How fatigue affects loads and balance ability of lower extremity joints from leaping to ground?

doi:10.3969/j.issn.2095-4344.0283

Abstract

Abstract:

BACKGROUND: Ability of muscle control will be decreased when human body is in fatigue. However, the loads and balance ability of lower extremity joints from leaping to ground after fatigue are unclear.

OBJECTIVE: To investigate the effect of fatigue on the kinematics, dynamics and dynamic and static balance of the lower extremity joints in athletes, so as to provide an important reference for preventing sports injuries.

METHODS: Sixteen elite male volleyball players were induced to suffer from muscle fatigue using the closed kinetic chain action. Corresponding motion parameters of leaping dynamics, kinematics and plantar pressure center measured by Vicon infrared image acquisition system and three-dimensional force were collected.

RESULTS AND CONCLUSION: (1) The maximal hip flexion angle, the movement range and the range of motion of knee joint after fatigue were significantly lower than those before fatigue (P < 0.05). (2) The time to maximum knee flexion was decreased significantly after fatigue than that before fatigue, and the maximum ground reaction force was significantly increased after fatigue (P < 0.05). (3) The dynamic and static balance in the center of pressure offset radius, velocity and the cover area were significantly increased after fatigue (P < 0.05). (4) These results indicate that the subjects tend to take a relatively stiff action for leaping after fatigue, in order to maintain a stable posture as soon as possible. The balance ability is significantly reduced after fatigue. As a result, the impact force from leaping to ground cannot be effectively reduced, thereby increasing the risk of sports injuries.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Postural Balance, Athletic Injuries, Range of Motion, Articular, Tissue Engineering

CLC Number:

R318

Gui Zhu, Yuan Yi-wen, Sha Yan. How fatigue affects loads and balance ability of lower extremity joints from leaping to ground?[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(19): 3021-3026.

Figures/Tables 1

2.1 着地过程髋、膝、踝关节运动学特征着地瞬间髋、膝、踝关节状况均一致表现为屈曲，且关节角大小在疲劳前后均无显著性差异(P > 0.05；着地过程中，髋关节最大屈曲角度在疲劳后显著小于疲劳前(P < 0.05)，而膝、踝两关节最大屈曲角不受疲劳的影响(P > 0.05)；整个着地过程中，髋、膝关节的活动范围明显受疲劳因素的影响，表现为疲劳后髋、膝关节活动范围显著小于疲劳前(P < 0.05)，而踝关节活动范围虽有所增加，但无显著性意义，故可认为其活动范围不受疲劳因素的影响(P > 0.05)，见表1。 2.2 着地过程髋、膝、踝关节动力学特征着地过程中，髋、膝、踝关节最大伸展力矩、下肢刚度及胫前剪力在疲劳前后均无显著差异(P > 0.05)；膝关节达到最大屈曲的时间明显受疲劳因素的影响，表现为疲劳后的时间显著短于疲劳前(P < 0.05)；着地瞬间地面反作用大小不受疲劳因素的影响(P > 0.05)，但着地过程中地面反作用力最大值受疲劳因素的影响，表现为疲劳后最大垂直力Fmax显著大于疲劳前(P < 0.05)，见表2。 2.3 着地过程人体压力中心变化特征动、静态平衡中的压力中心偏移半径均显著受疲劳因素的影响，表现为疲劳后偏移显著高于疲劳前，横向比较发现，疲劳后静态平衡偏移反而显著高于疲劳后动态偏移(P < 0.05)；动、静态平衡中的压力中心移动速度均显著受疲劳因素的影响，表现为疲劳后移动速度显著高于疲劳前(P < 0.05)，横向比较发现，疲劳前静态压力中心移动速度显著小于动态压力中心移动速度(P < 0.05)；动、静态压力中心移动面积均显著受疲劳因素的影响，表现为疲劳后面积显著大于疲劳前(P < 0.05)，横向比较看，静态平衡的压力中心移动面积均显著小于动态平衡(P < 0.05)，见表3。"

References

[1] Chang et al. Acute Garcinia mangostana (mangosteen) supplementation does not alleviate physical fatigue during exercise: a randomized, double-blind, placebo-controlled, crossover trial. J Int Soc Sports Nutr.2016;25(6):13-20.

[2] Liederbach M, Hagins M, Gamboa JM et al. Assessing and reporting dancer capacities, risk factors, and injuries: recommendations from the IADMS standard measures consensus initiative. J Dance Med Sci.2012;16(4): 139-153.

[3] Troy KL, Grabiner MD. Asymmetrical ground impact of the hands after at rip-induced fall: Experimental kinematics and kinetics. Clin Biomech (Bristol, Avon).2007;22:1088-1095.

[4] Brown C, Bowser B, Simpson KJ. Movement variability during single leg jump landings in individuals with and without chronic ankle instability. Clin Biomech (Bristol, Avon).2012; 27:52-63.

[5] Schmitz RJ, Kulas AS, Perrin DH, et al. Sex differences in lower extremity biomechanics during single leg landings. Clin Biomech (Bristol, Avon). 2007;22 (6): 681-688.

[6] Julie A, Riann MP, Randall D, et al. Descriptive epidemiology of collegiate women’s volleyball injuries: National collegiate athletic association injury surveillance system, 1988-1989 through 2003-2004. J Athl Train.2007;42(2): 295-302.

[7] FinstererJ. Biomarkers of peripheral muscle fatigue during exercise. BMC Musculoskelet Disord.2012;13(1):218.

[8] Wikstrom EA, Powers ME, Tillman MD. Dynamic stabilization time after isokinetic and functional fatigue. J Athl Train. 2004; 39(3): 247-253.

