Effect of Fatigue on Hamstring Reflex Responses and Posterior-Anterior Tibial Translation in Men and Women

Behrens, Martin; Mau-Moeller, Anett; Wassermann, Franziska; Bruhn, Sven

doi:10.1371/journal.pone.0056988

Cited by 27 publications

(43 citation statements)

References 47 publications

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“…Table 1 summarizes the available evidence in terms of neuromuscular characteristics potentially related to knee mechanics in male athletes. Other studies providing information potentially related to risk factors for ACL injury in male athletes that was not categorized in biomechanical and neuromuscular subcategories were summarized in Table 1 [2,8,15,35,36,50,51,57,58,68,77].…”

Section: Neuromuscular Evidencementioning

confidence: 99%

Biomechanical and Neuromuscular Characteristics of Male Athletes: Implications for the Development of Anterior Cruciate Ligament Injury Prevention Programs

et al. 2015

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Prevention of anterior cruciate ligament (ACL) injury is likely the most effective strategy to reduce undesired health consequences including reconstruction surgery, long-term rehabilitation, and pre-mature osteoarthritis occurrence. A thorough understanding of mechanisms and risk factors of ACL injury is crucial to develop effective prevention programs, especially for biomechanical and neuromuscular modifiable risk factors. Historically, the available evidence regarding ACL risk factors has mainly involved female athletes or has compared male and female athletes without an intra-group comparison for male athletes. Therefore, the principal purpose of this article was to review existing evidence regarding the investigation of biomechanical and neuromuscular characteristics that may imply aberrant knee kinematics and kinetics that would place the male athlete at risk of ACL injury. Biomechanical evidence related to knee kinematics and kinetics was reviewed by different planes (sagittal and frontal/coronal), tasks (single-leg landing and cutting), situation (anticipated and unanticipated), foot positioning, playing surface, and fatigued status. Neuromuscular evidence potentially related to ACL injury was reviewed. Recommendations for prevention programs for ACL injuries in male athletes were developed based on the synthesis of the biomechanical and neuromuscular characteristics. The recommendations suggest performing exercises with multi-plane biomechanical components including single-leg maneuvers in dynamic movements, reaction to and decision making in unexpected situations, appropriate foot positioning, and consideration of playing surface condition, as well as enhancing neuromuscular aspects such as fatigue, proprioception, muscle activation, and inter-joint coordination.

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Section: Neuromuscular Evidencementioning

confidence: 99%

Biomechanical and Neuromuscular Characteristics of Male Athletes: Implications for the Development of Anterior Cruciate Ligament Injury Prevention Programs

et al. 2015

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“…In addition, the hamstring muscles are activated by the ACL receptors when the ACL is subjected to stress, providing further evidence for the agonist effect of the hamstring muscles on the ACL 32 . A protocol of muscle fatigue alters both the latency and the extent of the re lex response of the hamstring muscles and therefore would have potential repercussions for tibial translation in women [33][34][35][36] . A decrease in the re lex response of the hamstring muscles, and consequently an increase in tibial translation in relation to the femur, increase the instability of the knee and could contribute to the pathomechanics of ACL injuries, especially in women [33][34][35][36] .…”

Section: Muscular Controlmentioning

confidence: 99%

“…A protocol of muscle fatigue alters both the latency and the extent of the re lex response of the hamstring muscles and therefore would have potential repercussions for tibial translation in women [33][34][35][36] . A decrease in the re lex response of the hamstring muscles, and consequently an increase in tibial translation in relation to the femur, increase the instability of the knee and could contribute to the pathomechanics of ACL injuries, especially in women [33][34][35][36] . In addition, muscular fatigue of the hamstrings and a weak hamstring/ quadriceps ratio could be responsible for an increase in the instability of the knee resulting from an increase in tibial translation relative to the femur and could also contribute to the risk of ACL injuries, especially in women 27,33 .…”

Section: Muscular Controlmentioning

confidence: 99%

“…A decrease in the re lex response of the hamstring muscles, and consequently an increase in tibial translation in relation to the femur, increase the instability of the knee and could contribute to the pathomechanics of ACL injuries, especially in women [33][34][35][36] . In addition, muscular fatigue of the hamstrings and a weak hamstring/ quadriceps ratio could be responsible for an increase in the instability of the knee resulting from an increase in tibial translation relative to the femur and could also contribute to the risk of ACL injuries, especially in women 27,33 . Also, the presence of mechanical receptors controlling the action of the hamstrings in the ACL suggests that a proprioception de icit could have an impact on the stability of the knee, demonstrating the value of having a proprioceptive training program 32 .…”

