year 6, Issue 2 (Summer 2018)                   Ann Appl Sport Sci 2018, 6(2): 23-30 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sheikhhoseini R, Alizadeh M, Salavati M, O'Sullivan K, Shirzad E, Movahed M. Altered Lower Limb Kinematics during Jumping among Athletes with Persistent Low Back Pain. Ann Appl Sport Sci 2018; 6 (2) :23-30
1- Faculty of Sport Sciences, Allameh Tabataba'i University, Tehran, Iran ,
2- Health & Sport Medicine Department, University of Tehran, Tehran, Iran
3- Department of Physical Therapy, University of Social Welfare and Rehabilitation, Tehran, Iran
4- Sports Spine Centre, Aspetar Orthopaedic and Sports Hospital, Doha, Qatar. Department of Clinical Therapies, Univerisyt of Limerick, Limerick, Ireland
5- Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Abstract:   (6441 Views)
Background. The kinematics of a controlled functional task in female volleyball athletes may be an interesting area of study. Therefore, investigating if there are kinematic changes in a jump landing jump task among female athletes with low back pain (LBP) may help therapists and trainers better prevent and/or rehabilitate LBP in athletes.
Objectives. The purpose of this study was to examine lumbopelvic and lower extremity kinematics in athletes with persistent LBP during a jumping task.
Methods. A comparative
cross sectional study conducted in a university research laboratory. Professional female volleyball players with (n = 20) and without (n = 18) LBP were recruited from the Iranian female volleyball league. To reduce heterogeneity, one particular subgroup of athletes with LBP were selected. Kinematic data including lumbar extension, hip flexion, rotation and adduction and knee flexion and abduction angles when the center of mass was at minimum height during a jump-landing-jump maneuver were collected using a Vicon motion analysis system and analysed using MATLAB software. Independent t-tests were used to compare mean values between the groups.
Results. Athletes with LBP had significantly greater hip flexion (LBP: -73.62±11.06˚; Control: -62.88±7.03˚, p=0.016) and significantly less knee flexion (LBP: 77.06±7.27 ˚, Control: 81.62±4.70 ˚, p=0.029) at the lowest point of the jump than athletes without LBP. There were no other significant differences between the groups (p>0.05).
Conclusion. A subgroup of female athletes with LBP display altered lower extremity kinematics during a jump task than athletes without LBP. This may have important implications for lower limb performance and injury.
Full-Text [PDF 482 kb]   (1383 Downloads)    
• Mean hip flexion angle in athletes with AE-LBP was significantly different to the control group, as was the mean angle of knee flexion so it is recommended to flex knees more while jump-landing in the training sessions.
• Mean lordosis angle while standing in the group with AE-LBP was significantly higher than in those without LBP, so we recommend cognitive functional exercise therapy to realign the spine in more dynamic positions.

Type of Study: Original Article | Subject: Sport Biomechanics and its related branches
Received: 2017/11/13 | Accepted: 2018/03/1

1. Petering RC, Webb C. Treatment options for low back pain in athletes. Sports Health. 2011;3(6):550-5. [DOI:10.1177/1941738111416446] [PMID] [PMCID]
2. Briner WW, Jr., Benjamin HJ. Volleyball injuries: managing acute and overuse disorders. Phys Sportsmed. 1999;27(3):48-60. [DOI:10.3810/psm.1999.03.720] [PMID]
3. Sheikhhoseini R, O'Sullivan K, Alizadeh MH, Sadeghisani M. Altered Motor Control in Athletes with Low Back Pain: a Literature Review. Annals of Applied Sport Science. 2016;4(4):43-50. [DOI:10.18869/acadpub.aassjournal.4.4.43]
4. Hodges PW, Smeets RJ. Interaction Between Pain, Movement and Physical Activity: Short-term Benefits, Long-term Consequences, and Targets for Treatment. Clin J Pain. 2014.
5. Tucker K, Butler J, Graven-Nielsen T, Riek S, Hodges P. Motor unit recruitment strategies are altered during deep-tissue pain. J Neurosci. 2009;29(35):10820-6. [DOI:10.1523/JNEUROSCI.5211-08.2009] [PMID]
6. Hodges PW, Cholewicki J, Van Dieën JH. Spinal control : the rehabilitation of back pain : state of the art and science. Edinburgh: Elsevier; 2013. p. p.
