Performance on a Single-Legged Drop-Jump Landing Test Is Related to Increased Risk of Lateral Ankle Sprains Among Male Elite Soccer Players: A 3-Year Prospective Cohort Study

Fransz, Duncan P.; Huurnink, Arnold; Kingma, Idsart; Boode, Vosse A. de; Heyligers, Ide C.; Dieën, Jaap H. van

doi:10.1177/0363546518808027

Cited by 27 publications

(38 citation statements)

References 35 publications

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“…As injuries of the ankle and the knee are frequently observed during jump landings, landing tasks are vital not only for performance but also for the prevention of injury risk [26][27][28]. For the jump task, larger plantar loading at the forefoot region during take-off and landing phases may increase the risk of metatarsal injuries [4].…”

Section: Discussionmentioning

confidence: 99%

Multi-Segmental Motion in Foot during Counter-Movement Jump with Toe Manipulation

Xiang

Mei

et al. 2020

Applied Sciences

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Human toes are crucial for vertical jumping performance. The purpose of this study is to investigate the acute effect of hallux abduction manipulation on foot inter-segment kinematic alterations and plantar loading redistribution during the countermovement jump (CMJ). Thirteen participants were recruited to join in this experiment, for the collection of the foot inter-segment kinematics and plantar pressure data. During the take-off phase, the contact area presented a significant increase while the pressure-time integral decreased in the second metatarsal (M2), whilst the third metatarsal (M3) and fourth metatarsal (M4) decreased significantly in pressure-time integral with Toe-Manipulation (TM). During the landing phase, maximum force and peak pressure were smaller in the big toe (BT) after hallux abduction manipulation. HXFFA (hallux-forefoot angle) showed a greater pronation after manipulation in the frontal plane (0%–26% and 50%–100%) with p = 0.002 and p < 0.001. In the transverse plane, the smaller adductions were found during 62%–82% in take-off and 62%–91% in landing (p = 0.003 and p < 0.001). There was a redistributed plantar loading during the landing phase from the medial to lateral forefoot. However, a reduced hallux range of motion in the TM session was exhibited, compared to Non-Toe-Manipulation (NTM).

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Section: Discussionmentioning

confidence: 99%

Multi-Segmental Motion in Foot during Counter-Movement Jump with Toe Manipulation

Xiang

Mei

et al. 2020

Applied Sciences

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“…However, some inferences about objective criteria can be drawn based on how the agreed upon domains relate to known modifiable risk factors for LAS. For example, hop testing, 38 limited dorsiflexion range of motion, 39,40 poor strength/strength asymmetries, [40][41][42] and poor static, 40,[43][44][45][46] and dynamic postural control 38,47,48 have all been identified as modifiable risk factors for LAS. These risk factors significantly overlap with the recommended domains found in the current investigation.…”

Section: Research Team Credentialsmentioning

confidence: 99%

Lack of Consensus on Return-to-Sport Criteria Following Lateral Ankle Sprain: A Systematic Review of Expert Opinions

