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Sports Medicine and Biomechanics

Influence of sidestepping expertise and core stability on knee joint loading during change of direction

ORCID Icon, ORCID Icon & ORCID Icon
Pages 959-967 | Accepted 22 Jan 2022, Published online: 22 Feb 2022
 

ABSTRACT

The aims of this study were twofold: first, to compare core stability and knee joint loading between sidestepping experts and nonexperts; secondly, to determine core predictors of knee joint loading. Thirteen handball male players (experts) and 14 karatekas (nonexperts) performed six unanticipated 45° sidestepping manoeuvers, while trunk and pelvis 3D kinematics as well as ground reaction forces were measured, and peak knee abduction moment (PKAM) was determined. Student t-tests enabled a comparison of both groups and a linear mixed model approach was used to identify PKAM predictors. Sidestepping experts demonstrated significantly lower pelvis rotation towards the new movement direction at the initial contact than nonexperts (4.9° vs. 10.8°) and higher PKAM (0.539 vs. 0.321 Nm/kg-bwt). Trunk medial lean, trunk axial rotation and pelvis anterior tilt at the initial contact predicted PKAM, while trunk axial rotation, pelvis medial lean and posterior ground reaction force predicted PKAM during the weight acceptance phase. Despite higher PKAM, handball players might not be at a higher risk of anterior cruciate ligament injury as the knee joint loading remained at a relatively low level during this sidestepping task. Core stability, in its three dimensions, is a key determinant of knee joint loading.

Acknowledgments

The authors would like to thank all the participants of this study and Kristin L. Sainani for the statistical help.

Ethical approval

All procedures were approved by the ethics committee Sud Mediterranee III (approval reference 2018.07.03 bis) and conformed to requirements of the Declaration of Helsinki.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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