We quantified the lower extremity dynamics developed during the volleyball spike and block jumps to find out if predictive relations exist between jump dynamics and patellar tendinitis. Lower extremity movement biome chanics were analyzed for 10 members of the 1994 Canadian Men's National Volleyball Team (all right- handed hitters). Based on physical examination, 3 of the 10 players had patellar tendon pain associated with patellar tendinitis at the time of testing. In masked biomechanical and logistic regression analyses, we discovered that the vertical ground-reaction force dur ing the take-off phase of both spike and block jumps was a significant predictor of patellar tendinitis—cor rectly predicting the presence or absence of patellar tendinitis in 8 of 10 players. Deepest knee flexion angle (during landing from the spike jump) predicted 10 of 10 cases correctly for the left knee. The external tibial torsional moment (during the takeoff for the right knee with the spike jump and for the left knee with the block jump) was also a significant predictor of tendinitis. In these players, the likelihood of patellar tendon pain was significantly related to high forces and rates of loading in the knee extensor mechanism, combined with large external tibial torsional moments and deep knee flexion angles.
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References
1.
Adrian MJ, Laughlin CK: Magnitude of ground reaction forces while performing volleyball skills , in Matsui H, Kobayashi K (eds) Biomechanics VIII-B Champaign, IL, Human Kinetics, 1983 , pp 903-914
2.
Andriacchi TP , Andersson Gbj, Fermier RW, et al A study of lower-limb mechanics during stair-climbing J Bone Joint Surg62A 749-757, 1980
3.
Black JE, Alten SR How I manage infrapatellar tendonitis Physician Sportsmed12(10) 86-92, 1984
4.
Blazina ME, Kerlan RK, Jobe FW, et al Jumper's knee Orthop Clin North Am4665-678, 1973
5.
Bobbert MF, Huijing PA, van Ingen Schenau GJ Drop jumping II The influence of dropping height on the biomechanics of drop jumping Med Sci Sports Exerc19339-346, 1987
6.
Bodne D., Quinn SF, Murray WT, et al Magnetic resonance images of chronic patellar tendinitis Skeletal Radiol1724-28, 1988
7.
Bresler B., Frankel JP The forces and moments in the leg during level walking J Biomech Eng7227-36, 1950
Cavanagh PR, Williams KR, Clarke TE A comparison of ground reaction forces during walking barefoot and in shoes , in Morecki A, Fidelus K, Kedzior K, et al (eds) Biomechanics VII-B. Baltimore, University Park Press, 1981, pp 151-156
10.
Coutts KD Kinetic differences of two volleyball jumping techniques Med Sci Sports Exerc14: 57-59, 1982
11.
Dalton SE: Overuse injuries in adolescent athletes Sports Med1358-70, 1992
12.
Desipres M. Polyparametric study of the vertical jump, in Komi PV (ed) Biomechanics V-B Baltimore , University Park Press, 1975, pp 73-80
13.
Dufek JS, Bates BT Biomechanical factors associated with injury during landing in jump sports. Sports Med12326-337, 1991
14.
Dufek JS, Bates BT The evaluation and prediction of impact forces during landings. Med Sci Sports Exerc22370-377, 1990
15.
Ferretti A. : Epidemiology of jumper's knee Sports Med3289-295, 1986
16.
Ferretti A. , Ippolito E., Mariani P., et al Jumper's knee . Am J Sports Med1158-62, 1983
17.
Ferretti A. , Papandrea P., Conteduca F. Knee injuries in volleyball Sports Med10132-138, 1990
18.
Ferretti A. , Puddu G., Mariani PP, et al Jumper's knee An epidemiological study of volleyball players Physician Sportsmed12(10). 97-103, 1984
19.
Fornage BO, Rifkin MD Ultrasound examination of tendons Radiol Clin North Am2687-107, 1988
20.
Grood E., Suntay WJ A joint coordinate system for the clinical description of three-dimensional motions Application to the knee. J Biomech Eng105136-144, 1983
21.
Hosmer DW, Lemeshow S. Goodness-of-fit tests for the multiple logistic regression model. Comm Statistics—Part A Theor Meth A91043-1069, 1980
22.
Jarvinen M. Epidemiology of tendon injuries in sports. Clin Sports Med11: 493-504, 1992
23.
Jorgensen U. : Idraetsskadeepidemiologi Nord Med10947-49, 1994
24.
