The Relationship of Q Angle with Jump and Landing Mechanics in Female Volleyball Players

Öz

During the tests to be performed on athletes, temporal limitations arise. It is not known whether different methods can be safely applied instead of each other. The aim of this study is to investigate the relationship of Q angle with jump and landing mechanics in female volleyball players. The research group consisted of 48 young female athletes who played at the infrastructure level in Istanbul and Kocaeli provinces. Anthropometric measurements, Q angle, Landing Error Scoring System (LESS), Vertical Jump (VJ) tests were applied to the female volleyball athletes participating in the study. The Q angle and LESS scores were determined with the Kinovea free software. The My Jump 2 mobile application was used to calculate the vertical jump height. When the obtained data were examined, there was no positive relationship between Q angle, LESS scores, and VJ height (p > 0.05). A positive relationship was found between the Q angle and the knee deceleration at the first contact upon landing (r = 0.292, p<0.05). A positive relationship was found between knee valgus and LESS scores before deceleration (r = 0.482, p<0.05). When our research results are examined, there is no relationship between Q angle, LESS scores, and VJ height. The presence of a positive relationship between the Q angle and the knee valgus at the first contact upon landing is due to the relationship of the Q angle with the knee valgus. A positive relationship was found between the LESS score and the knee valgus before deceleration. This shows the effect of the Q angle on the LESS scores, which are an indicator of the risk of anterior cruciate ligament injury. Interventions to reduce the Q angle may affect LESS scores, jumps, and landing mechanics. Keywords: Q angle, less, jump, landing, volleyball.

Anahtar Kelimeler

• Q angle
• less
• jump
• landing
• volleyball.

Kadın Voleybolcularda Q Açısının Sıçrama ve İniş Mekaniği İle İlişkisi

Öz

Sporculara yapılacak testler sırasında zamansal sınırlılıklar ortaya çıkmaktadır. Farklı yöntemlerin birbirleri yerine güvenle uygulanma durumu bilinmemektedir. Bu çalışmanın amacı, kadın voleybolcularda Q açısının sıçrama ve iniş mekaniği ile ilişkisini incelemektir. Araştırma grubunu İstanbul ve Kocaeli ilinde alt yapı düzeyinde oynayan 48 genç kadın sporcu oluşturmuştur. Araştırmaya katılan kadın voleybol sporcularına antropometrik ölçümler, Q açısı, İniş Hatası Puanlama Sistemi(LESS), Dikey Sıçrama (VJ) testleri uygulanmıştır. Q açısı ve LESS skorları Kinovea ücretsiz yazılımı ile belirlenmiştir. Dikey sıçrama yüksekliğinin hesaplanmasında My Jump 2 mobil ugulaması kullanılmıştır. Elde edilen veriler incelendiğinde Q açısı, LESS skorları ve VJ yüksekliği arasında pozitif ilişki bulunmamaktadır (p>0,05). Q açısı ile inişte ilk temastaki diz valgusu arasında pozitif ilişki bulunmuştur (r=0,292, p<0,05). Sıçramadan önce diz valgusu ile LESS skorları arasında pozitif ilişki bulunmuştur (r=0,482, p<0,05). Araştırma sonuçlarımız incelendiğinde Q açısı, LESS skorları ve VJ yüksekliği arasında ilişki bulunmamaktadır. Q açısı ile inişte ilk temastaki diz valgusunda pozitif ilişki bulunması Q açısının diz valgusuyla ilişkisinden kaynaklanmaktadır. LESS skoruyla sıçramadan önceki diz valgusu arasında pozitif ilişki bulunmuştur. Bu da Q açısının ön çapraz bağ yaralanma risk göstergesi olan LESS skorları üzerindeki etkisini göstermektedir. Q açısını, azaltmak için yapılacak müdaheleler LESS skorlarını, sıçrama ve iniş mekaniğini etkileyebilir. Anahtar Kelimeler: Q Açısı, LESS, sıçrama, iniş, voleybol.

Anahtar Kelimeler

• Q Açısı
• LESS
• sıçrama
• iniş
• voleybol.