Section: Muscular Controlmentioning

confidence: 99%

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The risk factors for rupture of the anterior cruciate ligament of the knee: The neuromuscular state

Kaux¹,

Delvaux²,

Forthomme³

et al. 2013

OA Sports Medicine

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IntroductionMultiple factors act conjointly to in luence the risk of injury of the anterior cruciate ligament of the knee. An understanding of neuromuscular factors remains necessary, although this does not guarantee a complete analysis of the risks of injury to the anterior cruciate ligament. Women have a greater risk of injury to the anterior cruciate ligament in comparison to men. This can be explained by an increase in the internal rotation of the hip, coupled with an increase in the external rotation of the tibia and increased muscular activation of the quadriceps (with a concomitant decrease in hamstring activity) during landing or pivotal movements. In addition, muscular fatigue of the hamstrings and a weak hamstring/ quadriceps ratio could contribute to the risk of injury to the anterior cruciate ligament. Finally, a lack of relative joint stiffness can also constitute a risk factor of injury to the anterior cruciate ligament in women. Other potential neuromuscular risk factors could also be highlighted. Screening for these risk factors, for example, by means of a functional jump-landing test, together with an isokinetic test, could help to recommend new prevention protocols. The aim of this review was to discuss the risk factors for the rupture of the anterior cruciate ligament of the knee. ConclusionThanks to an overall knowledge of all the possible risk factors (intrinsic and extrinsic, modi iable or not), sports people who are predisposed to a recurrence of rupture of the anterior cruciate ligament could be identi ied. However, the hypothetical neuromuscular factors reported till date do not offer a complete understanding of this risk.

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“…Therefore, different characteristics of fatigue between men and women might have different impacts on their choice reaction time which may contribute to more injury in women [23][24][25]. In this regard, to prevent injury and better rehabilitation, men and women should be treated with different treatment programs for achieving a desirable outcome.…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effect of Fatigue on Choice Reaction Time of Healthy Men and Women

Tavahomi

Shanbehzadeh

Abdollahi

2017

PTJ

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Purpose: Reaction time is a good indicator of coordination between sensory motion and individual performance. It is the time interval from perceiving sudden stimulus until the reaction to that stimulus. One of the factors affecting reaction time is fatigue. Considering the different characteristics of fatigue in men and women, this study aimed to compare the effect of fatigue on the choice reaction time between men and women. Methods:The present study has quasi-experimental design with pretest and posttest. A total of 16 healthy men and 16 healthy women within the age range of 18 to 35 years participated in this study. For measuring the reaction time and fatigue, 4-choice reaction time test and Borg Scale were used, respectively. To induce muscle fatigue, the stretch-shortening cycle protocol, which involves consecutive jumps in repetitive short and ascending cycles were used. When the participants' attempts score to perform the protocol reached 15 or more, execution of the protocol was terminated and the test of the choice reaction time was administered using visual stimulus. Reaction time was recorded in both modes before and after the fatigue. Descriptive statistics (mean and standard deviation), and inferential statistics (correlated t test and covariance analysis) were used to analyze the obtained data. Statistical analyses were performed with SPSS 19.Results: There was no significant difference between the choice reaction time of men and women before and after fatigue (P>0.05). Although, after fatigue, the mean score of the participants' reaction time increased in both men and women groups, this difference was not statistically significant. Conclusion:Fatigue had no significant impact on the choice reaction time of non-athlete healthy men and women. And despite different fatigue characteristics in men and women, no difference was observed in the choice reaction time between two groups. It seems that the exhaustion perceived by the participants was the result of peripheral fatigue, not central fatigue.

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Effect of Fatigue on Hamstring Reflex Responses and Posterior-Anterior Tibial Translation in Men and Women

Cited by 27 publications

References 47 publications

Biomechanical and Neuromuscular Characteristics of Male Athletes: Implications for the Development of Anterior Cruciate Ligament Injury Prevention Programs

Biomechanical and Neuromuscular Characteristics of Male Athletes: Implications for the Development of Anterior Cruciate Ligament Injury Prevention Programs

The risk factors for rupture of the anterior cruciate ligament of the knee: The neuromuscular state

Comparing the Effect of Fatigue on Choice Reaction Time of Healthy Men and Women

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