Visual-Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction
Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations i...
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| Veröffentlicht in: | Journal of athletic training 2018-05, Vol.53 (5), p.486-496 |
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| description | Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity.
To investigate the effect of stroboscopic visual-feedback disruption (SVFD) on drop vertical-jump landing mechanics and to determine whether injury history influenced the effect.
Cohort study.
Movement-analysis laboratory.
A total of 15 participants with ACL reconstruction (ACLR; 7 men, 8 women; age = 21.41 ± 2.60 years, height = 1.72 ± 0.09 m, mass = 69.24 ± 15.24 kg, Tegner Activity Scale score = 7.30 ± 1.30, time since surgery = 36.18 ± 26.50 months, hamstrings grafts = 13, patellar tendon grafts = 2) and 15 matched healthy control participants (7 men, 8 women; age = 23.15 ± 3.48 years, height = 1.73 ± 0.09 m, mass = 69.98 ± 14.83 kg, Tegner Activity Scale score = 6.77 ± 1.48).
Drop vertical-jump landings under normal and SVFD conditions.
The SVFD effect for knee sagittal- and frontal-plane excursions, peak moments, and vertical ground reaction force were calculated during landing and compared with previously established measurement error and between groups.
The SVFD altered knee sagittal-plane excursion (4.04° ± 2.20°, P = .048) and frontal-plane excursion (1.98° ± 1.53°, P = .001) during landing above within-session measurement error. Joint-moment difference scores from full vision to the SVFD condition were not greater than within-session error. We observed an effect of ACLR history only for knee flexion (ACLR group = 3.12° ± 3.76°, control group = -0.84° ± 4.45°; P = .001). We did not observe an effect of side or sex.
The SVFD altered sagittal- and frontal-plane landing knee kinematics but did not alter moments. Anterior cruciate ligament reconstruction may induce alterations in sagittal-plane visual-motor control of the knee. The group SVFD effect was on a level similar to that of an in-flight perturbation, motor-learning intervention, or plyometric-training program, indicating that visual-motor ability may contribute to knee neuromuscular control on a clinically important level. The individual effec |
| doi_str_mv | 10.4085/1062-6050-178-16 |
| format | Article |
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To investigate the effect of stroboscopic visual-feedback disruption (SVFD) on drop vertical-jump landing mechanics and to determine whether injury history influenced the effect.
Cohort study.
Movement-analysis laboratory.
A total of 15 participants with ACL reconstruction (ACLR; 7 men, 8 women; age = 21.41 ± 2.60 years, height = 1.72 ± 0.09 m, mass = 69.24 ± 15.24 kg, Tegner Activity Scale score = 7.30 ± 1.30, time since surgery = 36.18 ± 26.50 months, hamstrings grafts = 13, patellar tendon grafts = 2) and 15 matched healthy control participants (7 men, 8 women; age = 23.15 ± 3.48 years, height = 1.73 ± 0.09 m, mass = 69.98 ± 14.83 kg, Tegner Activity Scale score = 6.77 ± 1.48).
Drop vertical-jump landings under normal and SVFD conditions.
The SVFD effect for knee sagittal- and frontal-plane excursions, peak moments, and vertical ground reaction force were calculated during landing and compared with previously established measurement error and between groups.
The SVFD altered knee sagittal-plane excursion (4.04° ± 2.20°, P = .048) and frontal-plane excursion (1.98° ± 1.53°, P = .001) during landing above within-session measurement error. Joint-moment difference scores from full vision to the SVFD condition were not greater than within-session error. We observed an effect of ACLR history only for knee flexion (ACLR group = 3.12° ± 3.76°, control group = -0.84° ± 4.45°; P = .001). We did not observe an effect of side or sex.
The SVFD altered sagittal- and frontal-plane landing knee kinematics but did not alter moments. Anterior cruciate ligament reconstruction may induce alterations in sagittal-plane visual-motor control of the knee. The group SVFD effect was on a level similar to that of an in-flight perturbation, motor-learning intervention, or plyometric-training program, indicating that visual-motor ability may contribute to knee neuromuscular control on a clinically important level. The individual effects of the SVFD indicated possible unique sensorimotor versus visual-motor movement strategies during landing.</description><identifier>ISSN: 1062-6050</identifier><identifier>EISSN: 1938-162X</identifier><identifier>DOI: 10.4085/1062-6050-178-16</identifier><identifier>PMID: 29749751</identifier><language>eng</language><publisher>United States: National Athletic Trainers Association</publisher><subject>Age ; Anterior Cruciate Ligament Injuries - physiopathology ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction ; Biomechanical Phenomena - physiology ; Biomechanics ; Cohort Studies ; Control Groups ; Feedback ; Feedback, Sensory ; Female ; Health sciences ; Humans ; Ice hockey ; Injury prevention ; Joint and ligament injuries ; Kinematics ; Knee ; Knee Joint - physiology ; Laboratories ; Male ; Males ; Mechanics (Physics) ; Movement ; Muscular Strength ; Plyometric Exercise ; Rehabilitation ; Researchers ; Young Adult</subject><ispartof>Journal of athletic training, 2018-05, Vol.53 (5), p.486-496</ispartof><rights>Copyright National Athletic Trainers Association May 2018</rights><rights>by the National Athletic Trainers' Association, Inc 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-ce8f8b923ce1d92905d9df1dc04ad89068117e6a31e3ce39597025a2292aa3743</citedby><cites>FETCH-LOGICAL-c490t-ce8f8b923ce1d92905d9df1dc04ad89068117e6a31e3ce39597025a2292aa3743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107770/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107770/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29749751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grooms, Dustin R</creatorcontrib><creatorcontrib>Chaudhari, Ajit</creatorcontrib><creatorcontrib>Page, Stephen J</creatorcontrib><creatorcontrib>Nichols-Larsen, Deborah S</creatorcontrib><creatorcontrib>Onate, James A</creatorcontrib><title>Visual-Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction</title><title>Journal of athletic training</title><addtitle>J Athl Train</addtitle><description>Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity.
