用次数: 0

Abstract

Background

Anterior cruciate ligament injury rates are high and often associated with change-of-direction movements. Analysis of youth movement patterns is critical for avoiding injury and foot progression angle affects lower extremity kinematics during cutting movements. Knee abduction and hip adduction are known predictors of anterior cruciate ligament injury. The relationship between foot progression angle and lower extremity biomechanics lacks exploration in youth athletes following anterior cruciate ligament reconstruction. This study aimed to assess the relationship between foot progression angle at max knee flexion, and mechanics predictive of anterior cruciate ligament injury during a change-of-direction task in youth athletes following anterior cruciate ligament reconstruction.

Methods

Thirty-four participants (12 m, 15.0 ± 2.5 years) who previously underwent anterior cruciate ligament reconstruction participated in the study. Participants performed a 45-degree run cut task on both affected and unaffected limbs. Trunk and lower extremity biomechanics were collected using 3D motion capture and force plates.

Findings

Moderate correlations were observed on the affected limb for trunk, pelvis, hip, knee, and ankle angles, as well as ankle moments (r = −0.34-0.52). On the unaffected limb, moderate correlations were seen in pelvis, hip, and ankle angles (r = 0.41–0.44). Significant differences exist between limbs for pelvis, hip and knee angles, as well as knee moments (p ≤ 0.038).

Interpretation

Youth athletes appear to exhibit cutting movement patterns following anterior cruciate ligament reconstruction that may increase their risk of anterior cruciate ligament reinjury. Foot progression angle is a potential component of cutting tasks that clinicians and coaches can use to reduce an athlete's injury risk.

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进入一个更安全的运动：在45度跑切动作中，足部前进角度和下肢生物力学之间的关系

背景：前交叉韧带损伤发生率高，常与运动方向改变有关。分析青少年的运动模式对于避免受伤是至关重要的，在切割运动中，脚的前进角度会影响下肢的运动学。膝关节外展和髋关节内收是已知的前交叉韧带损伤的预测因素。青少年运动员前交叉韧带重建后足部进角与下肢生物力学的关系缺乏探讨。本研究旨在评估最大膝关节屈曲时足部进展角与青年运动员前交叉韧带重建后改变方向任务时前交叉韧带损伤的力学预测之间的关系。方法34例既往行前交叉韧带重建的患者（12岁，15.0±2.5岁）参与研究。参与者在受影响和未受影响的肢体上进行45度跑切任务。采用三维运动捕捉和测力板采集躯干和下肢生物力学数据。在患肢上观察到躯干、骨盆、髋关节、膝关节和踝关节角度以及踝关节力矩的中度相关性（r = - 0.34-0.52）。在未受影响的肢体上，骨盆、髋关节和踝关节角度有中度相关性（r = 0.41-0.44）。四肢在骨盆、髋关节、膝关节角度、膝关节力矩上存在显著差异（p≤0.038）。青少年运动员在前交叉韧带重建后表现出切割运动模式，这可能增加他们前交叉韧带再损伤的风险。足部前进角度是切割任务的一个潜在组成部分，临床医生和教练可以使用它来降低运动员受伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.