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Lower extremity muscle contributions to ACL loading during a stop-jump task.

Shelby A Peel1, Lauren E Schroeder1, Joshua T Weinhandl1

  • 1Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, TN, USA.

Journal of Biomechanics
|April 19, 2021
PubMed
Summary

Female athletes exhibit higher anterior cruciate ligament (ACL) injury risk during stop-jump landings. Specific muscles, notably the vastus lateralis, significantly contribute to ACL loading, informing new injury prevention strategies.

Keywords:
ACL loadingMuscle contributionMusculoskeletal modelingOpenSim

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Area of Science:

  • Biomechanics
  • Sports Medicine
  • Orthopedics

Background:

  • Stop-jump landings are high-risk movements linked to lower extremity injuries, particularly anterior cruciate ligament (ACL) tears.
  • Females exhibit distinct landing mechanics, potentially increasing their ACL injury risk compared to males.
  • Limited understanding exists regarding the role of specific lower extremity musculature in influencing ACL loading during these tasks.

Purpose of the Study:

  • To investigate the contribution of individual lower extremity muscles to anterior cruciate ligament (ACL) loading during unanticipated stop-jump landings in females.
  • To identify key muscles that influence ACL forces (FACL) to inform the development of targeted injury prevention strategies.

Main Methods:

  • Ten healthy, recreationally active females performed unanticipated stop-jump tasks.
  • Three-dimensional motion capture, force plates, and electromyography recorded kinematics, kinetics, and muscle activity.
  • Musculoskeletal modeling and static optimization determined muscle forces, and an induced acceleration analysis calculated muscle contributions to ACL loading.

Main Results:

  • The vastus lateralis, vastus intermedius, vastus medialis, biceps femoris long head, semimembranosus, and soleus were identified as primary contributors to ACL loading (FACL).
  • The vastus lateralis demonstrated the largest contribution to FACL.
  • Muscles traditionally considered ACL unloaders may, under specific conditions, contribute to ACL loading.

Conclusions:

  • Specific muscles, especially the vastus lateralis, play a significant role in anterior cruciate ligament (ACL) loading during stop-jump landings in females.
  • Findings suggest that current injury prevention protocols may need refinement to specifically target muscles influencing ACL loading, particularly the vastus lateralis.
  • This research provides crucial insights into neuromuscular control during landing and its implications for ACL injury prevention in female athletes.