To investigate the effect of stroboscopic visual-feedback disruption (SVFD) on drop vertical-jump landing mechanics and to determine whether injury history influenced the effect.
Cohort study.
Movement-analysis laboratory.
A total of 15 participants with ACL reconstruction (ACLR; 7 men, 8 women; age = 21.41 ± 2.60 years, height = 1.72 ± 0.09 m, mass = 69.24 ± 15.24 kg, Tegner Activity Scale score = 7.30 ± 1.30, time since surgery = 36.18 ± 26.50 months, hamstrings grafts = 13, patellar tendon grafts = 2) and 15 matched healthy control participants (7 men, 8 women; age = 23.15 ± 3.48 years, height = 1.73 ± 0.09 m, mass = 69.98 ± 14.83 kg, Tegner Activity Scale score = 6.77 ± 1.48).
Drop vertical-jump landings under normal and SVFD conditions.
The SVFD effect for knee sagittal- and frontal-plane excursions, peak moments, and vertical ground reaction force were calculated during landing and compared with previously established measurement error and between groups.
The SVFD altered knee sagittal-plane excursion (4.04° ± 2.20°, P = .048) and frontal-plane excursion (1.98° ± 1.53°, P = .001) during landing above within-session measurement error. Joint-moment difference scores from full vision to the SVFD condition were not greater than within-session error. We observed an effect of ACLR history only for knee flexion (ACLR group = 3.12° ± 3.76°, control group = -0.84° ± 4.45°; P = .001). We did not observe an effect of side or sex.
The SVFD altered sagittal- and frontal-plane landing knee kinematics but did not alter moments. Anterior cruciate ligament reconstruction may induce alterations in sagittal-plane visual-motor control of the knee. The group SVFD effect was on a level similar to that of an in-flight perturbation, motor-learning intervention, or plyometric-training program, indicating that visual-motor ability may contribute to knee neuromuscular control on a clinically important level. The individual effects of the SVFD indicated possible unique sensorimotor versus visual-motor movement strategies during landing.</description><subject>Age</subject><subject>Anterior Cruciate Ligament Injuries - physiopathology</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Biomechanics</subject><subject>Cohort Studies</subject><subject>Control Groups</subject><subject>Feedback</subject><subject>Feedback, Sensory</subject><subject>Female</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Ice hockey</subject><subject>Injury prevention</subject><subject>Joint and ligament injuries</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Joint - physiology</subject><subject>Laboratories</subject><subject>Male</subject><subject>Males</subject><subject>Mechanics (Physics)</subject><subject>Movement</subject><subject>Muscular Strength</subject><subject>Plyometric Exercise</subject><subject>Rehabilitation</subject><subject>Researchers</subject><subject>Young Adult</subject><issn>1062-6050</issn><issn>1938-162X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkctrGzEQxkVpqPPoPaey0Esvm4ykXT0uBeM2D3AIhLT0JmSt1lFYS66kDeS_r5bYocllZpj5zccMH0KnGM4aEO05BkZqBi3UmIsasw_oEEs6VeTPx1LvxzN0lNIjACatZJ_QjEjeSN7iQ3T_26VRD_VNyCFWi-BzDEMV-upHDNtqqX3n_Lqa99nGau5LdBMWR-N0ttXSrfXG-lzdWRN8yqWfXfAn6KDXQ7Kfd_kY_br4eb-4qpe3l9eL-bI2jYRcGyt6sZKEGos7SSS0nex63BlodCckMIExt0xTbAtCZSs5kFYTIonWlDf0GH1_0d2Oq43tTLkk6kFto9vo-KyCdurtxLsHtQ5PimHgnEMR-LYTiOHvaFNWG5eMHQbtbRiTIkAFYYKJCf36Dn0MY_TlvUIx1nLglBcKXigTQ0rR9q_HYFCTZWryRE2eqGKZwqysfPn_ideFvUf0H9QUkZI</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Grooms, Dustin R</creator><creator>Chaudhari, Ajit</creator><creator>Page, Stephen J</creator><creator>Nichols-Larsen, Deborah S</creator><creator>Onate, James A</creator><general>National Athletic Trainers Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8A4</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180501</creationdate><title>Visual-Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction</title><author>Grooms, Dustin R ; Chaudhari, Ajit ; Page, Stephen J ; Nichols-Larsen, Deborah S ; Onate, James A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-ce8f8b923ce1d92905d9df1dc04ad89068117e6a31e3ce39597025a2292aa3743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age</topic><topic>Anterior Cruciate Ligament Injuries - physiopathology</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Biomechanics</topic><topic>Cohort Studies</topic><topic>Control Groups</topic><topic>Feedback</topic><topic>Feedback, Sensory</topic><topic>Female</topic><topic>Health