Kaynakça

1. Aquino, M. R., Resende, R. A., Kirkwood, R. N., Souza, T. R., Fonseca, S. T., & Ocarino, J. M. (2022). Spatial-temporal parameters, pelvic and lower limb movements during gait in individuals with reduced passive ankle dorsiflexion. Gait & Posture, 93, 32-38.
2. Organ, D. W. (1988). Organizational citizenship behavior: The good soldier syndrome. Canada: Lexington Books.
3. Bahr, M. A., & Bahr, R. (2014). Jump frequency may contribute to risk of jumper's knee: a study of interindividual and sex differences in a total of 11 943 jumps video recorded during training and matches in young elite volleyball players. British journal of sports medicine, 48(17), 1322-1326.
4. Baik, S. M., Cynn, H. S., & Kim, S. H. (2021). Understanding and exercise of gluteus medius weakness: A systematic review. Physical Therapy Korea, 28(1), 27-35.
5. Barber-Westin, S. D., Smith, S. T., Campbell, T., & Noyes, F. R. (2010). The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. The Journal of Strength & Conditioning Research, 24(11), 3055-3062.
6. Bere, T., Kruczynski, J., Veintimilla, N., Hamu, Y., & Bahr, R. (2015). Injury risk is low among world-class volleyball players: 4-year data from the FIVB Injury Surveillance System. British journal of sports medicine, 49(17), 1132-1137.
7. Bishop, C., Edwards, M., & Turner, A. (2016). Screening movement dysfunctions using the overhead squat. Professional Strength & Conditioning.
8. Bisseling, R. W., Hof, A. L., Bredeweg, S. W., Zwerver, J., & Mulder, T. (2008). Are the take-off and landing phase dynamics of the volleyball spike jump related to patellar tendinopathy?. British journal of sports medicine, 42(6), 483-489.

