Dynamic valgus alignment and functional strength in males and females during maturation

Sex differences in dynamic measures have been established in physically mature populations. Gaining information on maturation's effect on dynamic performance measures implicated in injury risk may enable us to better design injury prevention programs. To examine sex differences in dynamic valgu...

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Veröffentlicht in:Journal of athletic training 2009-01, Vol.44 (1), p.26-32
Hauptverfasser: Schmitz, Randy J, Shultz, Sandra J, Nguyen, Anh-Dung
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description Sex differences in dynamic measures have been established in physically mature populations. Gaining information on maturation's effect on dynamic performance measures implicated in injury risk may enable us to better design injury prevention programs. To examine sex differences in dynamic valgus alignment and triple-hop distance measures across maturational stages in males and females. A secondary purpose was to determine if a field test of strength and power predicts dynamic valgus alignment. Cross-sectional study. Laboratory. 157 young athletes (78 females, 79 males) aged 9 to 18 years. Subjects performed drop-jump landings and single-leg triple-hop tests as part of a broader injury screening. Maturational status was ascertained from self-report questionnaires and grouped according to Tanner stages 1 and 2 (MatGrp1), 3 and 4 (MatGrp2), and 5 (MatGrp3). Frontal-plane knee valgus displacement, which served as a measure of dynamic valgus alignment, and single-leg triple-hop distance were assessed. Males demonstrated less dynamic valgus alignment during drop jumps in the latter maturational stages (MatGrp1 = 13.1 degrees +/- 8.7 degrees , MatGrp2 = 9.0 degrees +/- 6.2 degrees , MatGrp3 = 9.2 degrees +/- 9.4 degrees ), whereas females increased dynamic valgus alignment throughout maturation (MatGrp1 = 11.5 degrees +/- 6.9 degrees , MatGrp2 = 12.8 degrees +/- 8.8 degrees , MatGrp3 = 15.5 degrees +/- 8.7 degrees ). Thus, in the more mature groups, males had less dynamic valgus alignment than females. Both males (MatGrp1 = 393.5 +/- 63.7 cm, MatGrp2 = 491.8 +/- 95.1 cm, MatGrp3 = 559.3 +/- 76.3 cm) and females (MatGrp1 = 360.3 +/- 37.1 cm, MatGrp2 = 380.1 +/- 44.3 cm, MatGrp3 = 440.0 +/- 66.2 cm) increased triple-hop distance, but males increased more. Within each subgroup of MatGrp and sex, triple-hop distance had no predictive ability for dynamic malalignment. When dynamic valgus alignment and strength were assessed, sex and maturational status displayed an interaction. However, functional strength did not predict degree of dynamic valgus alignment.
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Gaining information on maturation's effect on dynamic performance measures implicated in injury risk may enable us to better design injury prevention programs. To examine sex differences in dynamic valgus alignment and triple-hop distance measures across maturational stages in males and females. A secondary purpose was to determine if a field test of strength and power predicts dynamic valgus alignment. Cross-sectional study. Laboratory. 157 young athletes (78 females, 79 males) aged 9 to 18 years. Subjects performed drop-jump landings and single-leg triple-hop tests as part of a broader injury screening. Maturational status was ascertained from self-report questionnaires and grouped according to Tanner stages 1 and 2 (MatGrp1), 3 and 4 (MatGrp2), and 5 (MatGrp3). Frontal-plane knee valgus displacement, which served as a measure of dynamic valgus alignment, and single-leg triple-hop distance were assessed. Males demonstrated less dynamic valgus alignment during drop jumps in the latter maturational stages (MatGrp1 = 13.1 degrees +/- 8.7 degrees , MatGrp2 = 9.0 degrees +/- 6.2 degrees , MatGrp3 = 9.2 degrees +/- 9.4 degrees ), whereas females increased dynamic valgus alignment throughout maturation (MatGrp1 = 11.5 degrees +/- 6.9 degrees , MatGrp2 = 12.8 degrees +/- 8.8 degrees , MatGrp3 = 15.5 degrees +/- 8.7 degrees ). Thus, in the more mature groups, males had less dynamic valgus alignment than females. Both males (MatGrp1 = 393.5 +/- 63.7 cm, MatGrp2 = 491.8 +/- 95.1 cm, MatGrp3 = 559.3 +/- 76.3 cm) and females (MatGrp1 = 360.3 +/- 37.1 cm, MatGrp2 = 380.1 +/- 44.3 cm, MatGrp3 = 440.0 +/- 66.2 cm) increased triple-hop distance, but males increased more. Within each subgroup of MatGrp and sex, triple-hop distance had no predictive ability for dynamic malalignment. When dynamic valgus alignment and strength were assessed, sex and maturational status displayed an interaction. 