Prediction of Dynamic Postural Stability During Single-Leg Jump Landings by Ankle and Knee Flexibility and Strength.

TitlePrediction of Dynamic Postural Stability During Single-Leg Jump Landings by Ankle and Knee Flexibility and Strength.
Publication TypeJournal Article
Year of Publication2016
AuthorsWilliams VJ, Nagai T, Sell TC, Abt JP, Rowe RS, McGrail MA, Lephart SM
JournalJ Sport Rehabil
Volume25
Issue3
Pagination266-72
Date Published2016 Aug
ISSN1543-3072
KeywordsAdult, Ankle Joint, Biomechanical Phenomena, Cross-Sectional Studies, Hip Joint, Humans, Knee Joint, Linear Models, Male, Movement, Muscle Strength, Muscle Strength Dynamometer, Muscle, Skeletal, Postural Balance, Range of Motion, Articular, Thorax
Abstract

CONTEXT: Dynamic postural stability is important for injury prevention, but little is known about how lower-extremity musculoskeletal characteristics (range of motion [ROM] and strength) contribute to dynamic postural stability. Knowing which modifiable physical characteristics predict dynamic postural stability can help direct rehabilitation and injury-prevention programs.

OBJECTIVE: To determine if trunk, hip, knee, and ankle flexibility and strength variables are significant predictors of dynamic postural stability during single-leg jump landings.

DESIGN: Cross-sectional study.

SETTING: Laboratory.

PARTICIPANTS: 94 male soldiers (age 28.2 ± 6.2 y, height 176.5 ± 2.6 cm, weight 83.7 ± 26.0 kg).

INTERVENTION: None.

MAIN OUTCOME MEASURES: Ankle-dorsiflexion and plantar-flexion ROM were assessed with a goniometer. Trunk, hip, knee, and ankle strength were assessed with an isokinetic dynamometer or handheld dynamometer. The Dynamic Postural Stability Index (DPSI) was used to quantify postural stability. Simple linear and backward stepwise-regression analyses were used to identify which physical characteristic variables were significant predictors of DPSI.

RESULTS: Simple linear-regression analysis revealed that individually, no variables were significant predictors of the DPSI. Stepwise backward-regression analysis revealed that ankle-dorsiflexion flexibility, ankle-inversion and -eversion strength, and knee-flexion and -extension strength were significant predictors of the DPSI (R2 = .19, P = .0016, adjusted R2 = .15).

CONCLUSION: Ankle-dorsiflexion ROM, ankle-inversion and -eversion strength, and knee-flexion and -extension strength were identified as significant predictors of dynamic postural stability, explaining a small amount of the variance in the DPSI.

DOI
Alternate JournalJ Sport Rehabil
PubMed ID26356144