Evaluation of Lower Body Strength and Landing Strategy of Elite Athletes After Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft

dc.contributor.advisorHerzog, Walter
dc.contributor.advisorJordan, Matt
dc.contributor.authorLawson, Drew
dc.contributor.committeememberEdwards, W. Brent
dc.contributor.committeememberHeard, S. Mark
dc.contributor.committeememberBertram, John
dc.date2021-11
dc.date.accessioned2021-09-28T15:41:39Z
dc.date.available2021-09-28T15:41:39Z
dc.date.issued2021-09
dc.description.abstractThe purpose of this study was to identify the effects of anterior cruciate ligament reconstruction (ACLR) using the semitendinosus tendon autograft on lower body strength capacity and landing strategy in athletes who had returned to competition. Additionally, we sought to identify strength metrics that influenced landing characteristics previously identified as risk factors for primary or subsequent ACL injury. In our first study, plyometric-trained athletes performed bilateral vertical drop landings (VDLs) initiated with a step off technique with each limb serving as the leading leg. Peak vertical ground reaction force (Fzpeak) and impulse in the first 100 ms after ground contact (Impulse100ms) was calculated for each limb under each lead leg condition. We identified that lead leg selection altered force-time characteristics and between limb symmetry, which may impact return to sport decision making after injury. In our second study, we recruited athletes with ACLR, non-injured, sport performance matched controls and non-injured, sport-matched but development-level controls to perform single leg landings from 25 cm and 50 cm heights and maximum voluntary contractions to assess strength about the knee and hip joints. The ACLR limb had knee flexion strength deficits compared to the contralateral limb and was stronger in hip abduction compared to the contralateral limb. The ACLR limb did not differ in any other comparisons, including across landing kinetics and kinematics. However, we observed main effects of strength on landing variables, highlighting the importance of lower body maximal strength on landing strategy. Together, these results suggest that it is important to use caution when assessing bilateral landing technique using VDL tasks, a common practice in clinical assessments following ACLR. Furthermore, we determined that lower body strength can largely be regained following ACLR, and as such movement strategies after ACLR can mimic that of healthy, elite athlete peers.en_US
dc.identifier.citationLawson, D. (2021). Evaluation of lower body strength and landing strategy of elite athletes after anterior cruciate ligament reconstruction with hamstring tendon autograft (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/39289
dc.identifier.urihttp://hdl.handle.net/1880/113977
dc.language.isoengen_US
dc.publisher.facultyKinesiologyen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectBiomechanicsen_US
dc.subjectInjury Preventionen_US
dc.subjectAnterior Cruciate Ligament Injuryen_US
dc.subject.classificationRehabilitation and Therapyen_US
dc.titleEvaluation of Lower Body Strength and Landing Strategy of Elite Athletes After Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograften_US
dc.typemaster thesisen_US
thesis.degree.disciplineKinesiologyen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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