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      Effect of Plyometric versus Ankle Stability Exercises on Lower Limb Biomechanics in Taekwondo Demonstration Athletes with Functional Ankle Instability

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          Abstract

          Background: This study aimed to compare the effects of plyometric and ankle stability exercises on the dynamic balance and lower limb kinematic and kinetic parameters of Taekwondo demonstration athletes with functional ankle instability. Methods: Fourteen subjects participated in this study and were randomly divided into two groups: a plyometric exercise group ( n = 7) and an ankle stability exercise group ( n = 7). Exercises were performed twice a week for 8 weeks. A Y-balance test was used to measure dynamic balance, and a motion analysis system and force plate were used to collect kinematic and kinetic parameters during single-leg drop landing. A paired t-test was used for intragroup comparisons, and an independent t-test was used for intergroup comparisons. Results: In both groups, exercise increased dynamic balance and shock absorption and reduced postural sway on the anteroposterior displacement ( p < 0.05). The plyometric exercise group decreased their ankle dorsiflexion and increased their knee and hip joint flexion at maximum knee flexion ( p < 0.05). In contrast, the stability exercise increased their ankle plantar flexion at initial contact ( p < 0.05). Conclusions: The plyometric exercise group altered their landing strategies using their knee and hip joints to control ankle instability at landing. This study suggests that the application of plyometric exercises in ankle rehabilitation would improve stability and shock absorption and help prevent injuries during Taekwondo demonstrations.

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          Most cited references36

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          The reliability of an instrumented device for measuring components of the star excursion balance test.

          The Star Excursion Balance Test (SEBT) is a dynamic test that requires strength, flexibility, and proprioception and has been used to assess physical performance, identify chronic ankle instability, and identify athletes at greater risk for lower extremity injury. In order to improve the repeatability in measuring components of the SEBT, the Y Balance Test™ has been developed.
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            Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis.

            To describe the mechanisms for anterior cruciate ligament injuries in female team handball. Descriptive video analysis. Twenty videotapes of anterior cruciate ligament injuries from Norwegian or international competition were collected from 12 seasons (1988-2000). Three medical doctors and 3 national team coaches systematically analyzed these videos to describe the injury mechanisms and playing situations. In addition, 32 anterior cruciate ligament-injured players in the 3 upper divisions in Norwegian team handball were interviewed during the 1998-1999 season to compare the injury characteristics between player recall and the video analysis. Two main injury mechanisms for anterior cruciate ligament injuries in team handball were identified. The most common (12 of 20 injuries), a plant-and-cut movement, occurred in every case with a forceful valgus and external or internal rotation with the knee close to full extension. The other main injury mechanism (4 of 20 injuries), a 1-legged jump shot landing, occurred with a forceful valgus and external rotation with the knee close to full extension. The results from the video analysis and questionnaire data were similar. The injury mechanism for anterior cruciate ligament injuries in female team handball appeared to be a forceful valgus collapse with the knee close to full extension combined with external or internal rotation of the tibia.
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              Contributions of lower extremity joints to energy dissipation during landings.

              The purpose of the study was to investigate changes in lower extremity joint energy absorption for different landing heights and landing techniques. Nine healthy, active male subjects volunteered to perform step-off landings from three different heights (0.32 m, 2.5 m(-s); 0.62 m, 3.5 m(-s); and 1.03 m, 4.5 m(-s)) using three different landing techniques (soft, SFL; normal, NML; and stiff landing, STL). Each subject initially performed five NML trials at 0.62 m to serve as a baseline condition and subsequently executed five trials in each of the nine test conditions (3 heights x 3 techniques). The results demonstrated general increases in peak ground reaction forces, peak joint moments, and powers with increases in landing height and stiffness. The mean eccentric work was 0.52, 0.74, and 0.87 J x kg(-1) by the ankle muscles, and 0.94, 1.31, and 2.15 J x kg(-1) by the hip extensors, at 0.32, 0.62, and 1.03 m, respectively. The average eccentric work performed by the knee extensors was 1.21, 1.63, and 2.26 J x kg(-1) for the same three heights. The knee joint extensors were consistent contributors to energy dissipation. The ankle plantarflexors contributed more in the STL landings, whereas the hip extensors were greater contributors during the SFL landings. Also a shift from ankle to hip strategy was observed as landing height increased.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                22 May 2020
                May 2020
                : 17
                : 10
                : 3665
                Affiliations
                [1 ]Department of Physical Therapy, College of Health Sciences, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungcheongnam-do 31116, Korea; ptmin3215@ 123456naver.com
                [2 ]Department of Physical Therapy, Graduate School, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungcheongnam-do 31116, Korea; rock3224@ 123456naver.com
                Author notes
                [* ]Correspondence: kjwonpt@ 123456hanmail.net ; Tel.: +82-41-550-1463
                Author information
                https://orcid.org/0000-0002-5455-4178
                Article
                ijerph-17-03665
                10.3390/ijerph17103665
                7277727
                32456048
                6016a9ce-5de8-45b3-b3d6-94c7d2b1b961
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 13 April 2020
                : 21 May 2020
                Categories
                Article

                Public health
                motion analysis,taekwondo,plyometric exercise,stability exercise,functional ankle instability,sports injury

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