본문 바로가기
KERD
논문KCI 등재

한 발 착지 시 전방십자인대 재건술 유무가 성인 남성의 하지 관절 각도 및 충격 흡수 패턴에 미치는 영향

Effects of Anterior Cruciate Ligament Reconstruction on Lower Limb Joint Angle and Shock Absorption Pattern of Adult Males during Single-Leg Drop Landing

이형우|박은비|전경규|김찬기
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2024.06|체육과학연구 (Korean Journal of Sport Science)|제35권 제2호|pp. 337-344

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

전방십자인대Anterior cruciate ligament전방십자인대 재건술무릎 부상kinetics드롭 랜딩ACL reconstructionKnee injuryDrop landing
주제분류체육

초록

[목적] 본 연구의 목적은 ACLR 유무에 따른 한발 낙하 착지 시 최대지면반력이 발생하는 시점에서 하지 관절 각도 및충격 흡수 패턴의 차이 비교 및 분석하는 것이다. [방법] 본 연구에는 성인 남성 40명이 모집되었다. 전방십자인대 재건 유무에 따라 ACLR군 19명(나이: 20.52±1.43 세, 신장: 179.26±5.18cm, 체중: 74.91±6.29kg), 대조군 21명(나이: 21.42±1.61세, 신장: 174.97±6.83cm, 체중: 69.27±7.56kg)으로 분류되었다. 참가자들은 30cm 박스 위에서 한발 다리 착지를 수행하였다. 착지 시 지면 반력이 최대가 되는 시점에서의 운동학 및 운동역학적 변인의 차이를 분석하기 위해 독립표본 t -검정을 사용하였다. 모든통계 결과에 대한 유의 수준은 p =0.05로 설정하였다. [결과] 본 연구 결과, 하지관절 각도에 따른 엉덩 관절의 굴곡과 외전, 무릎 관절의 굴곡 외반에서 유의한 차이를 보였다(p <.05). 그리고 한발 낙하 착지 시 운동역학적 변인인 최대 지면 반력, 하지 강성, 충격 흡수 시간에서는 두 그룹 간에유의한 차이가 나타나지 않았다. [결론] ACLR군은 대조군과 비교하여 운동학적으로 유의한 차이를 보였지만 운동역학적으로는 유의미한 차이가 발견되지 않았다. 두 그룹은 서로 다른 움직임으로 동일한 충격을 보상했으며, 이러한 ACLR 그룹의 움직임은 ACL 재부상위험을 증가시킬 수 있는 위험이 있다. 따라서 ACLR 그룹은 올바른 동작 훈련을 통해 재부상 위험을 감소시켜야 할 필요가 있다.

Abstract

PURPOSE This study analyzed the difference in lower extremity joint angle and shock absorption patterns at the point of maximum ground reaction force during single-leg drop landing with or without anterior cruciate ligament reconstruction (ACLR). METHODS Forty adult males were recruited for this study, with 19 in the ACLR group (age: 20.52±1.43years, height: 179.26±5.18cm, weight: 74.91±6.29kg) and 21 in the control group (age: 21.42±1.61years, height: 174.97±6.83cm, weight: 69.27±7.56kg). Participants performed single-leg landings on a 30cm tall box. An independent sample t-test was used to analyze the difference in kinetics variables at the point of maximum ground reaction force upon landing, with significance set at p=0.05. RESULTS The lower limb joint angle showed significant differences in hip flexion, hip abduction, knee flexion, and knee valgus (p<0.05) between groups. There was no significant difference between the groups in terms of the results of kinetics variables during single-leg landing (maximum ground reaction force, lower extremity stiffness, and shock absorption time). CONCLUSIONS The ACLR group showed a clear difference in kinematics compared to the control group, but no significant difference in kinetic results was found. The two groups compensated for the same impact with different movements, though movements in the ACLR group may increase the risk of ACL re-injury. Those with ACLR should strive to reduce the risk of re-injury by training to use correct movements.

