The Effects of Exercise Interventions on Dynamic Knee Valgus: A Systematic Review Exercises and dynamic knee valgus
Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention),
Vol. 10 No. 1 (1401),
7 June 2022
,
Page 59 - 48
https://doi.org/10.22037/iipm.v10i1.35973
Abstract
Background and Objectives: Increase in dynamic knee valgus during movements such as landing, jumping, cutting, stepping up and down, and walking is one of the risk factors for knee injuries and a reduction in the mechanical efficiency of movement. Recent research has shown that landing with dynamic knee valgus causes weakness and possible defects in dynamic movements of lower limbs; Therefore, the aim of this study was to determine the effectiveness of exercise intervention on dynamic knee valgus angle during landing, jumping, and cutting tests.
Method and Material: Seven electronic databases in Persian (three databases) and English (four databases) and specified keywords were used to identify the studies. These studies include the effects of exercise interventions on dynamic knee valgus during jumping, landing, and cutting tests which were published between 2010 to 2020 and 1390 to 1399 in both Persian and English.
Results: Eleven articles with a total of 445 participants met the inclusion and exclusion criteria of the present study. Eight studies reported a significant effect of exercise programs (between three and 10 weeks) on reducing the dynamic knee valgus, and only three studies (between 16 and 24 sessions) showed no difference in dynamic knee valgus. According to the results of this study, Core exercises (strength and stability) and plyometric exercises with 64% and 80% reduction in dynamic knee valgus were the most effective methods in improving the kinematics of the lower limb, respectively.
Conclusion: Using jump-landing, strong core, and lower limb exercises before the main exercise (at least 20 minutes) can reduce dynamic knee valgus and prevent lower limb injuries.
How to cite this article: Ramezani F, Saki F, Sohrabi T. The Effects of Exercise Interventions on Dynamic Knee Valgus: A Systematic Review. Irtiqa Imini Pishgiri Masdumiyat. 2022;10(1): 43-54.
- Dynamic knee valgus
- ACL injury
- Training
- Physical activity
How to Cite
References
de Marche Baldon R, Lobato DFM, Yoshimatsu AP, dos Santos AF, Francisco AL, Santiago PRP, et al. Effect of plyometric training on lower limb biomechanics in females. Clinical Journal of Sport Medicine. 2014;24(1):44-50.
Maykut JN, Taylor-Haas JA, Paterno MV, DiCesare CA, Ford KR. Concurrent validity and reliability of 2d kinematic analysis of frontal plane motion during running. International journal of sports physical therapy. 2015;10(2):136-46.
Willson JD, Davis IS. Lower extremity mechanics of females with and without patellofemoral pain across activities with progressively greater task demands. Clinical biomechanics. 2008;23(2):203-11.
Zeller BL, McCrory JL, Ben Kibler W, Uhl TL. Differences in kinematics and electromyographic activity between men and women during the single-legged squat. The American journal of sports medicine. 2003;31(3):449-56.
Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: prospective biomechanical-epidemiologic study. The American journal of sports medicine. 2007;35(7):1123-30.
Hewett TE, Paterno MV, Myer GD. Strategies for enhancing proprioception and neuromuscular control of the knee. Clinical Orthopaedics and Related Research®. 2002;402:76-94.
Daneshmandi H, Saki F, Daneshmandi L, Daneshmandi M. Lower extremity alignment in female athletes with ACL reconstruction. Medicina dello Sport. 2012;65(2):211-21.
Chuter VH, de Jonge XAJ. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait & posture. 2012;36(1):7-15.
Dix J, Marsh S, Dingenen B, Malliaras P. The relationship between hip muscle strength and dynamic knee valgus in asymptomatic females: A systematic review. Physical Therapy in Sport. 2019;37:197-209.
Sahabuddin FNA, Jamaludin NI, Amir NH, Shaharudin S. The effects of hip-and ankle-focused exercise intervention on dynamic knee valgus: a systematic review. PeerJ. 2021;9:e11731.
