Dynamic knee stability and ballistic knee movement after ACL reconstruction: an application on instep soccer kick

Verfasser / Beitragende:
[Nuno Cordeiro, Nelson Cortes, Orlando Fernandes, Ana Diniz, Pedro Pezarat-Correia]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1100-1106
Format:
Artikel (online)
ID: 605459088
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024 7 0 |a 10.1007/s00167-014-2894-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2894-8 
245 0 0 |a Dynamic knee stability and ballistic knee movement after ACL reconstruction: an application on instep soccer kick  |h [Elektronische Daten]  |c [Nuno Cordeiro, Nelson Cortes, Orlando Fernandes, Ana Diniz, Pedro Pezarat-Correia] 
520 3 |a Purpose: The instep soccer kick is a pre-programmed ballistic movement with a typical agonist-antagonist coordination pattern. The coordination pattern of the kick can provide insight into deficient neuromuscular control. The purpose of this study was to investigate knee kinematics and hamstrings/quadriceps coordination pattern during the knee ballistic extension phase of the instep kick in soccer players after anterior cruciate ligament reconstruction (ACL reconstruction). Methods: Seventeen players from the Portuguese Soccer League participated in this study. Eight ACL-reconstructed athletes (experimental group) and 9 healthy individuals (control group) performed three instep kicks. Knee kinematics (flexion and extension angles at football contact and maximum velocity instants) were calculated during the kicks. Rectus femoris (RF), vastus lateralis, vastus medialis, biceps femoralis, and semitendinosus muscle activations were quantified during the knee extension phase. Results: The ACL-reconstructed group had significantly lower knee extension angle (−1.2±1.6, p<0.021) and increased variability (1.1±1.2, p<0.012) when compared with the control group. Within the EMG variables, the RF had a significantly greater activity in the ACL-reconstructed group than in the control group (79.9±27.7% MVC vs. 49.2±20.8% MVC, respectively, p<0.034). No other statistically significant differences were found. Conclusions: The findings of this study demonstrate that changes in ACL-reconstructed individuals were observed on knee extension angle and RF muscle activation while performing an instep kick. These findings are in accordance with the knee stability recovery process after ACL reconstruction. No differences were observed in the ballistic control movement pattern between normal and ACL-reconstructed subjects. Performing open kinetic chain exercises using ballistic movements can be beneficial when recovering from ACL reconstruction. The exercises should focus on achieving multi-joint coordination and full knee extension (range of motion). Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Movement pattern  |2 nationallicence 
690 7 |a Neuromuscular control  |2 nationallicence 
690 7 |a Open kinetic chain and coordination  |2 nationallicence 
700 1 |a Cordeiro  |D Nuno  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
700 1 |a Cortes  |D Nelson  |u Sports Medicine Assessment, Research & Testing (SMART) Laboratory, George Mason University, Manassas, VA, USA  |4 aut 
700 1 |a Fernandes  |D Orlando  |u Sport Sciences Department, Technology and Science School, Evora University, Évora, Portugal  |4 aut 
700 1 |a Diniz  |D Ana  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
700 1 |a Pezarat-Correia  |D Pedro  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1100-1106  |x 0942-2056  |q 23:4<1100  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2894-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2894-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cordeiro  |D Nuno  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cortes  |D Nelson  |u Sports Medicine Assessment, Research & Testing (SMART) Laboratory, George Mason University, Manassas, VA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fernandes  |D Orlando  |u Sport Sciences Department, Technology and Science School, Evora University, Évora, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Diniz  |D Ana  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pezarat-Correia  |D Pedro  |u Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1100-1106  |x 0942-2056  |q 23:4<1100  |1 2015  |2 23  |o 167