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Evaluating the Hamstring-to-Quadriceps Rate of Torque Development Ratio as an Indicator of Knee Stability in Male Basketball Players: A Cross-Sectional Study

Document Type : Original Articles

Authors

1 Department of physical therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Student research committee, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of physical therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

10.30476/jrsr.2023.99756.1404

Abstract

Background:Due to the crucial nature of knee joint stability in basketball players and the possible role of the rate of torque development hamstrings to quadriceps ratio for determining knee joint stability in the early phase of explosive movements, the purpose of this cross-sectional study was to explore the relationship between the rate of torque development hamstrings to quadriceps ratio and biomechanical parameters of hip and knee joints in the sagittal and frontal planes during the drop vertical jump test.
Methods: Twenty healthy male recreational basketball players (aged 15-18) were recruited for this cross-sectional study. After measuring anthropometric data, the rate of torque development hamstrings to quadriceps ratio was assessed using an isokinetic Biodex system. Biomechanical variables were measured using a motion analysis system during the drop vertical jump test.
Results: The rate of torque development hamstrings to quadriceps ratio (0-50 milliseconds) was negatively correlated with knee abduction angle (p = 0.028), knee adduction angle (p = 0.003), knee abduction moment (p = 0.023), and knee joint range of motion in the frontal plane (p = 0.01) during 17-50 ms after initial contact. Other biomechanical parameters did not significantly correlate with the rate of torque development hamstrings to quadriceps ratio.
Conclusion: This study's results revealed that the torque development rate hamstrings to quadriceps ratio was negatively associated with knee kinematic and kinetic parameters. Based on the outcomes of this study and previous investigations, it can be acknowledged that the rate of torque development hamstrings to quadriceps ratio might be a useful tool to add to athlete injury screening.
 
 
 
 