Wikstrom¹,

Mueller²,

Cain³

2020

Journal of Sport Rehabilitation

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Context: Lateral ankle sprains (LAS) have one of the highest recurrence rates of all musculoskeletal injuries. An emphasis on rapid return to sport (RTS) following LAS likely increases reinjury risk. Unfortunately, no set of objective RTS criteria exist for LAS, forcing practitioners to rely on their own opinion of when a patient is ready to RTS. Purpose: To determine if there was consensus among published expert opinions that could help inform an initial set of RTS criteria for LAS that could be investigated in future research. Evidence Acquisition: PubMed, CINHL, and SPORTDiscus databases were searched from inception until October 2018 using a combination of keywords. Studies were included if they listed specific RTS criteria for LAS. No assessment of methodological quality was conducted because all included papers were expert opinion papers (level 5 evidence). Extracted data included the recommended domains (eg, range of motion, balance, sport-specific movement, etc) to be assessed, specific assessments for each listed domain, and thresholds (eg, 80% of the uninjured limb) to be used to determine RTS. Consensus and partial agreement were defined, a priori, as ≥75% and 50% to 75% agreement, respectively. Evidence Synthesis: Eight domains were identified within 11 included studies. Consensus was reached regarding the need to assess sport-specific movement (n = 9, 90.9%). Partial agreement was reached for the need to assess static balance (n = 7, 63.6%). The domains of pain and swelling, patient reported outcomes, range of motion, and strength were also partially agreed on (n = 6, 54.5%). No agreement was reached on specific assessments of cutoff thresholds. Conclusions: Given consensus and partial agreement results, RTS decisions following LAS should be based on sport-specific movement, static balance, patient reported outcomes, range of motion, and strength. Future research needs to determine assessments and cutoff thresholds within these domains to minimize recurrent LAS risk.

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“…Furthermore, hip internal rotation during the concentric component of the ground contact phase was significantly associated with risk of injury (OR = 9.69; 95% CI 1.21-77.77); with a cut-off point of > 6.12° predictive of injury with 95% sensitivity and 32 specificity. Fransz et al [28] analysed multiplanar time to stabilization in the second landing of a single leg drop jump and observed increased root mean square of mediolateral ground reaction force during the first 0.4 s after landing reduced risk of lateral ankle sprain by 40% (OR = 0.60; 95% CI 0.41-0.86). Further, increased mean resultant horizontal force 3.0-5.0 s after landing elevated injury risk by 57% (OR = 1.57; 95% CI 1.13-2.18).…”

Section: Unilateral Jump Assessmentsmentioning

confidence: 99%

Utility of Kinetic and Kinematic Jumping and Landing Variables as Predictors of Injury Risk: A Systematic Review

Pedley,

Lloyd,

Read

et al. 2020

J. of SCI. IN SPORT AND EXERCISE

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Purpose Jump-landing assessments provide a means to quantify an individual’s ability to attenuate ground reaction forces, generate lower limb explosive power and maintain joint alignment. In order to identify risk factors that can be targeted through appropriate training interventions, it is necessary to establish which (scalar) objective kinetic, kinematic, and performance measures are most associated with lower-extremity injury. Methods Online searches of MEDLINE, SCOPUS, EBSCOHost, SPORTDiscus and PubMed databases were completed for all articles published before March 2020 in accordance with PRISMA guidelines. Results 40 articles investigating nine jump-landing assessments were included in this review. The 79% of studies using drop jump (n = 14) observed an association with future injury, while only 8% of countermovement jump studies (n = 13) observed an association with injury risk. The 57% of studies using unilateral assessments found associations with risk of injury (n = 14). Studies using performance measures (jump height/distance) as outcome measure were only associated with injury risk in 30% of cases. However, those using kinetic and/or kinematic analyses (knee abduction moment, knee valgus angle, knee separation distance, peak ground reaction force) found associations with injury in 89% of studies. Conclusion The landing element of jump-landing assessments appears to be superior for identifying individuals at greater risk of injury; likely due to a closer representation of the injury mechanism. Consequently, jump-landing assessments that involve attenuation of impact forces such as the drop jump appear most suited for this purpose but should involve assessment of frontal plane knee motion and ground reaction forces.

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Performance on a Single-Legged Drop-Jump Landing Test Is Related to Increased Risk of Lateral Ankle Sprains Among Male Elite Soccer Players: A 3-Year Prospective Cohort Study

Cited by 27 publications

References 35 publications

Multi-Segmental Motion in Foot during Counter-Movement Jump with Toe Manipulation

Multi-Segmental Motion in Foot during Counter-Movement Jump with Toe Manipulation

Lack of Consensus on Return-to-Sport Criteria Following Lateral Ankle Sprain: A Systematic Review of Expert Opinions

Utility of Kinetic and Kinematic Jumping and Landing Variables as Predictors of Injury Risk: A Systematic Review

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