Document Type : Original Article

Authors

1 M.Sc. Student, Sport Injuries and Corrective Exercises Department, Physical Education and Sport Sciences Faculty, Razi University, Kermanshah, Iran

2 Assistant Professor, Sport Injuries and Corrective Exercises Department, Physical Education and Sport Sciences Faculty, Razi University, Kermanshah, Iran

Abstract

Introduction: Recent studies have shown relationship between lumbopelvic control, function, kinematics, and lower extremity loading. However, poor lumbopelvic control has not been studied as a risk factor for lower extremity injury in sports with frequent jump-landing. This study aimed to investigate the effect of lumbopelvic control disorders on balance and lower extremity function in professional athletes with frequent landings.
Methods: 34 professional players participated in this assessor-blind case-control study. Lumbopelvic control was assessed with four tests including Knee Lift Abdominal Test, Bent Knee Fall out, Active Straight Leg Raising, and PRONE with Pressure Biofeedback Unit. Based on the results, participants were divided into two groups with lumbopelvic control (n = 17) and without lumbopelvic control (n = 17). Dynamic balance with Y test, semi-dynamic balance with Lafayette Stability Platform, and lower extremity function with single-leg hopping tests (single-hop for distance, triple hop for distance, and 6-meter timed hop test, triple-crossover hop for distance) were evaluated.
Results: The results showed that there was a significant difference between the two groups with and without lumbopelvic control in Y balance test scores (P=0.001), single hop for distance (P=0.001), triple hop for distance (P=0.001), 6-meter timed hop (P=0.001), triple hop for distance (P = 0.001), and lower extremity symmetry index (P=0.001). However, no significant difference was observed in the semi-dynamic balance (P>0/05).
Conclusion: Poor lumbopelvic control affects lower extremity function and dynamic balance of professional athletes with frequent landings, so it can be considered a risk factor for lower extremity injuries.

