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Int J Sports Med 2019; 40(07): 468-476
DOI: 10.1055/a-0866-9482
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Effect of Fatigue on Functional Stability of the Knee: Particularities of Female Handball Players

Timothée Gillot
1   Universite de Rouen UFR STAPS, CETAPS, EA 3832, Mont-Saint-Aignan, France
2   Rouen University Hospital, School of Physiotherapy, Rouen, France
,
Maxime L'Hermette
1   Universite de Rouen UFR STAPS, CETAPS, EA 3832, Mont-Saint-Aignan, France
,
Typhanie Garnier
1   Universite de Rouen UFR STAPS, CETAPS, EA 3832, Mont-Saint-Aignan, France
,
Claire Tourny-Chollet
1   Universite de Rouen UFR STAPS, CETAPS, EA 3832, Mont-Saint-Aignan, France
› Author Affiliations
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Publication History



accepted 23 February 2019

Publication Date:
16 May 2019 (online)

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Abstract

The risk of anterior cruciate ligament injury in female handball players is high. Fatigue of active stabilizers and increases in joint laxity are often mentioned in the literature as causal factors. However, no studies have been carried out on this population. Our objective is to determine the effect of muscle fatigue on active and passive knee stability in female handball players. This prospective study assessed tibiofemoral joint laxity, as well as hamstring and quadriceps strength, before (Tinitial), during and 3 min after (Tfinal) an isokinetic fatigue protocol (25 repetitions of knee flexion / extension at 180°.s−1). Laxity values (slope of the displacement-load curve and anterior tibial translation) were measured using a GNRB-Rotab® arthrometer; torque values were measured at specific joint angles and peak muscle torque using an isokinetic dynamometer. Nineteen women (20.9±2.4 years, 62.0±4.9 kg, 166±5 cm) were included. Normalized peak torque decreased significantly between the first three and last three repetitions of the fatigue protocol (p<0.0001, ES=3.2 and 3.2). Slope of the displacement-load curve and anterior tibial translation, functional and conventional ratios did not change significantly between Tinitial and Tfinal. Active and passive markers of knee stability were not altered by a fatigue protocol in female handball players, suggesting these players have a large capacity for recovery. These results suggest that muscle strengthening to prevent ACL injury in female handball players may be inappropriate.

Level of evidence: Level 2b, Prospective Cohort.

Key words

anterior cruciate ligament - joint instability - laxity - fatigue - isokinetic ratio
 

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