9. Caia, J., Weiss, L. W., Chiu, L. Z., Schilling, B. K., Paquette, M. R., & Relyea, G. E. (2016). Do lower-body dimensions and body composition explain vertical jump ability?. The Journal of Strength & Conditioning Research, 30(11), 3073-3083.
10. Chester, R., Smith, T. O., Sweeting, D., Dixon, J., Wood, S., & Song, F. (2008). The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 9, 1-14.
11. Clark, M. A., Lucett, S., & Corn, R. J. (2008). NASM essentials of personal fitness training. Lippincott Williams & Wilkins.
12. Contarlı, N., & Özmen, T. (2021). Relationship between Q angle, dynamic balance and vertical jump height in gymnasts. Çanakkale Onsekiz Mart Üniversitesi Spor Bilimleri Dergisi, 4(3), 32-43. Daneshmandi, H., Saki, F.,
13. Shahheidari, S., & Khoori, A. (2011). Lower extremity Malalignment and its linear relation with Q angle in female athletes. Procedia-Social and Behavioral Sciences, 15, 3349-3354.
14. Daugherty, H. J., Weiss, L. W., Paquette, M. R., Powell, D. W., & Allison, L. E. (2021). Potential predictors of vertical jump performance: lower extremity dimensions and alignment, relative body fat, and kinetic variables. The Journal of Strength & Conditioning Research, 35(3), 616-625.
15. Ercan, S. (2021). Kadın Sporcuya Özgü Yaralanmadan Korunma Stratejileri. Sağlık Akademisi Kastamonu, 6(3), 203-213.
16. Gabbett, T. J. (2016). The training—injury prevention paradox: should athletes be training smarter and harder?. British journal of sports medicine, 50(5), 273-280.
17. Giza, E., & Micheli, L. J. (2005). Soccer injuries. Epidemiology of Pediatric Sports Injuries: Team Sports, 49, 140-169.
18. Hanzlíková, I., & Hébert-Losier, K. (2020). Is the Landing Error Scoring System reliable and valid? A systematic review. Sports Health, 12(2), 181-188.
19. Hewett, T. E., & Myer, G. D. (2011). The mechanistic connection between the trunk, hip, knee, and anterior cruciate ligament injury. Exercise and sport sciences reviews, 39(4), 161-166.
20. Hewett, T. E., Myer, G. D., Ford, K. R., Heidt Jr, R. S., Colosimo, A. J., McLean, S. G., ... & Succop, P. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American journal of sports medicine, 33(4), 492-501.
21. Hughes, G., Watkins, J., & Owen, N. (2010). Differences between the sexes in knee kinetics during landing from volleyball block jumps. European Journal of Sport Science, 10(1), 1-11.
22. Jeffries, K. (2011). Effects of Q-Angle and Pelvic tilt on Broad Jump, Vertical Jump and 40 yard dash in NCAA Division I Athletes.
23. Jones, B. R. (2013). The Effect of Q Angle on Vertical Jump in Female Athletes. Unpublished Master’s Thesis. Baltimore, MD: The Goucher College.
24. Markbreiter, J. G., Sagon, B. K., McLeod, T. C. V., & Welch, C. E. (2015). Reliability of clinician scoring of the landing error scoring system to assess jump-landing movement patterns. Journal of sport rehabilitation, 24(2), 214-218.
25. McLean, S. G., Huang, X., Su, A., & Van Den Bogert, A. J. (2004). Sagittal plane biomechanics cannot injure the ACL during sidestep cutting. Clinical biomechanics, 19(8), 828-838.
26. McLean, S. G., Huang, X., & Van Den Bogert, A. J. (2005). Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clinical biomechanics, 20(8), 863-870.
27. Meeuwisse, W. H., Tyreman, H., Hagel, B., & Emery, C. (2007). A dynamic model of etiology in sport injury: the recursive nature of risk and causation. Clinical journal of sport medicine, 17(3), 215-219.
28. Moghadam, H. Z., Hoseini, S. T., Hashemian, A. M., & Sharifi, M. D. (2017). The relation of Q angle and anthropometric measures with ankle sprain; a case-control study. Emergency, 5(1).
29. Nowak, S. C. (2012). The Effect of Gluteus Medius Muscle Activation on Lower Limb Three-Dimensional Kinematics And Kinetics in Male and Female Athletes during three Drop Jump heights. University of Ottawa (Canada).
30. Numata, H., Nakase, J., Kitaoka, K., Shima, Y., Oshima, T., Takata, Y., ... & Tsuchiya, H. (2018). Two-dimensional motion analysis of dynamic knee valgus identifies female high school athletes at risk of non-contact anterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy, 26, 442-447.
31. Padua, D. A., Marshall, S. W., Boling, M. C., Thigpen, C. A., Garrett Jr, W. E., & Beutler, A. I. (2009). The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics: the JUMP-ACL study. The American journal of sports medicine, 37(10), 1996-2002.
32. Padua, D. A., Boling, M. C., DiStefano, L. J., Onate, J. A., Beutler, A. I., & Marshall, S. W. (2011). Reliability of the landing error scoring system-real time, a clinical assessment tool of jump-landing biomechanics. Journal of sport rehabilitation, 20(2), 145-156.
33. Pantano, K. J., White, S. C., Gilchrist, L. A., & Leddy, J. (2005). Differences in peak knee valgus angles between individuals with high and low Q-angles during a single limb squat. Clinical Biomechanics, 20(9), 966-972.
34. Sarto, F., Grigoletto, D., Baggio, E., Paoli, A., & Marcolin, G. (2019). Do lower limb previous injuries affect balance performance? An observational study in volleyball players. Physical therapy in sport, 37, 49-53.
35. Sendur, O. F., Gurer, G., Yildirim, T., Ozturk, E., & Aydeniz, A. (2006). Relationship of Q angle and joint hypermobility and Q angle values in different positions. Clinical rheumatology, 25, 304-308.
36. Skazalski, C., Whiteley, R., & Bahr, R. (2018). High jump demands in professional volleyball—large variability exists between players and player positions. Scandinavian journal of medicine & science in sports, 28(11), 2293-2298.
37. Tillin, N. A., & Bishop, D. (2009). Factors modulating post-activation potentiation and its effect on performance of subsequent explosive activities. Sports medicine, 39, 147-166.
38. Withrow, T. J., Huston, L. J., Wojtys, E. M., & Ashton-Miller, J. A. (2006). The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated jump landing. Clinical biomechanics, 21(9), 977-983.