Effects of perturbation or plyometric training on core control and knee joint loading in women during lateral movements.

Deficits in trunk control are argued to increase the risk of knee injuries. However, no existing training program effectively addresses trunk control during lateral movements, such as cutting maneuvers. The purpose of this study was to investigate whether a combination of perturbation and plyometric training (PPT) would reduce trunk excursions against the new movement direction and reduce knee joint moments during lateral movements. Twenty-four active women participated in a RCT, where trunk and pelvis kinematics and knee joint moments were measured during lateral reactive jumps (LRJ) and unanticipated cutting maneuvers before and after a 4-week PPT program and compared to a control group. During LRJ, trunk rotation away from the new movement direction was reduced (P < 0.001), while pelvis rotation toward the new direction was increased (P = 0.006) after PPT. Moreover, decreased knee extension moments (P = 0.028) and knee internal rotation moments (P < 0.001) were reported after both trainings. Additionally, PPT reduced trunk rotation by 7.2° during unanticipated cuttings. A 4-week PPT improved core control by reducing trunk rotation and reduced knee joint moments during LRJ. During training, perturbations should be introduced to improve core control during dynamic athletic movements, possibly reducing the risk of ACL injuries.

Influence of Gender on Trunk and Lower Limb Biomechanics during Lateral Movements.

This study investigates gender differences in lateral trunk lean to confound possible associations with hip and knee joint biomechanics during lateral reactive jumps. Twelve female and 12 male athletes performed lateral reactive jumps while three-dimensional knee, hip and trunk kinematics as well as ground reaction forces and electromyography of selected thigh muscles were recorded. Lateral trunk lean did not differ between genders, while females had greater knee valgus angle than males (-4.9 ± 3.9° vs. 1.6 ± 3.2°, p = 0.001). A significant association between the lateral trunk lean and the hip abduction moment (r = 0.55) was found. Moreover, lateral trunk lean and knee abduction moment showed a significant relationship (r = 0.67). The positive association between trunk lean and knee abduction moment suggests that higher lateral trunk lean may increase the risk of knee injury during lateral movements and that the trunk should be trained accordingly in team sports.

Improved postural control in response to a 4-week balance training with partially unloaded bodyweight.

Balance training (BT) is successfully implemented in therapy as a countermeasure against postural dysfunctions. However, patients suffering from motor impairments may not be able to perform balance rehabilitation with full body load. The purpose of this study was to investigate whether partial unloading leads to the same functional and neuromuscular adaptations. The impact on postural control of a 4-week BT intervention has been compared between full and partial body load. 32 subjects were randomly assigned to a CON (conventional BT) or a PART group (partially unloaded BT). BT comprised balance exercises addressing dynamic stabilization in mono- and bipedal stance. Before and after training, centre of pressure (COP) displacement and electromyographic activity of selected muscles were monitored during different balance tasks. Co-contraction index (CCI) of soleus (SOL)/tibialis (TA) was calculated. SOL H-reflexes were elicited to evaluate changes in the excitability of the spinal reflex circuitry. Adaptations in response to the training were in a similar extent for both groups: (i) after the intervention, the COP displacement was reduced (P<0.05). This reduction was accompanied by (ii) a decreased CCI of SOL/TA (P<0.05) and (iii) a decrease in H-reflex amplitude (P<0.05). BT under partial unloading led to reduced COP displacements comparable to conventional BT indicating improved balance control. Moreover, decreased co-contraction of antagonistic muscles and reduced spinal excitability of the SOL motoneuron pool point towards changed postural control strategies generally observed after full body load training. Thus, BT considering partial unloading is an appropriate alternative for patients unable to conduct BT under full body load.