참고문헌 (49)

  1. Arundale, A. J., "ACL injury prevention : Where have we come from and where are we going", Journal of Orthopaedic Research, 40(1), pp.43~54 (2022)
  2. Barrios, J. A., "A sex comparison of ambulatory mechanics relevant to osteoarthritis in individuals with and without asymptomatic varus knee alignment", Journal of Applied Biomechanics, 30(5), pp.632~636 (2014)
  3. Barrios, J. A., "Three-dimensional hip and knee kinematics during walking, running, and single-limb drop landing in females with and without genu valgum", Clinical Biomechanics, 31, pp.7~11 (2016)
  4. Bell, D. R., "Muscle activity and flexibility in individuals with medial knee displacement during the overhead squat", Athletic Training & Sports Health Care, 4(3), pp.117~125 (2012)
  5. Boden, B. P., "Mechanism of non-contact ACL injury : OREF Clinical Research Award 2021", Journal of Orthopaedic Research, 40(3), pp.531~540 (2022)
  6. Boden, B. P., "Video analysis of Anterior Cruciate Ligament injury : Abnormalities in hip and ankle kinematics", The American Journal of Sports Medicine, 37(2), pp.252~259 (2009)
  7. Buckthorpe, M., "Optimising the late-stage rehabilitation and return-to-sport training and testing process after ACL reconstruction", Sports Medicine, 49(7), pp.1043~1058 (2019)
  8. Buckthorpe, M., "Recommendations for movement re-training after ACL reconstruction", Sports Medicine, 51(8), pp.1601~1618 (2021)
  9. Cavanaugh, J. T., "ACL rehabilitation progression : Where are we now", Current Reviews in Musculoskeletal Medicine, 10(3), pp.289~296 (2017)
  10. Chappell, J. D., "A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks", The American Journal of Sports Medicine, 30(2), pp.261~267 (2002)
  11. Decker, M. J., "Landing adaptations after ACL reconstruction", Medicine & Science in Sports & Exercise, 34(9), pp.1408~1413 (2002)
  12. Della Villa, F., "Systematic video analysis of ACL injuries in professional male football(soccer) : Injury mechanisms, situational patterns and biomechanics study on 134 consecutive cases", British Journal of Sports Medicine, 54(23), pp.1423~1432 (2020)
  13. Di Stasi, S. L., "Gait patterns differ between ACL-reconstructed athletes who pass return-to-sport criteria and those who fail", The American Journal of Sports Medicine, 41(6), pp.1310~1318 (2013)
  14. Di Stasi, S., "Sexspecific gait adaptations prior to and up to 6 months afterA nterior Cruciate Ligament reconstruction", Journal of Orthopaedic &Sports Physical Therapy, 45(3), pp.207~214 (2015)
  15. Diermeier, T. A., "Treatment after ACL injury : Panther symposium ACL treatment consensus group", British Journal of Sports Medicine, 55(1), pp.14~22 (2021)
  16. Fagenbaum, R., "Jump landing strategies in male and female college athletes and the implications of such strategies for Anterior Cruciate Ligament injury", The American Journal of Sports Medicine, 31(2), pp.233~240 (2003)
  17. Ford, K. R., "Gender differences in the kinematics of unanticipated cutting in young athletes", Medicine & Science in Sports & Exercise, 37(1), pp.124~129 (2005)
  18. Grassi, A., "Does revision ACL reconstruction measure up to primary surgery? A meta-analysis comparing patient-reported and clinician-reported outcomes, and radiographic results", British Journal of Sports Medicine, 50(12), pp.716~724 (2016)
  19. Hart, J. M., "Sagittal plane knee joint moments following Anterior Cruciate Ligament injury and reconstruction : A systematic review", Clinical Biomechanics, 25(4), pp.277~283 (2010)
  20. Herrington, L., "Knee valgus angle during single leg squat and landing in patellofemoral pain patients and controls", The Knee, 21(2), pp.514~517 (2014)
  21. Hewett, T. E., "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, 33(4), pp.492~501 (2005)
  22. Ithurburn, M. P., "Young athletes with quadriceps femoris strength asymmetry at return to sport after Anterior Cruciate Ligament reconstruction demonstrate asymmetric single-leg drop-landing mechanics", The American Journal of Sports Medicine, 43(11), pp.2727~2737 (2015)
  23. Johnston, P. T., "Lower limb biomechanics during single-leg landings following Anterior Cruciate Ligament reconstruction : A systematic review and meta-analysis", Sports Medicine, 48(9), pp.2103~2126 (2018)
  24. Kadaba, M. P., "Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait", Journal of Orthopaedic Research, 7(6), pp.849~860 (1989)
  25. Kaplan, Y., "When is it safe to return to sport after ACL reconstruction? Reviewing the criteria", Sports Health, 11(4), pp.301~305 (2019)
  26. Lewek, M., "The effect of insufficient quadriceps strength on gait after Anterior Cruciate Ligament reconstruction", Clinical Biomechanics, 17(1), pp.56~63 (2002)
