Biomechanical Analysis Of Injury Flashcards
Tennis elbow can also be called…
Lateral epicondylitis
Intrinsic factors affecting injury (8)
Age Sex Previous injury Muscle strength Reaction time Anatomical structure Postural stability
Extrinsic factors affecting injury (4)
Footwear
Surface
Competition level
Weather
Dorsi flexion
Toes towards shin
Plantar flexion
Pointed toes towards ground
Adduction
Toes rotate away from midline of body
Abduction
Toes rotate towards midline of body
Inversion of rear foot
Rotating towards midline
Eversion of rear foot
Rotating away from middline
Biomechanical Characteristics associated with injury (2)
Excessive rear foot eversion / pronation
Ankle inversion
Rear foot movement time history
X axis - time
Y axis - Rear foot angle (inversion above y axis, eversion below y axis)
Line stars in inversion, dips into eversion and back into inversion to finish. Slightly steeper dip into eversion and more shallow back into inversion.
What is pronation?
Internal tibial rotation
What does pronation do? (2)
Contributes to cushioning
Allows adaptation to different surfaces
3 pronation characteristics that are associated with overuse running injuries?
Amount of pronation
Rate of pronation
Time to max pronation
Retrospective research
In then past
Cross sectional research
A ‘snapshot’
Prospective studies are the preferred method for …….
Pronation
Supination
External tibial rotation
Pronation and overuse injury study Author and date Nature of study Data collected Result
Hreljac et al (2000)
2 groups of runners- no overuse injury & previous overuse injury
Rear foot movement data collected - peak rear foot angle & peak velocity of pronation
Result = higher velocity of pronation for injury free group
Pronation and anterior knee pain study: Author and date Nature of study Data collected Result
Duffey et al (2000)
2 groups of runners- uninjured & anterior knee pain
Data collected - rear foot angle at 10% stance, peak rear foot angle, peak velocity of pronation
Results - runners with anterior knee pain had lower pronation during first 10% stance
Ankle inversion is also knows as
Twisted ankle
Rear foot eversion and ankle inversion injury study: Author and date Nature of study Data collected Result
Williams et al (2005)
223 PE students - injured & not injured
Data collected - pressure variables, rear foot kinematics
Results - maximum inversion velocity later in injury group
No difference in peak inversion, initial inversion or range of motion
Peak eversion angle during running - typical values:
Time at which it occurs
Angle
4 degrees, 3.3m/s - Williams et al. (2005)
10 degrees, 3.7m/s - Pohl et al. (2009)
Supination is characterised by simultaneous: (3)
Eversion
Adduction
Plantar flexion
Pronation is characterised by simultaneous: (3)
Dorsi flexion
Abduction
Inversion
2 types of athletic injury?
ACUTE - associated with a traumatic event such as those that result from a hard tackle/ from falling. Acute doesn’t refer to amount of pain, it refers to short time taken for injury to occur.
E.g. Ankle inversion injuries (sprain), dislocated shoulder, pulled muscle
CHRONIC - overuse injuries resulting from repetitive action such as long distance running, repeated throwing, repeated racket action
E.g. Tibial stress fractures, lateral epicondylitis (tennis elbow)