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References
  1. Rahnama N, Bambaeichi E, Daneshjoo A. The epidemiology of knee injuries in Iranian male professional soccer players. Sport Sci Health. 2009;5:9-14.
  2. Noya Salces J, Gómez-Carmona PM, Gracia-Marco L, Moliner-Urdiales D, Sillero-Quintana M. Epidemiology of injuries in First Division Spanish football. J Sports Sci. 2014;32(13):1263-70.
  3. Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2013;47(6):367-72.
  4. Dos'Santos T, Thomas C, Comfort P, Jones PA. The Effect of Training Interventions on Change of Direction Biomechanics Associated with Increased Anterior Cruciate Ligament Loading: A Scoping Review. Sports Med. 2019;49(12):1837-59.
  5. Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods: Lippincott Williams & Wilkins; 2006.
  6. Abulhasan J, Grey M. Anatomy and Physiology of Knee Stability. Journal of Functional Morphology and Kinesiology. 2017;2:34.
  7. Larwa J, Stoy C, Chafetz RS, Boniello M, Franklin C. Stiff Landings, Core Stability, and Dynamic Knee Valgus: A Systematic Review on Documented Anterior Cruciate Ligament Ruptures in Male and Female Athletes. International journal of environmental research and public health. 2021;18(7).
  8. Lohmander LS, Ostenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum. 2004;50(10):3145-52.
  9. Luc B, Gribble Pa Fau - Pietrosimone BG, Pietrosimone BG. Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis. J Athl Train. 2014(1938-162X (Electronic)).
  10. Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. J Athl Train. 2013;48(6):810-7.
  11. Larwa JA-O, Stoy C, Chafetz RS, Boniello M, Franklin CA-O. Stiff Landings, Core Stability, and Dynamic Knee Valgus: A Systematic Review on Documented Anterior Cruciate Ligament Ruptures in Male and Female Athletes. . Int J Environ Res Public Health. 2021;18(1660-4601 (Electronic)).
  12. Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, et al. Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med. 2007;35(3):359-67.
  13. DeFroda SF, Patel DD, Milner J, Yang DS, Owens BD. Performance After Anterior Cruciate Ligament Reconstruction in National Basketball Association Players. Orthop J Sports Med. 2021;9(2):2325967120981649.
  14. Harris JD, Erickson BJ, Bach Jr BR, Abrams GD, Cvetanovich GL, Forsythe B, et al. Return-to-sport and performance after anterior cruciate ligament reconstruction in National Basketball Association players. Sports Health. 2013;5(6):562-8.
  15. Mai HT, Chun DS, Schneider AD, Erickson BJ, Freshman RD, Kester B, et al. Performance-based outcomes after anterior cruciate ligament reconstruction in professional athletes differ between sports. The American journal of sports medicine. 2017;45(10):2226-32.
  16. Nwachukwu BU, Anthony SG, Lin KM, Wang T, Altchek DW, Allen AA. Return to play and performance after anterior cruciate ligament reconstruction in the National Basketball Association: surgeon case series and literature review. The Physician and sportsmedicine. 2017;45(3):303-8.
  17. Kester BS, Behery OA, Minhas SV, Hsu WK. Athletic performance and career longevity following anterior cruciate ligament reconstruction in the National Basketball Association. Knee Surgery, Sports Traumatology, Arthroscopy. 2017;25:3031-7.
  18. Okoroha KR, Marfo K, Meta F, Matar R, Shehab R, Thompson T, et al. Amount of minutes played does not contribute to anterior cruciate ligament injury in National Basketball Association athletes. Orthopedics. 2017;40(4):e658-e62.
  19. Vaudreuil NJ, van Eck CF, Lombardo SJ, Kharrazi FD. Economic and Performance Impact of Anterior Cruciate Ligament Injury in National Basketball Association Players. Orthop J Sports Med. 2021;9(9):23259671211026617.
  20. Maniar NA-O, Cole MH, Bryant AL, Opar DA. Muscle Force Contributions to Anterior Cruciate Ligament Loading. Sports Med. 2022;Aug;52(8):1737-1750(1179-2035 (Electronic)).
  21. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. J Sports Sci Med. 2002;1(3):56-62.
  22. Ruas CV, Pinto RS, Haff GG, Lima CD, Pinto MD, Brown LE. Alternative Methods of Determining Hamstrings-to-Quadriceps Ratios: a Comprehensive Review. Sports Med Open. 2019;5(1):11.
  23. Greco CC, Da Silva WL, Camarda SR, Denadai BS. Rapid hamstrings/quadriceps strength capacity in professional soccer players with different conventional isokinetic muscle strength ratios. Journal of sports science & medicine. 2012;11(3):418-22.
  24. Zebis MK, Andersen LL, Ellingsgaard H, Aagaard P. Rapid hamstring/quadriceps force capacity in male vs. female elite soccer players. J Strength Cond Res. 2011;25(7):1989-93.
  25. Jarić S, Ristanović D, Corcos DM. The relationship between muscle kinetic parameters and kinematic variables in a complex movement. Eur J Appl Physiol Occup Physiol. 1989;59(5):370-6.
  26. Viitasalo JT, Aura O. Seasonal fluctuations of force production in high jumpers. Can J Appl Sport Sci. 1984;9(4):209-13.
  27. Greco CC, da Silva WL, Camarda SR, Denadai BS. Fatigue and rapid hamstring/quadriceps force capacity in professional soccer players. Clin Physiol Funct Imaging. 2013;33(1):18-23.
  28. Palmer TB, Followay BN, Thompson BJ. Age-related effects on maximal and rapid hamstrings/quadriceps strength capacities and vertical jump power in young and older females. Aging Clin Exp Res. 2017;29(6):1231-9.
  29. Hannah R, Folland JP, Smith SL, Minshull C. Explosive hamstrings-to-quadriceps force ratio of males versus females. Eur J Appl Physiol. 2015;115(4):837-47.