Kelly DW, Carter VS, Jobe FW, et al Patellar and quadriceps tendon ruptures—jumper's knee Am J Sports Med12: 375-380, 1984
25.
Kujala UM, Aalto T., Osterman K., et al: The effects of volleyball playing on the knee extensor mechanism Am J Sports Med17766-769, 1989
26.
Lafortune M. Jumping mechanics and jumper's knee. Sports Sci Med Q22-4, 1985
27.
Martens M., Wouters P., Burssens A., et al Patellar tendinitis Pathology and results of treatment Acta Orthop Scand53: 445-450, 1982
28.
McNitt-Gray JL Kinematic and kinetic analyses of drop landings . ISB Newsletter38: 11-12, 1990
29.
McNitt-Gray JL Landing strategy adjustments to impact speed . Med Sci Sports Exerc21: S88, 1989
30.
McNitt-Gray JL , Munkasy BA, Welch M., et al: Net joint moment powers and muscle recruitment patterns during stop and go landing movements , Proceedings of the American Society of Biomechanics Columbus, OH, Ohio State University , 1994, pp 87-88
31.
Myllymaki T. , Bondestam S., Suramo I., et al Ultrasonography of jumper's knee Acta Radiol31. 147-149, 1990
32.
Nigg BM, Bahlsen HA, Luethi SM, et al: The influence of running velocity and midsole hardness on external impact forces in heel-toe running. J Biomech20951-959, 1987
33.
Nigg BM, van den Bogert AJ Simulation, in Nigg BM, Herzog W (eds): Biomechanics of the Musculoskeletal System. Chichester, John Wiley and Sons, 1994, pp 551-566
34.
Pagano M., Gauvreau K. Principles of Biostatistics. Belmont, CA, Duxbury Press, 1993, pp 427-444
35.
Requa RK, DeAvilla LN, Garrick JG: Injuries in recreational adult fitness activities Am J Sports Med21. 461-467, 1993
36.
Roels J., Martens M., Mulier JC, et al. Patellar tendinitis (jumper's knee). Am J Sports Med6. 362-368, 1978
37.
Smidt GL Biomechanical analysis of knee flexion and extension. J Biomech6. 79-92, 1973
38.
Smith AJ: Estimates of muscle and joint forces at the knee and ankle during a jumping activity J Human Mov Studies1: 78-86, 1975
39.
Sommer HM Patellar chondropathy and apicitis, and muscle imbalances of the lower extremities in competitive sports. Sports Med5386-394, 1988
40.
Stacoff A., Kaelin X., Stuessi E. The impact in landing after a volleyball block, in de Groot, Hollander AP, Huijing PA, et al (eds). Biomechanics XI-B Amsterdam, Free University Press , 1988, pp 694-700
41.
Tsarouchas E., Tokmakidis SP, Giavroglou A. The influence of the kinematic chain drive systems of the lower extremities on the acceleration work, in Winter DA, Norman RW, Wells RP, et al (eds): Biomechanics IX-B. Champaign, IL, Human Kinetics , 1985, pp 414-419
42.
Van Eijden Tmgj, Weijs WA, Kouwenhoven E., et al. Forces acting on the patella during maximal voluntary contraction of the quadriceps femoris muscle at different knee flexion/extension angles. Acta Anat129: 310-314, 1987
43.
Vint P., Dewitt JK, Marsh AP, et al. Difference between one-foot and two-foot vertical jump performances . Proceedings of the American Society of Biomechanics Columbus, OH, American Society of Biomechanics, 1994, pp 89-90
44.
Wahrenberg H., Lindbeck L., Ekholm J. Knee muscular moment, tendon tension force and EMG during a vigorous movement in man Scand J Rehabil Med10: 99-106, 1978
45.
Watson AS: Jumper's knee Aust Fam Physician171053-1054, 1988
46.
Watson Aws: Incidence and nature of sports injuries in Ireland—Analysis of four types of sport. Am J Sports Med21137-143, 1993
47.
Wielki C., Dangre M.: Analysis of jump during the spike of volleyball, in Winter DA, Norman RW, Wells RP, et al (eds) Biomechanics IX-B. Champaign, IL, Human Kinetics, 1985 , pp 438-442
48.
Zernicke RF , Garhammer J., Jobe FW Human patellar-tendon rupture. J Bone Joint Surg59A. 179-183, 1977
