Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements
Background: Knee-related injuries often result from poor movement patterns that destabilize the joint and increase stress on knee structures. Understanding the influence of foot positioning on knee biomechanics is critical for identifying high-risk movement patterns and preventing injuries. Methods:...
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MDPI AG
2024-12-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/14/23/11295 |
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| author | Xiuye Qu Datao Xu Xiaowei Yang Ukadike Chris Ugbolue Huiyu Zhou Yaodong Gu |
| author_facet | Xiuye Qu Datao Xu Xiaowei Yang Ukadike Chris Ugbolue Huiyu Zhou Yaodong Gu |
| author_sort | Xiuye Qu |
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| description | Background: Knee-related injuries often result from poor movement patterns that destabilize the joint and increase stress on knee structures. Understanding the influence of foot positioning on knee biomechanics is critical for identifying high-risk movement patterns and preventing injuries. Methods: Twenty healthy male participants performed side-cutting movements at three different foot progression angles. One participant’s data were used to develop and validate a knee finite element model with high-speed dual fluoroscopic imaging (DFIS). Combined with a musculoskeletal analysis, the model simulated internal knee loads under various foot-positioning conditions. Results: The analysis revealed that, as the external foot progression angle increased, the ankle plantarflexion decreased, while the ankle internal rotation and knee valgus moments increased. Higher stress concentrations were observed on the ACL, lateral meniscus, lateral tibial cartilage, and medial collateral ligament, particularly at the femoral–tibial ACL attachments. Conclusion: The findings suggest that a toe-out foot position elevates the risk of knee injuries by increasing stress on key structures, whereas a toe-in position may enhance joint stability, reduce the ACL injury risk, and promote favorable muscle activation patterns. |
| format | Article |
| id | doaj-art-179deffe48484082bc4a436e2c74f69a |
| institution | DOAJ |
| issn | 2076-3417 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj-art-179deffe48484082bc4a436e2c74f69a2025-08-20T02:50:13ZengMDPI AGApplied Sciences2076-34172024-12-0114231129510.3390/app142311295Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting MovementsXiuye Qu0Datao Xu1Xiaowei Yang2Ukadike Chris Ugbolue3Huiyu Zhou4Yaodong Gu5Faculty of Sports Science, Ningbo University, Ningbo 315211, ChinaFaculty of Sports Science, Ningbo University, Ningbo 315211, ChinaFaculty of Sports Science, Ningbo University, Ningbo 315211, ChinaFaculty of Sports Science, Ningbo University, Ningbo 315211, ChinaFaculty of Sports Science, Ningbo University, Ningbo 315211, ChinaFaculty of Sports Science, Ningbo University, Ningbo 315211, ChinaBackground: Knee-related injuries often result from poor movement patterns that destabilize the joint and increase stress on knee structures. Understanding the influence of foot positioning on knee biomechanics is critical for identifying high-risk movement patterns and preventing injuries. Methods: Twenty healthy male participants performed side-cutting movements at three different foot progression angles. One participant’s data were used to develop and validate a knee finite element model with high-speed dual fluoroscopic imaging (DFIS). Combined with a musculoskeletal analysis, the model simulated internal knee loads under various foot-positioning conditions. Results: The analysis revealed that, as the external foot progression angle increased, the ankle plantarflexion decreased, while the ankle internal rotation and knee valgus moments increased. Higher stress concentrations were observed on the ACL, lateral meniscus, lateral tibial cartilage, and medial collateral ligament, particularly at the femoral–tibial ACL attachments. Conclusion: The findings suggest that a toe-out foot position elevates the risk of knee injuries by increasing stress on key structures, whereas a toe-in position may enhance joint stability, reduce the ACL injury risk, and promote favorable muscle activation patterns.https://www.mdpi.com/2076-3417/14/23/11295foot progression anglesfinite element analysisnon-contact ACL injuriesmechanical stress distributionjoint kinematicscutting maneuver biomechanics |
| spellingShingle | Xiuye Qu Datao Xu Xiaowei Yang Ukadike Chris Ugbolue Huiyu Zhou Yaodong Gu Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements Applied Sciences foot progression angles finite element analysis non-contact ACL injuries mechanical stress distribution joint kinematics cutting maneuver biomechanics |
| title | Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements |
| title_full | Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements |
| title_fullStr | Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements |
| title_full_unstemmed | Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements |
| title_short | Exploring the Relationship Between Foot Position and Reduced Risk of Knee-Related Injuries in Side-Cutting Movements |
| title_sort | exploring the relationship between foot position and reduced risk of knee related injuries in side cutting movements |
| topic | foot progression angles finite element analysis non-contact ACL injuries mechanical stress distribution joint kinematics cutting maneuver biomechanics |
| url | https://www.mdpi.com/2076-3417/14/23/11295 |
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