  30. Hannah R, Minshull C, Smith SL, Folland JP. Longer electromechanical delay impairs hamstrings explosive force versus quadriceps. Med Sci Sports Exerc. 2014;46(5):963-72.
  31. Peebles AT, Dickerson LC, Renner KE, Queen RM. Sex-based differences in landing mechanics vary between the drop vertical jump and stop jump. J Biomech. 2020;105:109818.
  32. Redler LH, Watling JP, Dennis ER, Swart E, Ahmad CS. Reliability of a field-based drop vertical jump screening test for ACL injury risk assessment. Phys Sportsmed. 2016;44(1):46-52.
  33. Ford K, Myer G, Hewett T. Reliability of dynamic knee motion in female athletes. 27th Annual Meeting of the American Society of Biomechanics. 2003.
  34. Aagaard P, Simonsen EB, Andersen JL, Magnusson P, Dyhre-Poulsen P. Increased rate of force development and neural drive of human skeletal muscle following resistance training. J Appl Physiol (1985). 2002;93(4):1318-26.
  35. Myer GD, Ford KR, Khoury J, Succop P, Hewett TE. Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury. Br J Sports Med. 2011;45(4):245-52.
  36. Palmieri-Smith RM, McLean SG, Ashton-Miller JA, Wojtys EM. Association of quadriceps and hamstrings cocontraction patterns with knee joint loading. J Athl Train. 2009;44(3):256-63.
  37. Arnold EM, Ward SR, Lieber RL, Delp SL. A model of the lower limb for analysis of human movement. Ann Biomed Eng. 2010;38(2):269-79.
  38. Maniar NA-O, Schache AA-O, Pizzolato CA-O, Opar DA-O. Muscle contributions to tibiofemoral shear forces and valgus and rotational joint moments during single leg drop landing. Scand J Med Sci Sports. 2020;9(1600-0838 (Electronic)):1664-7.
  39. Withrow TJ, Huston Lj Fau - Wojtys EM, Wojtys Em Fau - Ashton-Miller JA, Ashton-Miller JA. The relationship between quadriceps muscle force, knee flexion, and anterior cruciate ligament strain in an in vitro simulated jump landing. Am J Sports Med. 2006;34(0363-5465 (Print)):269-74.
  40. Victor J, Labey L Fau - Wong P, Wong P Fau - Innocenti B, Innocenti B Fau - Bellemans J, Bellemans J. The influence of muscle load on tibiofemoral knee kinematics. J Orthop Res. 2010;28(1554-527X (Electronic)):419-28.
  41. DeMorat G, Weinhold P Fau - Blackburn T, Blackburn T Fau - Chudik S, Chudik S Fau - Garrett W, Garrett W. Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. Am J Sports Med. 2004;32(0363-5465 (Print)):477-83.
  42. Hsich YF, Draganich LF. Knee kinematics and ligament lengths during physiologic levels of isometric quadriceps loads. The Knee. 1997;4(3):145-54.
  43. Markolf KL, O'Neill G Fau - Jackson SR, Jackson Sr Fau - McAllister DR, McAllister DR. Effects of applied quadriceps and hamstrings muscle loads on forces in the anterior and posterior cruciate ligaments. Am J Sports Med. 2004;32(0363-5465 (Print)):1144-9.
  44. Pandy MG, Shelburne KB. Dependence of cruciate-ligament loading on muscle forces and external load. J Biomech. 1997;30(0021-9290 (Print)):1015-24.
  45. Serpell BG, Scarvell JM, Pickering MR, Ball NB, Newman P, Perriman D, et al. Medial and lateral hamstrings and quadriceps co-activation affects knee joint kinematics and ACL elongation: a pilot study. BMC Musculoskelet Disord. 2015;16(1471-2474 (Electronic)).
  46. Biscarini A, Botti FM, Pettorossi VE. Selective contribution of each hamstring muscle to anterior cruciate ligament protection and tibiofemoral joint stability in leg-extension exercise: a simulation study. Eur J Appl Physiol. 2013;113(9):2263-73.
  47. Withrow TJ, Huston Lj Fau - Wojtys EM, Wojtys Em Fau - Ashton-Miller JA, Ashton-Miller JA. Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. J Bone Joint Surg Am. 2008(1535-1386 (Electronic)).
  48. MacWilliams BA, Wilson DR, DesJardins JD, Romero J, Chao EY. Hamstrings cocontraction reduces internal rotation, anterior translation, and anterior cruciate ligament load in weight-bearing flexion. J Orthop Res. 1999;17(6):817-22.
  49. Ueno R, Navacchia A, Schilaty ND, Myer GD, Hewett TE, Bates NA. Hamstrings Contraction Regulates the Magnitude and Timing of the Peak ACL Loading During the Drop Vertical Jump in Female Athletes. Orthop J Sports Med. 2021;9(2325-9671 (Print)).
  50. Li G, Zayontz S, Most E, DeFrate LE, Suggs JF, Rubash HE. In situ forces of the anterior and posterior cruciate ligaments in high knee flexion: an in vitro investigation. J Orthop Res. 2004;22(2):293-7.
  51. Lloyd DG, Buchanan Ts Fau - Besier TF, Besier TF. Neuromuscular biomechanical modeling to understand knee ligament loading. Med Sci Sports Exerc. 2005;37(0195-9131 (Print)):1939-47.
  52. Dierks TA, Manal KT, Hamill J, Davis IS. Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther. 2008;38(8):448-56.
  53. Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med. 2009;37(11):2108-16.
  54. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010;40(2):42-51.
  55. Henriksen M, Aaboe J, Bliddal H. The relationship between pain and dynamic knee joint loading in knee osteoarthritis varies with radiographic disease severity. A cross sectional study. Knee. 2012;19(4):392-8.
  56. Lo GH, Harvey WF, McAlindon TE. Associations of varus thrust and alignment with pain in knee osteoarthritis. Arthritis Rheum. 2012;64(7):2252-9.

           

Journal of Rehabilitation Sciences & Research
Volume 11, Issue 4
December 2024
Pages 208-214
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