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DOI: 10.1055/s-0040-1721361
Dynamic Knee Alignment and Pelvic Balance: Comparison Regarding Gender in Young Soccer Athletes[*]
Artikel in mehreren Sprachen: português | English
Abstract
Objective To evaluate knee alignment in the frontal plane and pelvic balance during the step-down test in female and male soccer players.
Methods Cross-sectional study carried out with male and female soccer players from under-15 and under-17 teams of a professional club in Southern Brazil. The step-down test was performed, filmed with a video camera, and evaluated according to the angular measurements obtained during movement using the Kinovea software (open source), version 0.8.24.
Results The sample consisted of 38 individuals, 19 males and 19 females. Female athletes had a greater varus angle (9.42° ± 1.65°) compared to male athletes (3.91° ± 2.0°; p = 0.04). There was no difference regarding the unilateral pelvic drop between the groups. In addition, the association between the hip-related pelvic drop and the projection angle on the frontal plane of the knee was weak in both genders.
Conclusion Even though the pelvic drop was observed in both genders, young female athletes had greater varus knee angles on the step-down test, which require greater attention to minimize the risk of injury.
* Study developed at Universidade Católica de Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Publikationsverlauf
Eingereicht: 11. September 2019
Angenommen: 16. September 2020
Artikel online veröffentlicht:
26. April 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Abrahão GS, Caixeta LF, Barbosa LR, Siqueira dPP, Carvalho LC, Matheus JPC. Incidência das lesões ortopédicas por segmento anatômico associado à avaliação da frequência e intensidade da dor em uma equipe de futebol amador. Braz J Biomotr 2009; 3 (02) 152-158
- 2 Almeron MM, Pacheco AM, Pacheco I. Relação entre fatores de risco intrínsecos e extrínsecos e a prevalência de lesões em membros inferiores em atletas de basquetebol e voleibol. Rev Cienc Salud 2009; 2 (02) 58-65
- 3 Tamura A, Akasaka K, Otsudo T, Shiozawa J, Toda Y, Yamada K. Dynamic knee valgus alignment influences impact attenuation in the lower extremity during the deceleration phase of a single-leg landing. PLoS One 2017; 12 (06) e0179810
- 4 Lima YL, Ferreira VMLM, de Paula Lima PO, Bezerra MA, de Oliveira RR, Almeida GPL. The association of ankle dorsiflexion and dynamic knee valgus: A systematic review and meta-analysis. Phys Ther Sport 2018; 29: 61-69
- 5 Schmitz RJ, Shultz SJ, Nguyen AD. Dynamic valgus alignment and functional strength in males and females during maturation. J Athl Train 2009; 44 (01) 26-32
- 6 Araújo VL, Souza TR, Carvalhais VODC, Cruz AC, Fonseca ST. Effects of hip and trunk muscle strengthening on hip function and lower limb kinematics during step-down task. Clin Biomech (Bristol, Avon) 2017; 44 (01) 28-35
- 7 Bittencourt NF, Ocarino JM, Mendonça LD, Hewett TE, Fonseca ST. Foot and hip contributions to high frontal plane knee projection angle in athletes: a classification and regression tree approach. J Orthop Sports Phys Ther 2012; 42 (12) 996-1004
- 8 Snyder KR, Earl JE, O'Connor KM, Ebersole KT. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon) 2009; 24 (01) 26-34
- 9 Magalhães E, Fukuda TY, Sacramento SN, Forgas A, Cohen M, Abdalla RJ. A comparison of hip strength between sedentary females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 2010; 40 (10) 641-647
- 10 Emamvirdi M, Letafatkar A, Khaleghi Tazji M. The Effect of Valgus Control Instruction Exercises on Pain, Strength, and Functionality in Active Females With Patellofemoral Pain Syndrome. Sports Health 2019; 11 (03) 223-237
- 11 Brophy RH, Chiaia TA, Maschi R. et al. The core and hip in soccer athletes compared by gender. Int J Sports Med 2009; 30 (09) 663-667
- 12 Larruskain J, Lekue JA, Diaz N, Odriozola A, Gil SM. A comparison of injuries in elite male and female football players: A five-season prospective study. Scand J Med Sci Sports 2018; 28 (01) 237-245
- 13 Watson A, Mjaanes JM. COUNCIL ON SPORTS MEDICINE AND FITNESS. Soccer Injuries in Children and Adolescents. Pediatrics 2019; 144 (05) e20192759
- 14 Heiderscheit BC. Lower extremity injuries: is it just about hip strength?. J Orthop Sports Phys Ther 2010; 40 (02) 39-41
- 15 Sieńko-Awierianów E, Chudecka M. Risk of Injury in Physically Active Students: Associated Factors and Quality of Life Aspects. Int J Environ Res Public Health 2020; 17 (07) 2564
- 16 Cesar GM. Influência do ciclo menstrual na atividade eletromiográfica e na cinemática do joelho durante a aterrissagem do salto [dissertação]. São Carlos: Programa de Pós Graduação em Fisioterapia, Universidade Federal de São Carlos; 2009
- 17 Rodríguez C, Echegoyen S, Aoyama T. The effects of “Prevent Injury and Enhance Performance Program” in a female soccer team. J Sports Med Phys Fitness 2018; 58 (05) 659-663
- 18 Crossley KM, Bennell KL, Cowan SM, Green S. Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid?. Arch Phys Med Rehabil 2004; 85 (05) 815-822
- 19 de Rezende LFM, Santos M, Araújo TL, Matsudo VKR. A prática do futebol acentua os graus de geno varo?. Rev Bras Med Esporte 2011; 14 (05) 329-333
- 20 Sigward SM, Ota S, Powers CM. Predictors of frontal plane knee excursion during a drop land in young female soccer players. J Orthop Sports Phys Ther 2008; 38 (11) 661-667
- 21 Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther 2010; 40 (02) 42-51
- 22 Burnet EN, Pidcoe PE. Isometric gluteus medius muscle torque and frontal plane pelvic motion during running. J Sports Sci Med 2009; 8 (02) 284-288
- 23 Souza RB, Powers CM. Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain. J Orthop Sports Phys Ther 2009; 39 (01) 12-19
- 24 Herrington L. Knee valgus angle during landing tasks in female volleyball and basketball players. J Strength Cond Res 2011; 25 (01) 262-266
- 25 Cruz AC, Fonseca ST, Araújo VL. et al. Pelvic Drop Changes due to Proximal Muscle Strengthening Depend on Foot-Ankle Varus Alignment. Appl Bionics Biomech 2019; 2019: 2018059
- 26 Claiborne TL, Armstrong CW, Gandhi V, Pincivero DM. Relationship between hip and knee strength and knee valgus during a single leg squat. J Appl Biomech 2006; 22 (01) 41-50
- 27 Resende RA, Kirkwood RN, Figueiredo EM. Cinemática da marcha de adultos jovens: dados normativos iniciais. Rev Ter Manual 2010; 8 (39) 370-376
- 28 Baldon RM, Lobato DF, Carvalho LP, Wun PY, Serrão FV. Diferenças biomecânicas entre os gêneros e sua importância nas lesões do joelho. Fisioter Mov 2011; 24 (01) 157-166
- 29 Barendrecht M, Lezeman HC, Duysens J, Smits-Engelsman BC. Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes. J Strength Cond Res 2011; 25 (03) 575-584
- 30 Willy RW, Davis IS. The effect of a hip-strengthening program on mechanics during running and during a single-leg squat. J Orthop Sports Phys Ther 2011; 41 (09) 625-632
- 31 Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewett TE. Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther 2005; 35 (05) 292-299