Jeong J, Choi D-H, Shin CS. Core strength training can alter neuromuscular and biomechanical risk factors for anterior cruciate ligament injury. The American Journal of Sports Medicine. 2020;49(1):183-92.
Ghanati HA, Letafatkar A, Abbasi A. Effect of motor learning strategies exercises on peak hip abduction moment, peak knee Valgus angle and performance in active participants. Journal of Clinical Physiotherapy Research. 2018;3(1):21-8.
Thompson-Kolesar JA, Gatewood CT, Tran AA, Silder A, Shultz R, Delp SL, et al. Age influences biomechanical changes after participation in an anterior cruciate ligament injury prevention program. The American journal of sports medicine. 2018;46(3):598-606.
Pfile KR, Hart JM, Herman DC, Hertel J, Kerrigan DC, Ingersoll CD. Different exercise training interventions and drop-landing biomechanics in high school female athletes. Journal of athletic training. 2013;48(4):450-62.
Barendrecht M, Lezeman HC, Duysens J, Smits-Engelsman BC. Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes. The Journal of Strength & Conditioning Research. 2011;25(3):575-84.
McCurdy K, Walker J, Saxe J, Woods J. The effect of short-term resistance training on hip and knee kinematics during vertical drop jumps. The Journal of Strength & Conditioning Research. 2011;26(5):1257-64.
Alimordi Ghaleh F, Hadadnejad M, Letafatkar A, Shojaedin SS. Effect of Eight Weeks of Jump-Training Programs on Selected Factors of Kinematic in Fatigue Conditions in Men’s Handball Player Premier League at the Risk of Anterior Cruciate Ligament Injury. The Scientific Journal of Rehabilitation Medicine. 2021;10(1):90-101.
Abedinzadeh S, Sahebalzamani M, Amir Seyfaddini M, Abbasi H. Effect of Training Modified FIFA 11+ on Kinematic Factors of Landing in Elite Handball Players. Journal of Paramedical Sciences & Rehabilitation. 2019;8(1):45-57.
saki f, madhosh m. Effect of Eight Weeks Plyometric Training on Pelvic and Knee Alignment in Female with Dynamic Knee Valgus. Journal for Research in Sport Rehabilitation. 2019;6(12):21-9.
Shahheidari S, Norasteh A, Daneshmandi H. The Effect of a 3-Week Neuromuscular Training Program and Its Retention on the Movement Pattern of Drop Vertical Jump in Active Girls with Knee Valgus. Journal of Exercise Science and Medicine. 2018;10(1):35-51.
Dahaji AA, Amirseyfaddini M, Nikooie R. Comparison of selected knee kinematic factors during single leg landing after six weeks of multi-angled isometric exercises on knee joint flexor and extensor muscle groups. Sci J Rehabil Med. 2019;8(2):182-90.
Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. journal of orthopaedic & sports physical therapy. 2010;40(2):42-51.
Felson DT, Niu J, Gross KD, Englund M, Sharma L, Cooke TDV, et al. Valgus malalignment is a risk factor for lateral knee osteoarthritis incidence and progression: findings from the Multicenter Osteoarthritis Study and the Osteoarthritis Initiative. Arthritis & Rheumatism. 2013;65(2):355-62.
Sharma L, Chmiel JS, Almagor O, Felson D, Guermazi A, Roemer F, et al. The role of varus and valgus alignment in the initial development of knee cartilage damage by MRI: the MOST study. Annals of the rheumatic diseases. 2013;72(2):235-40.
Beall DP, Sweet CF, Martin HD, Lastine CL, Grayson DE, Ly JQ, et al. Imaging findings of femoroacetabular impingement syndrome. Skeletal radiology. 2005;34(11):691-701.
Myer GD, Ford KR, McLean SG, Hewett TE. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. The American journal of sports medicine. 2006;34(3):445-55.
Hewett TE, Stroupe AL, Nance TA, Noyes FR. Plyometric training in female athletes: decreased impact forces and increased hamstring torques. The American journal of sports medicine. 1996;24(6):765-73.
- Abstract Viewed: 625 times
- pdf 5 (فارسی) Downloaded: 246 times