The beginning of metabolic exhaustion may have an impact on the knee joint’s dynamic stability when playing sports, which could raise the risk of knee injury. The present study aimed to examine the effect of a fatigue program on the kinematics of lower limb joints in basketball players with a dynamic knee valgus pattern in various positions. In this study, 27 basketball players with dynamic knee valgus patterns were purposefully selected and divided into three groups: guard (mean age= 19.77±2.68 years, mean height= 177±4 cm, and mean weight= 63.40±5.10 kg), forwards (mean age= 20.22±2.90 years, mean height= 187±4 cm, and mean weight= 76.80± 2.94 kg) and centers (mean age= 22.33±3.27 years, mean height= 199±4 cm, and mean weight= 98.84±18.42 kg), within the age range of 16 to 26 years. To evaluate the angles of the lower limb in the sagittal and frontal planes, we used two digital cameras. We placed them at a distance of 366 centimeters and a height of 105 centimeters relative to the subject. The subjects performed three counter-movement jumps. We conducted the analysis using KINOVEA software. In this study, the fatigue protocol consisted of 40 minutes of basketball play, carried out legally and considering all rest periods. To compare the means of the research variables, we used mixed analysis of variance (2*3), one-way analysis of variance, and Bonferroni post hoc tests. We conducted all hypothesis tests at a significance level of 0.05 or less. The results showed that the application of the fatigue protocol during landing in the sagittal plane led to a significant decrease in the maximum knee flexion angle in the guard group (p= 0.035), initial ankle contact in the forward group (p= 0.044), initial ankle contact in the center group (p= 0.016), and maximum ankle plantar flexion in the center group (p= 0.018). In the frontal plane, the fatigue protocol also caused an increase in maximum knee valgus in the dominant leg of the center group (p= 0.039) and in the non-dominant leg of all three groups: guard (p= 0.019), forward (p= 0.002), and center (p= 0.009). Between-group comparison, there was a significant difference in initial hip joint contact between the guard and forward groups (p= 0.031) and maximum knee valgus of the dominant leg between the forward and center groups (p= 0.041). From alternative perspectives, researchers did not find any appreciable variations, though. The functional exhaustion employed in this study impacted a few factors related to the patient’s lower limb joints, according to the study's findings. The valgus angle of the non-dominant leg increased in all three groups, and the valgus angle of the dominant leg increased in the center group in the frontal plane. Guards and forwards frequently perform the lay-up movement during the game, which could contribute to this. In a lay-up, the last foot to leave the ground is the player’s non-dominant foot, which places more stress on it. On the other hand, center players often perform jumps and landings with both feet under the hoop in the paint area for rebounds, which could increase the valgus angle in both legs. |
- Barrios JA, Heitkamp CA, Smith BP, Sturgeon MM, Suckow DW, Sutton CR. Three-dimensional hip and knee kinematics during walking, running, and single-limb drop landing in females with and without genu valgum. Clinical Biomechanics. 2016;31(1):7-11.
- Mohammadi Orangi B, Aghdasi M, Shahriarpour S. Comparison of the Effect of Linear and Nonlinear Pedagogy on Risk Factors of ACL Injury: Emphasis on Kinetic Variables in Basketball Landing. Journal of Advanced Sport Technology. 2022;6(2):136-45.
- Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. Journal of athletic training. 2013;48(6):810-7.
- Myer GD, Ford KR, Brent JL, Hewett TE. Differential neuromuscular training effects onACL injury risk factors in" high-risk" versus" low-risk" athletes. BMC musculoskeletal disorders. 2007;8(5):1-7.
- Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Medicine & Science in Sports & Exercise. 2003;35(10):1745-50.
- Hewett TE, Myer GD, Ford KR, Heidt Jr RS, 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. The American journal of sports medicine. 2005;33(4):492-501.
- Sepehrian M, Anbarian M, Khotanlou H, Hajilou B. Effects of Cycling-induced Fatigue on Lower Extremity Muscles Synergy in Novice Triathletes. Journal of Advanced Sport Technology. 2022;6(1):103-12.
- Ortiz A, Olson SL, Etnyre B, Trudelle-Jackson EE, Bartlett W, Venegas-Rios HL. Fatigue effects on knee joint stability during two jump tasks in women. The Journal of Strength & Conditioning Research. 2010;24(4):1019-27.
- Price R, Hawkins R, Hulse M, Hodson A. The Football Association medical research programme: an audit of injuries in academy youth football. British journal of sports medicine. 2004;38(4):466-71.
- Hůlka K, Lehnert M, Bělka J. Reliability and validity of a basketball-specific fatigue protocol simulating match load. Acta Gymnica. 2017;47(2):92-8.
- Agel J, Dompier TP, Dick R, Marshall SW. Descriptive epidemiology of collegiate men's ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. Journal of athletic training. 2007;42(2):241.
- Barber-Westin SD, Noyes FR. Effect of fatigue protocols on lower limb neuromuscular function and implications for anterior cruciate ligament injury prevention training: a systematic review. The American journal of sports medicine. 2017;45(14):3388-96.
- Verschueren J, Tassignon B, De Pauw K, Proost M, Teugels A, Van Cutsem J, et al. Does acute fatigue negatively affect intrinsic risk factors of the lower extremity injury risk profile? A systematic and critical review. Sports medicine. 2020;50(4):767-84.