  27. Lin, C. Y., "Sex differences in common sports injuries", PM&R, 10(10), pp.1073~1082 (2018)
  28. Lorenzetti, S., "How to squat? Effects of various stance widths, foot placement angles and level of experience on knee, hip and trunk motion and loading. BMC Sports Science", Medicine and Rehabilitation, 10, pp.14~ (2018)
  29. Markström, J. L., "Individuals with an Anterior Cruciate Ligament-reconstructed knee display atypical whole body movement strategies but normal knee robustness during side-hop landings : A finite helical axis analysis", The American Journal of Sports Medicine, 48(5), pp.1117~1126 (2020)
  30. Mauntel, T. C., "Kinematic differences between those with and without medial knee displacement during a single-leg squat", Journal of Applied Biomechanics, 30(6), pp.707~712 (2014)
  31. McLean, S. G., "Sagittal plane biomechanics cannot injure the ACL during sidestep cutting", Clinical Biomechanics, 19(8), pp.828~838 (2004)
  32. Munro, A., "The relationship between 2-dimensional knee-valgus angles during single-leg squat, single-leg-land, and drop-jump screening tests", Journal of Sport Rehabilitation, 26(1), pp.72~77 (2017)
  33. Myer, G. D., "The back squat : A proposed assessment of functional deficits and technical factors that limit performance", Strength and Conditioning Journal, 36(6), pp.4~27 (2014)
  34. Nawasreh, Z., "Do patients failing returnto-activity criteria at 6 months after Anterior Cruciate Ligament reconstruction continue demonstrating deficits at 2 years", The American Journal of Sports Medicine, 45(5), pp.1037~1048 (2017)
  35. Olsen, O. E., "Injury mechanisms for Anterior Cruciate Ligament injuries in team handball : A systematic video analysis", The American Journal of Sports Medicine, 32(4), pp.1002~1012 (2004)
  36. Orishimo, K. F., "Comparison of landing biomechanics between male and female dancers and athletes, part 1 : Influence of sex on risk of anterior cruciate ligament injury", The American Journal of Sports Medicine, 42(5), pp.1082~1088 (2014)
  37. Paterno, M. V., "Incidence of contralateral and ipsilateral Anterior Cruciate Ligament(ACL)injury after primary ACL reconstruction and return to sport", Clinical Journal of Sport Medicine, 22(2), pp.116~121 (2012)
  38. Paterno, M. V., "Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport", The American Journal of Sports Medicine, 42(7), pp.1567~1573 (2014)
  39. Paterno, M. V., "Effects of sex on compensatory landing strategies upon return to sport after Anterior Cruciate Ligament reconstruction", Journal of Orthopaedic & Sports Physical Therapy, 41(8), pp.553~559 (2011)
  40. Paterno, M. V., "Biomechanical measures during landing and postural stability predict second Anterior Cruciate Ligament injury after Anterior Cruciate Ligament reconstruction and return to sport", The American Journal of Sports Medicine, 38(10), pp.1968~1978 (2010)
  41. Plagenhoef, S., "Anatomical data for analyzing human motion", Research Quarterly for Exercise and Sport, 54(2), pp.169~178 (1983)
  42. Pozzi, F., "Singlelimb drop landing biomechanics in active individuals with and without a history of Anterior Cruciate Ligament reconstruction : A total support analysis", Clinical Biomechanics, 43, pp.28~33 (2017)
  43. Salmon, L., "Incidence and risk factors for graft rupture and contralateral rupture after Anterior Cruciate Ligament reconstruction", Arthroscopy : The Journal of Arthroscopic &Related Surgery, 21(8), pp.948~957 (2005)
  44. Schmitt, L. C., "Strength asymmetry and landing mechanics at return to sport after Anterior Cruciate Ligament reconstruction", Medicine & Science in Sports & Exercise, 47(7), pp.1426~1434 (2015)
  45. Tapasvi, S., "Revision ACL reconstruction : Principles and practice", Indian Journal of Orthopaedics, 55(2), pp.263~275 (2021)
  46. Weitz, F. K., "The incidence of paediatric ACL injury is increasing in Finland", Knee Surgery, Sports Traumatology, Arthroscopy, 28(2), pp.363~368 (2020)
  47. Wiggins, A. J., "Risk of secondary injury in younger athletes after Anterior Cruciate Ligament reconstruction : A systematic review and meta-analysis", The American Journal of Sports Medicine, 44(7), pp.1861~1876 (2016)
  48. Wilczyński, B., "Dynamic knee valgus in single-leg movement tasks. Potentially modifiable factors and exercise training options. A literature review", International Journal of Environmental Research and Public Health, 17(21), pp.8208~ (2020)
  49. Yeow, C., "Sagittal knee joint kinematics and energetics in response to different landing heights and techniques", The Knee, 17(2), pp.127~131 (2010)

