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Analyze the Differential Rates of Anterior Cruciate Ligament Injuries Between Men and Women by Biomechanical Study of Single-Leg Landing in Badminton

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

In female badminton players, certain landings are associated with injury to the anterior cruciate ligament (ACL). However, the kinematic and kinetic changes of the landing leg and the effects of risky posture on ACL injuries among female vs male badminton players are still unknown. We hypothesized that female players land with a significantly higher knee valgus angle and moment compared to male players during single-leg landings in badminton.

Methods

Ten male and ten female badminton players were enrolled in this study. In the laboratory, these subjects performed back-stepping to the backhand side with a concurrent overhead stroke, a single-leg landing on the force plate, and a return to the starting position. The kinematic data in the stance phase were normalized ranging from 0% as initial contact to 100% as toe-off; and 0% as initial contact to 100% as maximum knee flexion in the impact phase.

Results

The knee valgus angle in female players was significantly higher in initial contact (5.06° ± 6.83° vs − 5.10° ± 4.30, p = .001) and maximal knee valgus angle (7.58° ± 9.54° vs − 3.93° ± 4.22°, p = .004) compared to male players. The knee valgus moment was significantly higher in male players than female players ( − 0.09 ± 0.12 vs 0.03 ± 0.10 N∙m/kg, p = .032) in initial contact during the impact phase. During landings, female badminton players had lower hip flexion angles, greater knee valgus angles, and greater ankle dorsiflexion angles.

Conclusion

Female badminton players presented higher knee valgus angles but smaller knee valgus moments compared with male players during backward single-leg landings. The concomitant kinematic and kinetic changes of the hip, knee, and ankle joints also can play an important role in the higher incidence of ACL injury in female athletes.

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Acknowledgements

This study was supported by a grant from Kaohsiung Medical University Hospital (KMUH107-7R51) and the Ministry of Science and Technology, Taiwan (MOST108-2314-B-037-076-). We thank Jing-Ming Liang, who helped to perform the experiments.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kaohsiung Municipal Siaogang Hospital, Siaogang Dist, No. 482, Shanming Rd, Kaohsiung, Taiwan

    Hsiang-Jui Tseng, Wen-Chih Liu & Cheng-Chang Lu

  2. Department of Orthopaedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

    Hsiang-Jui Tseng, Hon-Lok Lo, Yu-Chuan Lin, Sung-Yen Lin & Pei-Hsi Chou

  3. Department of Orthopedics, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

    Sung-Yen Lin, Pei-Hsi Chou & Cheng-Chang Lu

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  1. Hsiang-Jui Tseng
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  2. Hon-Lok Lo
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Tseng, HJ., Lo, HL., Lin, YC. et al. Analyze the Differential Rates of Anterior Cruciate Ligament Injuries Between Men and Women by Biomechanical Study of Single-Leg Landing in Badminton. JOIO 55 (Suppl 2), 409–417 (2021). https://doi.org/10.1007/s43465-021-00421-6

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  • DOI: https://doi.org/10.1007/s43465-021-00421-6

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