- 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.
- Enoka RM, Duchateau J. Muscle fatigue: what, why and how it influences muscle function. The Journal of physiology. 2008;586(1):11-23.
- Benjaminse A, Webster KE, Kimp A, Meijer M, Gokeler A. Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta-analyses. Sports medicine. 2019;49(4):565-86.
- Gandevia SC. Spinal and supraspinal factors in human muscle fatigue. Physiological reviews. 2001.
- Cortes N, Greska E, Kollock R, Ambegaonkar J, Onate JA. Changes in lower extremity biomechanics due to a short-term fatigue protocol. Journal of athletic training. 2013;48(3):306-13.
- Kellis E, Kouvelioti V. Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. Journal of Electromyography and Kinesiology. 2009;19(1):55-64.
- Scanlan AT, Fox JL, Borges NR, Delextrat A, Spiteri T, Dalbo VJ, et al. Decrements in knee extensor and flexor strength are associated with performance fatigue during simulated basketball game-play in adolescent, male players. Journal of Sports Sciences. 2018;36(8):852-60.
- Schmitz RJ, Cone JC, Tritsch AJ, Pye ML, Montgomery MM, Henson RA, et al. Changes in drop-jump landing biomechanics during prolonged intermittent exercise. Sports Health. 2014;6(2):128-35.
- Shultz SJ, Schmitz RJ, Cone JR, Henson RA, Montgomery MM, Pye ML, et al. Changes in fatigue, multiplanar knee laxity, and landing biomechanics during intermittent exercise. Journal of Athletic Training. 2015;50(5):486-97.
- Meechan D, McMahon JJ, Suchomel TJ, Comfort P. The effect of rest redistribution on kinetic and kinematic variables during the countermovement shrug. Journal of Strength and Conditioning Research. 2023;37(7):1358-66.
- Duffell LD, Hope N, McGregor AH. Comparison of kinematic and kinetic parameters calculated using a cluster-based model and Vicon’s plug-in gait. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 2014;228(2):206-10.
- Nadia A, YOUSSIF RS, HASSAN PD, KARIMA A. Frontal plane projection angle during step down test in subjects with and without patellofemoral pain syndrome. The Medical Journal of Cairo University. 2019;87(3):1233-9.
- Herrington L, Myer GD, Munro A. Intra and inter-tester reliability of the tuck jump assessment. Physical Therapy in Sport. 2013;14(3):152-5.
- Gabriel MT, Wong EK, Woo SLY, Yagi M, Debski RE. Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. Journal of orthopaedic research. 2004;22(1):85-9.
- Markovic G, Dizdar D, Jukic I, Cardinale M. Reliability and factorial validity of squat and countermovement jump tests. The Journal of Strength & Conditioning Research. 2004;18(3):551-5.
- Liveris NI, Tsarbou C, Tsimeas PD, Papageorgiou G, Xergia SA, Tsiokanos A. Evaluating the effects of match-induced fatigue on landing ability; the case of the basketball game. International Journal of Exercise Science. 2021;14(6):768.
- Lucci S, Cortes N, Van Lunen B, Ringleb S, Onate J. Knee and hip sagittal and transverse plane changes after two fatigue protocols. Journal of science and medicine in sport. 2011;14(5):453-9.
- Daneshjoo A, Mohseni M. Comparing the knee joint kinematic parameters during landing at different minutes of soccer game. Journal of Sport Biomechanics. 2019;5(1):2-13.
- Hollman JH, Hohl JM, Kraft JL, Strauss JD, Traver KJ. Effects of hip extensor fatigue on lower extremity kinematics during a jump-landing task in women: a controlled laboratory study. Clinical Biomechanics. 2012;27(9):903-9.
- Thomas AC, McLean SG, Palmieri-Smith RM. Quadriceps and hamstrings fatigue alters hip and knee mechanics. Journal of applied biomechanics. 2010;26(2):159-70.
- Khazaee Z, Gheitasi M, Barati AH. Effect of Lower Extremity Fatigue on Knee Joint Kinematics During Landing Maneuvers in Adult Soccer Players. The Scientific Journal of Rehabilitation Medicine. 2021;10(3):562-73.
- Chappell J. Effect of fatigue on knee kinetics and kinematics. 2005. ;33(7):1022-9.
- Carcia C, Eggen J, Shultz S. Hip-abductor fatigue, frontal-plane landing angle, and excursion during a drop jump. Journal of Sport Rehabilitation. 2005;14(4):321-31.
- Smith MP, Sizer PS, James CR. Effects of fatigue on frontal plane knee motion, muscle activity, and ground reaction forces in men and women during landing. Journal of sports science & medicine. 2009;8(3):419.
- Boyas S, Hajj M, Bilodeau M. Influence of ankle plantarflexor fatigue on postural sway, lower limb articular angles, and postural strategies during unipedal quiet standing. Gait & posture. 2013;37(4):547-51.
- Zhang L, Yan Y, Liu G, Han B, Fei J, Zhang Y. Effect of fatigue on kinematics, kinetics and muscle activities of lower limbs during gait. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 2022;236(9):1365-74.
40. Wild CY, Grealish A, Hopper D. Lower limb and trunk biomechanics after fatigue in competitive female Irish dancers. Journal of athletic training. 2017;52(7):643-8.
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