sciences</topic><topic>Humans</topic><topic>Ice hockey</topic><topic>Injury prevention</topic><topic>Joint and ligament injuries</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Knee Joint - physiology</topic><topic>Laboratories</topic><topic>Male</topic><topic>Males</topic><topic>Mechanics (Physics)</topic><topic>Movement</topic><topic>Muscular Strength</topic><topic>Plyometric Exercise</topic><topic>Rehabilitation</topic><topic>Researchers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grooms, Dustin R</creatorcontrib><creatorcontrib>Chaudhari, Ajit</creatorcontrib><creatorcontrib>Page, Stephen J</creatorcontrib><creatorcontrib>Nichols-Larsen, Deborah S</creatorcontrib><creatorcontrib>Onate, James A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Education Periodicals</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of athletic training</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grooms, Dustin R</au><au>Chaudhari, Ajit</au><au>Page, Stephen J</au><au>Nichols-Larsen, Deborah S</au><au>Onate, James A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual-Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction</atitle><jtitle>Journal of athletic training</jtitle><addtitle>J Athl Train</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>53</volume><issue>5</issue><spage>486</spage><epage>496</epage><pages>486-496</pages><issn>1062-6050</issn><eissn>1938-162X</eissn><abstract>Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity.
To investigate the effect of stroboscopic visual-feedback disruption (SVFD) on drop vertical-jump landing mechanics and to determine whether injury history influenced the effect.
Cohort study.
Movement-analysis laboratory.
A total of 15 participants with ACL reconstruction (ACLR; 7 men, 8 women; age = 21.41 ± 2.60 years, height = 1.72 ± 0.09 m, mass = 69.24 ± 15.24 kg, Tegner Activity Scale score = 7.30 ± 1.30, time since surgery = 36.18 ± 26.50 months, hamstrings grafts = 13, patellar tendon grafts = 2) and 15 matched healthy control participants (7 men, 8 women; age = 23.15 ± 3.48 years, height = 1.73 ± 0.09 m, mass = 69.98 ± 14.83 kg, Tegner Activity Scale score = 6.77 ± 1.48).
Drop vertical-jump landings under normal and SVFD conditions.
The SVFD effect for knee sagittal- and frontal-plane excursions, peak moments, and vertical ground reaction force were calculated during landing and compared with previously established measurement error and between groups.
The SVFD altered knee sagittal-plane excursion (4.04° ± 2.20°, P = .048) and frontal-plane excursion (1.98° ± 1.53°, P = .001) during landing above within-session measurement error. Joint-moment difference scores from full vision to the SVFD condition were not greater than within-session error. We observed an effect of ACLR history only for knee flexion (ACLR group = 3.12° ± 3.76°, control group = -0.84° ± 4.45°; P = .001). We did not observe an effect of side or sex.
The SVFD altered sagittal- and frontal-plane landing knee kinematics but did not alter moments. Anterior cruciate ligament reconstruction may induce alterations in sagittal-plane visual-motor control of the knee. The group SVFD effect was on a level similar to that of an in-flight perturbation, motor-learning intervention, or plyometric-training program, indicating that visual-motor ability may contribute to knee neuromuscular control on a clinically important level. The individual effects of the SVFD indicated possible unique sensorimotor versus visual-motor movement strategies during landing.</abstract><cop>United States</cop><pub>National Athletic Trainers Association</pub><pmid>29749751</pmid><doi>10.4085/1062-6050-178-16</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of athletic training, 2018-05, Vol.53 (5), p.486-496 |
| issn | 1062-6050 1938-162X |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Free E- Journals |
| subjects | Age Anterior Cruciate Ligament Injuries - physiopathology Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction Biomechanical Phenomena - physiology Biomechanics Cohort Studies Control Groups Feedback Feedback, Sensory Female Health sciences Humans Ice hockey Injury prevention Joint and ligament injuries Kinematics Knee Knee Joint - physiology Laboratories Male Males Mechanics (Physics) Movement Muscular Strength Plyometric Exercise Rehabilitation Researchers Young Adult |
| title | Visual-Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction |
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