[9] Price RJ, Hawkins RD, Hulse MA, et al. The Football Association medical research programme: An audit of injuries in academy youth football. Br J Sports Med. 2004;38 (4): 466-471.

[10] Kellis E, Kouvelioti V. Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. J Electromyogr Kinesiol. 2009; 19 (1): 55-64.

[11] Padua DA, Arnold BL, Perrin DH, et al. Fatigue, vertical leg stiffness, and stiffness control strategies in males and females. J Athl Train. 2006;41 (3): 294-304.

[12] Coventry E, O'Connor KM, Hart BA, et al. The effect of lower extremity fatigue on shock attenuation during single -leg landing. Clin Biomech (Bristol, Avon).2006;21(10): 1090-1097.

[13] Madigan ML, Pidcoe PE. Changes in landing biomechanics during a fatiguing landing activity. J Electromyogr Kinesiol. 2003;13 (5): 491-498.

[14] Urabe Y, Kobayashi R, Sumida S, et al. Electromyographic analysis of the knee during jump landing in male and female athletes. Knee.2005;12 (2): 129-134.

[15] Luke S. Hopper, Jacqueline A. Alderson, Bruce C. Elliott, Timothy R. Ackland. Dance ?oor force reduction in?uences ankle loads in dancers during drop. J Sci Med Sport.2014; 22(2):55-61.

[16] Batatinha HA, da Costa CE, de França E, et al. Carbohydrate use and reduction in number of balance beam falls: implications for mental and physical fatigue. J Int Soc Sports Nutr. 2013; 10(2): 32-38.

[17] Brown TN, McLean SG, Palmieri-Smith RM. Associations between lower limb muscle activation strategies and resultant multi-planar knee kinetics during single leg landings. J Sci Med Sport.2014;17: 408-413.

[18] [18] Donnelly CJ, Elliott BC, Doyle TLA, et al. Changes in muscle activation following balance and technique training and a season of Australian football. J Sci Med Sport. 2014; 12(4):1026-1031.

[19] Milanez VF, Spiguel Lima MC, Gobatto CA, at al. Correlates of session-rate of perceived exertion (RPE) in a karate training session. J Sports Sci Med. 2011;26:38-43.

[20] Self BP, Paine D. Ankle biomechanis during four landing techniques. Med Sci Sports Exerc.2001;33(8): 1338-1344.

[21] Chappell JD, Herman DC, Knight BS, et al. Effect of fatigue on knee kinetics and kinematics in stop -jump tasks. Am J Sports Med.2005;33 (7):1022-1029.

[22] Farley CT, Houdijk HH, Van Strien C, et al. Mechanism of leg stiffness adjustment for hopping on surfaces of different stiffnesses. J Appl Physiol (1985).1998; 85 (3):1044-1055.

[23] 成戎珠,苏芳庆,林纯彬等.利用不同的力板参数侦测单侧脚踝扭伤患者的姿势控制[J].中华物疗志,1997,22(4):251-259.

[24] Struminger AH, Lewek MD, Goto S, et al. Comparison of gluteal and hamstring activation during ?ve commonly used plyometric exercises. Clin Biomech (Bristol, Avon).2013;28: 783-789.

[25] Lee SP, Powers C. Fatigue of the hip abductors results in increased medial–lateral center of pressure excursion and altered peroneus longus activation during a unipedal landing task. Clin Biomech (Bristol, Avon).2013;28:524-529.

[26] Lafortune MA, Lake MJ, Hennig EM. Differential shock transmission response of the human body to impact severity and lower limb posture. J Biomech.1996;29 (12):1531 -1537.

[27] Derrick TR, Dereu D, McLean SP. Impacts and kinematic adjustments during an exhaustive run. Med Sci Sports Exerc. 2002;34 (6):998 -1002.

[28] Lyle MA, Valero-Cuevasa FJ, Gregor RJ, et al. Control of dynamic foot-ground interactions in male and females occer athletes: Females exhibit reduced dexterity and higher limb stiffness during landing. J Biomech. 2014;47:512-517.

[29] McNair PJ, Marshall RN. Landing characteristics in subjects with normal and anterior cruciate ligament deficient knee joints. Arch Phys Med Rehabil. 1994;75 (5):584-589.

[30] Wikstrom EA, Powers ME, Tillman MD. Dynamic stabilization time after isokinetic and functional fatigue. J Athl Train.2004; 39(3): 247-253.

[31] Bruton MR, O’Dwyer N, Adams R. Sex differences in the kinematics and neuromuscular control of landing: Biological, environmental and sociocultural factors. J Electromyogr Kinesiol.2013;23:747-758.

[32] Potthast W, Bruggemann GP, Lundberg A, et al. The in?uence sofimpact interface, muscle activity, and knee angle on impact forces and tibial and femoral accelerations occurring after external impacts. J Appl Biomech.2010;26:1-9.

[33] Gibson W, Campbell A, Allison G. No evidence hip joint angle modulates intrinsically produced stretchre?ex in human hopping. Gait Posture. 2013;38:1005-1009.

[34] Forestier N, Teasdale N, Nougier V. Alteration of the position sense at the ankle induced by muscular fatigue in humans. Med Sci Sports Exerc. 2002;34(1):117-122.

[35] Gribble PA, Hertel J, Denegar CR, et al. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39(4): 321-329.

[36] Lepers R, Bigard AX, Diard JP, et al. Posture control after prolonged exercise. Eur J Appl Physiol Occup Physiol.1997; 76(1): 55-61.

[37] Yaggie JA, McGregor SJ. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil. 2002;83(2): 224-228.