7. Lomond KV, Henry SM, Hitt JR, DeSarno MJ, Bunn JY. Altered postural responses persist following physical therapy of general versus specific trunk exercises in people with low back pain. Man Ther. 2014. [DOI:10.1016/j.math.2014.04.007] [PMID] [PMCID]
8. Mendiguchia J, Ford KR, Quatman CE, Alentorn-Geli E, Hewett TE. Sex differences in proximal control of the knee joint. Sports Med. 2011;41(7):541-57. [DOI:10.2165/11589140-000000000-00000] [PMID] [PMCID]
9. Chuter VH, Janse de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait Posture. 2012;36(1):7-15. [DOI:10.1016/j.gaitpost.2012.02.001] [PMID]
10. Van Hoof W, Volkaerts K, O'Sullivan K, Verschueren S, Dankaerts W. Comparing lower lumbar kinematics in cyclists with low back pain (flexion pattern) versus asymptomatic controls--field study using a wireless posture monitoring system. Man Ther. 2012;17(4):312-7. [DOI:10.1016/j.math.2012.02.012] [PMID]
11. Seay JF, Van Emmerik RE, Hamill J. Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clin Biomech (Bristol, Avon). 2011;26(6):572-8. [DOI:10.1016/j.clinbiomech.2010.11.012] [PMID]
12. Campbell A, O'Sullivan P, Straker L, Elliott B, Reid M. Back pain in tennis players: a link with lumbar serve kinematics and range of motion. Med Sci Sports Exerc. 2014;46(2):351-7. [DOI:10.1249/MSS.0b013e3182a45cca] [PMID]
13. Tsai YS, Sell TC, Smoliga JM, Myers JB, Learman KE, Lephart SM. A comparison of physical characteristics and swing mechanics between golfers with and without a history of low back pain. J Orthop Sports Phys Ther. 2010;40(7):430-8. [DOI:10.2519/jospt.2010.3152] [PMID]
14. Cole MH, Grimshaw PN. The crunch factor's role in golf-related low back pain. Spine J. 2014;14(5):799-807. [DOI:10.1016/j.spinee.2013.09.019] [PMID]
15. O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-55. [DOI:10.1016/j.math.2005.07.001] [PMID]
16. Ali N, Rouhi G, Robertson G. Gender, Vertical Height and Horizontal Distance Effects on Single-Leg Landing Kinematics: Implications for Risk of non-contact ACL Injury. Journal of human kinetics. 2013;37:27-38. [DOI:10.2478/hukin-2013-0022] [PMID] [PMCID]
17. Bruton MR, O'Dwyer N, Adams R. Sex differences in the kinematics and neuromuscular control of landing: biological, environmental and sociocultural factors. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology. 2013;23(4):747-58. [DOI:10.1016/j.jelekin.2013.04.012] [PMID]
18. Noll M, de Avelar IS, Lehnen GC, Vieira MF. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study. PLoS One. 2016;11(3):e0150542. [DOI:10.1371/journal.pone.0150542] [PMID] [PMCID]
19. Dankaerts W, O'Sullivan P. The validity of O'Sullivan's classification system (CS) for a sub-group of NS-CLBP with motor control impairment (MCI): overview of a series of studies and review of the literature. Man Ther. 2011;16(1):9-14. [DOI:10.1016/j.math.2010.10.006] [PMID]
20. Dankaerts W, O'Sullivan PB, Straker LM, Burnett AF, Skouen JS. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther. 2006;11(1):28-39. [DOI:10.1016/j.math.2005.02.001] [PMID]
21. Hill JC, Dunn KM, Lewis M, Mullis R, Main CJ, Foster NE, et al. A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum. 2008;59(5):632-41. [DOI:10.1002/art.23563] [PMID]
22. Gaston-Johansson F. Measurement of pain: the psychometric properties of the Pain-O-Meter, a simple, inexpensive pain assessment tool that could change health care practices. J Pain Symptom Manage. 1996;12(3):172-81. [DOI:10.1016/0885-3924(96)00128-5]
23. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-7. [DOI:10.1111/j.1553-2712.2001.tb01132.x] [PMID]
24. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: translation and validation studies of the Iranian versions. Spine (Phila Pa 1976). 2006;31(14):E454-9. [DOI:10.1097/01.brs.0000222141.61424.f7] [PMID]