관련 논문AI추천

여성들의 나이가 한 발 드롭 착지 시 비접촉성 전방십자인대 부상 위험 요인에 미치는 영향김규완, 임비오국민체육진흥공단 한국스포츠과학원 · 체육과학연구2011 · 제22권 제1호Residual deficits of knee and hip joint coordination and clinical performance after return to sports in athletes with anterior cruciate ligament reconstructionDimas Sondang Irawan, Jim Richards, Komsak Sinsurin, Pongthanayos Kiratisin, Roongtiwa Vachalathiti대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 탄성 발목 보호대 착용 유무가 전방 점프 착지 시 하지 관절의 역학적 변인 차이 비교안세지, 전경규, 정형도국민체육진흥공단 한국스포츠과학원 · 체육과학연구2023 · 제34권 제3호전방십자인대 재건술 후 24주간의 재활 훈련이남녀의 기능성 수행능력에 미치는 영향김진구, 박우영, 안근옥, 양상진, 옥정석국민체육진흥공단 한국스포츠과학원 · 체육과학연구2013 · 제24권 제2호과체중 여성들의 드롭랜딩 후 수직점프 시 착지오류점수와 근 활성도를 통한 전방십자인대 부상 위험 요인 분석임비오, 황보민지국민체육진흥공단 한국스포츠과학원 · 체육과학연구2021 · 제32권 제4호단일다발 및 이중다발 전방십자인대 재건술 후 재활운동에 따른 기능적 예후 비교안근옥, 옥정석, 이장원, 이정호대한운동학회 · 아시아 운동학 학술지2013 · 제15권 제3호

이 간행물의 다른 논문 (18건)

여성 노인의 복부비만도와 대사증후군의 관계에 대한 체력의 조절효과 분석김민준, 김준웅, 이인환pp. 195-206중학교 축구선수의 체격 및 기초체력 평가 기준 개발 : 경기도를 중심으로강성기, 석진수, 정연성pp. 207-218배드민턴 국가대표후보 선수의 안전사고 예방을 위한 운동 손상 현장 조사한동욱, 송석현pp. 219-227피트니스지도자의 자기성찰과 직무스트레스 관계에서 마인드셋의 매개효과김소정, 박인경pp. 228-237뒤꿈치 들기 시 호흡 기법에 따른 발바닥 압력분포 차이박수진, 이경옥pp. 238-248
원문 보기