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Gaining information on maturation's effect on dynamic performance measures implicated in injury risk may enable us to better design injury prevention programs. To examine sex differences in dynamic valgus alignment and triple-hop distance measures across maturational stages in males and females. A secondary purpose was to determine if a field test of strength and power predicts dynamic valgus alignment. Cross-sectional study. Laboratory. 157 young athletes (78 females, 79 males) aged 9 to 18 years. Subjects performed drop-jump landings and single-leg triple-hop tests as part of a broader injury screening. Maturational status was ascertained from self-report questionnaires and grouped according to Tanner stages 1 and 2 (MatGrp1), 3 and 4 (MatGrp2), and 5 (MatGrp3). Frontal-plane knee valgus displacement, which served as a measure of dynamic valgus alignment, and single-leg triple-hop distance were assessed. Males demonstrated less dynamic valgus alignment during drop jumps in the latter maturational stages (MatGrp1 = 13.1 degrees +/- 8.7 degrees , MatGrp2 = 9.0 degrees +/- 6.2 degrees , MatGrp3 = 9.2 degrees +/- 9.4 degrees ), whereas females increased dynamic valgus alignment throughout maturation (MatGrp1 = 11.5 degrees +/- 6.9 degrees , MatGrp2 = 12.8 degrees +/- 8.8 degrees , MatGrp3 = 15.5 degrees +/- 8.7 degrees ). Thus, in the more mature groups, males had less dynamic valgus alignment than females. Both males (MatGrp1 = 393.5 +/- 63.7 cm, MatGrp2 = 491.8 +/- 95.1 cm, MatGrp3 = 559.3 +/- 76.3 cm) and females (MatGrp1 = 360.3 +/- 37.1 cm, MatGrp2 = 380.1 +/- 44.3 cm, MatGrp3 = 440.0 +/- 66.2 cm) increased triple-hop distance, but males increased more. Within each subgroup of MatGrp and sex, triple-hop distance had no predictive ability for dynamic malalignment. When dynamic valgus alignment and strength were assessed, sex and maturational status displayed an interaction. 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Gaining information on maturation's effect on dynamic performance measures implicated in injury risk may enable us to better design injury prevention programs. To examine sex differences in dynamic valgus alignment and triple-hop distance measures across maturational stages in males and females. A secondary purpose was to determine if a field test of strength and power predicts dynamic valgus alignment. Cross-sectional study. Laboratory. 157 young athletes (78 females, 79 males) aged 9 to 18 years. Subjects performed drop-jump landings and single-leg triple-hop tests as part of a broader injury screening. Maturational status was ascertained from self-report questionnaires and grouped according to Tanner stages 1 and 2 (MatGrp1), 3 and 4 (MatGrp2), and 5 (MatGrp3). Frontal-plane knee valgus displacement, which served as a measure of dynamic valgus alignment, and single-leg triple-hop distance were assessed. Males demonstrated less dynamic valgus alignment during drop jumps in the latter maturational stages (MatGrp1 = 13.1 degrees +/- 8.7 degrees , MatGrp2 = 9.0 degrees +/- 6.2 degrees , MatGrp3 = 9.2 degrees +/- 9.4 degrees ), whereas females increased dynamic valgus alignment throughout maturation (MatGrp1 = 11.5 degrees +/- 6.9 degrees , MatGrp2 = 12.8 degrees +/- 8.8 degrees , MatGrp3 = 15.5 degrees +/- 8.7 degrees ). Thus, in the more mature groups, males had less dynamic valgus alignment than females. Both males (MatGrp1 = 393.5 +/- 63.7 cm, MatGrp2 = 491.8 +/- 95.1 cm, MatGrp3 = 559.3 +/- 76.3 cm) and females (MatGrp1 = 360.3 +/- 37.1 cm, MatGrp2 = 380.1 +/- 44.3 cm, MatGrp3 = 440.0 +/- 66.2 cm) increased triple-hop distance, but males increased more. Within each subgroup of MatGrp and sex, triple-hop distance had no predictive ability for dynamic malalignment. When dynamic valgus alignment and strength were assessed, sex and maturational status displayed an interaction. However, functional strength did not predict degree of dynamic valgus alignment.</abstract><cop>United States</cop><pub>National Athletic Trainers Association</pub><pmid>19180215</pmid><doi>10.4085/1062-6050-44.1.26</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescent Development
Adolescents
Biomechanical Phenomena
Changes
Child
Cross-Sectional Studies
Female
Females
Field Tests
Humans
Injuries
Knee Joint - physiology
Linear Models
Literature Reviews
Lower Extremity - physiology
Male
Males
Muscle Contraction - physiology
Muscle Strength - physiology
Muscle, Skeletal - physiology
Original Research
Outcome Measures
Professional basketball
Risk factors
Sample size
Screening Tests
Sex Characteristics
Sex Factors
Sexual Maturation - physiology
Sports injuries
Surveys and Questionnaires
Weight-Bearing - physiology
title Dynamic valgus alignment and functional strength in males and females during maturation
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