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      Mechanical Demands at the Ankle Joint During Saut de Chat and Temps levé Jumps in Classically Trained Ballet Dancers

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          Abstract

          Background

          During ballet, injuries to the Achilles tendon are associated with the take-off phase of various jumps.

          Research question

          The purpose of the study was to assess differences in mechanical demand on the body, specifically at the ankle, in two single-leg jumps commonly trained in ballet: a saut de chat (SDC) and a temps levé (TL).

          Methods

          Fifteen classically trained female dancers had 16 reflective markers placed on the lower body and each dancer performed each jump three times on a force plate. The marker position data and ground reaction forces (GRF) were captured synchronously at 250 Hz and 1000 Hz, respectively. Peak vertical GRF, mean rate of force development (RFD), peak ankle moment, and peak ankle power were determined and averaged across trials. Paired t-tests were used to determine differences between the SDC and the TL.

          Results

          When compared to the TL, the SDC displayed significantly higher peak vertical GRF ( p = 0.003), RFD ( p = 0.002), and peak ankle moment and power ( p < 0.001). The effect sizes for these differences were large for all variables (Cohen’s d > 0.80).

          Conclusion

          The mechanical demand at the ankle joint is significantly greater for the SDC than the TL.

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          Most cited references38

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          Etiology and pathophysiology of chronic tendon disorders in sports.

          P Kannus (1997)
          In sports medicine, a chronic overuse injury is defined as a long-standing or recurring orthopedic problem and pain in the musculoskeletal system, which started during exertion due to repetitive tissue microtrauma (1). Repetitive microtrauma, which is basically repeated exposure of the musculoskeletal tissue to low-magnitude forces, results in injury at the microscopic level, and no single acute trauma is normally involved in the pathogenesis of an overuse injury. In chronic tendon disorders, 'overuse' implies that the tendon has been strained repeatedly to 4-8% strain until unable to endure further tension, whereupon injury occurs (2). The structure of the tendon is disrupted micro- or macroscopically by this repetitive strain, i.e. collagen fibrers begin to slide past one another, causing break-age of their cross-linked structure, and denaturate; inflammation, edema and pain result. Thus, tendinitis, peritendinitis, tenosynovitis, insertion tendinitis, tendinous bursitis or apophysitis is the earliest clinically recognizable manifestation of overuse tendon injury (3).
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            Achilles tendon injuries

            Purpose of review The purpose of this study is to review the current literature of Achilles tendon injuries, specifically chronic tendinopathy and acute ruptures in regard to etiology, diagnosis, treatment options, and outcomes. Recent findings The incidence of Achilles tendon injuries is increasing, but the necessity for surgical intervention is decreasing due to improved conservative therapies, which may provide comparable outcomes without the implied surgical risk. If surgery is undertaken, no difference has been noted between open and minimally invasive techniques. The majority of patients are able to return to pre-injury level of activity, with the elite athlete as an unfortunate exception. Summary Achilles injuries can be devastating injuries, but if addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality implemented. Further research is needed into the etiology, potential preventative measures, and longer-term outcomes of the different treatment options for wide range of Achilles pathology.
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              The role of human ankle plantar flexor muscle-tendon interaction and architecture in maximal vertical jumping examined in vivo.

              Humans utilise elastic tendons of lower limb muscles to store and return energy during walking, running and jumping. Anuran and insect species use skeletal structures and/or dynamics in conjunction with similarly compliant structures to amplify muscle power output during jumping. We sought to examine whether human jumpers use similar mechanisms to aid elastic energy usage in the plantar flexor muscles during maximal vertical jumping. Ten male athletes performed maximal vertical squat jumps. Three-dimensional motion capture and a musculoskeletal model were used to determine lower limb kinematics that were combined with ground reaction force data in an inverse dynamics analysis. B-mode ultrasound imaging of the lateral gastrocnemius (GAS) and soleus (SOL) muscles was used to measure muscle fascicle lengths and pennation angles during jumping. Our results highlighted that both GAS and SOL utilised stretch and recoil of their series elastic elements (SEEs) in a catapult-like fashion, which likely serves to maximise ankle joint power. The resistance of supporting of body weight allowed initial stretch of both GAS and SOL SEEs. A proximal-to-distal sequence of joint moments and decreasing effective mechanical advantage early in the extension phase of the jumping movement were observed. This facilitated a further stretch of the SEE of the biarticular GAS and delayed recoil of the SOL SEE. However, effective mechanical advantage did not increase late in the jump to aid recoil of elastic tissues.
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                Author and article information

                Journal
                Open Access J Sports Med
                Open Access J Sports Med
                OAJSM
                oajsm
                Open Access Journal of Sports Medicine
                Dove
                1179-1543
                06 December 2019
                2019
                : 10
                : 191-197
                Affiliations
                [1 ]Department of Health and Human Development, Western Washington University , Bellingham, WA, USA
                Author notes
                Correspondence: Harsh H Buddhadev Department of Health and Human Development, Western Washington University , 201H Carver Academic Facility, MS 9067, 516 High Street, Bellingham, WA98225, USATel +1 360 650-4115Fax +1 360 650-7447 Email harsh.buddhadev@wwu.edu
                Author information
                http://orcid.org/0000-0003-3726-2795
                http://orcid.org/0000-0003-2487-8283
                Article
                234289
                10.2147/OAJSM.S234289
                6902839
                c2466fe0-51db-487a-98e2-3f7a069c31a3
                © 2019 Perry et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 11 October 2019
                : 20 November 2019
                Page count
                Figures: 5, Tables: 1, References: 44, Pages: 7
                Categories
                Original Research

                achilles tendinopathy,power,moment,rate of force development

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