Keywords

  1. De Blaiser, C., et al., Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Physical therapy in sport, 2018. 30: p. 48-56.
  2. Laudner, K.G., R. Wong, and K. Meister, The influence of lumbopelvic control on shoulder and elbow kinetics in elite baseball pitchers. Journal of Shoulder and Elbow Surgery, 2019. 28(2): p. 330-334.
  3. Plisky, P.J., et al., Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of orthopaedic & sports physical therapy, 2006. 36(12): p. 911-919.
  4. Numata, H., et al., Two-dimensional motion analysis of dynamic knee valgus identifies female high school athletes at risk of non-contact anterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy, 2018. 26(2): p. 442-447.
  5. Chaudhari, A.M., et al., Lumbopelvic control and days missed because of injury in professional baseball pitchers. The American journal of sports medicine, 2014. 42(11): p. 2734-2.
  6. Padua, D.A., et al., National Athletic Trainers' Association position statement: prevention of anterior cruciate ligament injury. Journal of athletic training, 2018. 53(1): p. 5-19.
  7. De Blaiser, C., et al., Impaired core stability as a risk factor for the development of lower extremity overuse injuries: a prospective cohort study. The American journal of sports medicine, 2019. 47(7): p. 1713-1721.
  8. Grosdent, S., et al., Lumbopelvic motor control and low back pain in elite soccer players: a cross-sectional study. Journal of sports sciences, 2016. 34(11): p. 1021-1029.
  9. Willson, J.D., et al., Core stability and its relationship to lower extremity function and injury. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 2005. 13(5): p.325-316.
  10. Perrott, M.A., et al., Athletes with a clinical rating of good and poor lumbopelvic stability have different kinematic variables during single leg squat and dip test. Physiotherapy Theory and Practice, 2019: p. 1-10.
  11. Barwick, A., J. Smith, and V. Chuter, The relationship between foot motion and lumbopelvic–hip function: A review of the literature. The foot, 2012. 22(3): p. 224-231.
  12. Butler, R.J., et al., Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports health, 2013. 5(5): p. 417-422.
  13. Solana-Tramunt, M., et al., Diagnostic accuracy of lumbopelvic motor control tests using pressure biofeedback unit in professional swimmers: A cross-sectional study. Journal of orthopaedics, 2019. 16(6): p. 590-595.
  14. Roussel, N., et al., Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case–control study. European Spine Journal, 2009. 18(7): p. 1066-1073.
  15. Cuenca-Martínez, F., et al., Effects of Motor Imagery and Action Observation on Lumbo-pelvic Motor Control, Trunk Muscles Strength and Level of Perceived Fatigue: A Randomized Controlled Trial. Research Quarterly for Exercise and Sport, 2020. 91(1): p. 34-46.
  16. Zech, A., et al., Effects of barefoot and footwear conditions on learning of a dynamic balance task: a randomized controlled study. European journal of applied physiology, 2018. 118(12): p. 2699-2706.
  17. Coughlan, G.F., et al., A comparison between performance on selected directions of the star excursion balance test and the Y balance test. Journal of athletic training, 2012. 47(4): p. 366-371.
  18. Schmitt, L.C., M.V. Paterno, and T.E. Hewett, The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. journal of orthopaedic & sports physical therapy, 2012. 42(9): p. 750-759.
  19. Kibler, W.B., J. Press, and A. Sciascia, The role of core stability in athletic function. Sports medicine, 2006. 36(3): p. 189-198.
  20. McKeon, P.O. and J. Hertel, Systematic review of postural control and lateral ankle instability, part II: is balance training clinically effective? Journal of athletic training, 2008. 43(3): p. 305-315.
  21. Long, M., The Effects of a Six Week Lumbopelvic Control and Balance Training Program in High School Basketball Players. 2017.
  22. Filipa, A., et al., Neuromuscular training improves performance on the star excursion balance test in young female athletes. Journal of orthopaedic & sports physical therapy, 2010. 40(9): p. 551-558.
  23. Sarto, F., et al., Do lower extrimiry previous injuries affect balance performance? An observational study in volleyball players. Physical therapy in sport, 2019. 37: p. 49-53.
  24. Caldemeyer, L.E., S.M. Brown, and M.K. Mulcahey, Neuromuscular training for the prevention of ankle sprains in female athletes: a systematic review. The Physician and Sportsmedicine, 2020: p. 1-7.
  25. McKenzie, C.R., et al., The effect of the NetballSmart Dynamic Warm-up on physical performance in youth netball players. Physical Therapy in Sport, 2019. 37: p. 91-98.
  26. Fitzgerald, G.K., et al., Hop tests as predictors of dynamic knee stability. Journal of Orthopaedic & Sports Physical Therapy, 2001. 31(10): p. 588-597.
  27. Leetun, D.T., et al., Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise, 2004. 36(6): p. 926-934.
  28. Hodges, P.W., Core stability exercise in chronic low back pain. Orthopedic Clinics, 2003. 34(2): p. 245-254.
  29. Maribo T, 2006.Aarhas University Hospital. One Leg Stand Test- a measure of postural control?.J Athl Train.42(1): pp: 33-40.
  30. Ortiz, A., et al., Reliability of selected physical performance tests in young adult women. The Journal of Strength & Conditioning Research, 2005. 19(1): p. 39-44.
  31. Hoseini, M., H. Minonejad, and R. Rajabi, The Influence of Soccer Specific Fatigue in Different Ambient Temperatures on Balance and Performance of Soccer Players with Functional Ankle Instability. Research on Biosciences and Physical Actiuity, 2016. 3(4): p. 1-10.
  32. Baban K, MohamadFarhangian SM, Mohamadi F. The Relationship between the amounts of Core Stability    and Lower Extremity Injuries in Male Karate-Ka Elites. International Journal of Sport Studies. 2015;5(6):721-5.  
  33. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for     lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004 Jun 1;36(6):926-34.
  34. Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. Journal of athletic training. 2007 Jan;42(1):76.
  35. Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. The Journal of Strength & Conditioning Research. 2011 Jan 1;25(1):252-61.
  36. Basinger SK, King MA, Arnold BL. Core stability and functional performance assessments are moderately related. J Ath Train. 2002;37(2):13-4.
  37. Greig M, Walker-Johnson C. The influence of soccer-specific fatigue on functional stability. Physical Therapy in Sport. 2007 Nov 1;8(4):185-90.