25. Abedi M, Manshadi FD, Khalkhali M, Mousavi SJ, Baghban AA, Montazeri A, et al. Translation and validation of the Persian version of the STarT Back Screening Tool in patients with nonspecific low back pain. Man Ther. 2015;20(6):850-4. [DOI:10.1016/j.math.2015.04.006] [PMID]
26. Ortiz A, Micheo W. Biomechanical evaluation of the athlete's knee: from basic science to clinical application. PM R. 2011;3(4):365-71. [DOI:10.1016/j.pmrj.2010.12.005] [PMID]
27. Kadaba MP, Ramakrishnan HK, Wootten ME. Measurement of lower extremity kinematics during level walking. Journal of orthopaedic research : official publication of the Orthopaedic Research Society. 1990;8(3):383-92. [DOI:10.1002/jor.1100080310] [PMID]
28. Shultz SJ, Nguyen AD, Leonard MD, Schmitz RJ. Thigh strength and activation as predictors of knee biomechanics during a drop jump task. Med Sci Sports Exerc. 2009;41(4):857-66. [DOI:10.1249/MSS.0b013e3181e3b3f] [PMID] [PMCID]
29. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther. 2002;32(9):447-60. [DOI:10.2519/jospt.2002.32.9.447] [PMID]
30. Nourbakhsh MR, Moussavi SJ, Salavati M. Effects of lifestyle and work-related physical activity on the degree of lumbar lordosis and chronic low back pain in a Middle East population. Journal of spinal disorders. 2001;14(4):283-92. [DOI:10.1097/00002517-200108000-00002] [PMID]
31. Dankaerts W, O'Sullivan P, Burnett A, Straker L. Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified. Spine (Phila Pa 1976). 2006;31(6):698-704. [DOI:10.1097/01.brs.0000202532.76925.d2] [PMID]
32. Dankaerts W, O'Sullivan P, Burnett A, Straker L, Davey P, Gupta R. Discriminating healthy controls and two clinical subgroups of nonspecific chronic low back pain patients using trunk muscle activation and lumbosacral kinematics of postures and movements: a statistical classification model. Spine (Phila Pa 1976). 2009;34(15):1610-8. [DOI:10.1097/BRS.0b013e3181aa6175] [PMID]
33. de Leva P. Joint center longitudinal positions computed from a selected subset of Chandler's data. J Biomech. 1996;29(9):1231-3. [DOI:10.1016/0021-9290(96)00021-8]
34. Devita P, Skelly WA. Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc. 1992;24(1):108-15. [DOI:10.1249/00005768-199201000-00018] [PMID]
35. Boyling JD, G J. Grieve's modern manual therapy : the vertebral column. 3rd ed. Edinburgh ; New York: Churchill Livingstone; 2005. xviii, 870 p. p.
36. Hewett TE, Myer GD, Ford KR. Prevention of anterior cruciate ligament injuries. Current women's health reports. 2001;1(3):218-24. [PMID]
37. Manske RC. Postsurgical orthopedic sports rehabilitation : knee & shoulder. St. Louis, Mo.: Mosby; 2006. xviii, 714 p. p.
38. Dankaerts W, O'Sullivan P, Burnett A, Straker L. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: importance of subclassification. Spine (Phila Pa 1976). 2006;31(17):2017-23. [DOI:10.1097/01.brs.0000228728.11076.82] [PMID]
39. Hollman JH, Hohl JM, Kraft JL, Strauss JD, Traver KJ. Effects of hip extensor fatigue on lower extremity kinematics during a jump-landing task in women: a controlled laboratory study. Clin Biomech (Bristol, Avon). 2012;27(9):903-9. [DOI:10.1016/j.clinbiomech.2012.07.004] [PMID]
40. Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. J Athl Train. 2007;42(1):76-83. [PMID] [PMCID]
41. McGinley JL, Baker R, Wolfe R, Morris ME. The reliability of three-dimensional kinematic gait measurements: a systematic review. Gait Posture. 2009;29(3):360-9. [DOI:10.1016/j.gaitpost.2008.09.003] [PMID]

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Annals of Applied Sport Science

Designed & Developed by : Yektaweb