Patellar tendon stress between two variations of the forward step lunge  

作　　者：Matthew Zellmer Thomas W.Kernozek Naghmeh Gheidi Jordan Hove Michael Torry 

机构地区：[1]La Crosse Institute for Movement Science, Physical Therapy Program, Department of Health Professions, University of Wisconsin-La Crosse [2]Department of Kinesiology and Recreation, Illinois State University

出　　处：《Journal of Sport and Health Science》2019年第3期235-241,共7页运动与健康科学（英文）

基　　金：funding from a Graduate Student Research, Service, and Educational Leadership Grant at the University of Wisconsin-La Crosse

摘　　要：Background: Patellar tendinopathy(PT) or "jumper's knee" is generally found in active populations that perform jumping activities. Graded exposure of patellar tendon, stress through functional exercise has been demonstrated to be effective for the treatment of PT. However, no studies have compared how anterior knee displacement variations during the commonly performed forward step lunge(FSL) affect patellar tendon stress.Methods:Twenty-five subjects(age: 22.69 ± 0.74 years; height: 169.39 ± 6.44 cm; mass: 61.55 ± 9.74 kg) performed 2 variations of an FSL with the anterior knee motion going in front of the toes(FSL-FT) and the knee remaining behind the toes(FSL-BT). Kinematic and kinetic data were used with an inverse-dynamics based static optimization technique to estimate individual muscle forces to determine patellar tendon stress during both lunge techniques. A repeated measures multivariate analysis was used to analyze these data.Results: The peak patellar tendon stress, stress impulse, quadriceps force, knee moment, knee flexion, and ankle dorsiflexion angle were significantly greater(p< 0.001) during the FSL-FT as compared to the FSL-BT. The peak patellar tendon stress rate did not differ between the FSL-FT and FSL-BT.Conclusion: The use of an FSL-FT as compared to an FSL-BT increased the load and stress on the patellar tendon. Because a graded exposure of patellar tendon loading with other closed kinetic chain exercises has proven to be effective in treating PT, consideration for the prescription of variations of the FSL and further clinical evaluation of this exercise is warranted in individuals with PT.Background: Patellar tendinopathy(PT) or "jumper's knee" is generally found in active populations that perform jumping activities. Graded exposure of patellar tendon, stress through functional exercise has been demonstrated to be effective for the treatment of PT. However, no studies have compared how anterior knee displacement variations during the commonly performed forward step lunge(FSL) affect patellar tendon stress.Methods:Twenty-five subjects(age: 22.69 ± 0.74 years; height: 169.39 ± 6.44 cm; mass: 61.55 ± 9.74 kg) performed 2 variations of an FSL with the anterior knee motion going in front of the toes(FSL-FT) and the knee remaining behind the toes(FSL-BT). Kinematic and kinetic data were used with an inverse-dynamics based static optimization technique to estimate individual muscle forces to determine patellar tendon stress during both lunge techniques. A repeated measures multivariate analysis was used to analyze these data.Results: The peak patellar tendon stress, stress impulse, quadriceps force, knee moment, knee flexion, and ankle dorsiflexion angle were significantly greater(p< 0.001) during the FSL-FT as compared to the FSL-BT. The peak patellar tendon stress rate did not differ between the FSL-FT and FSL-BT.Conclusion: The use of an FSL-FT as compared to an FSL-BT increased the load and stress on the patellar tendon. Because a graded exposure of patellar tendon loading with other closed kinetic chain exercises has proven to be effective in treating PT, consideration for the prescription of variations of the FSL and further clinical evaluation of this exercise is warranted in individuals with PT.

关 键 词：BIOMECHANICS KINEMATICS Kinetics KNEE Modeling REHABILITATION 

分 类 号：G8[文化科学—体育学]