Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes

(1) Background: Dynamic knee valgus (DKV) is a common biomechanical risk factor for knee injuries, particularly in sports involving high-intensity movements, such as basketball. While neuromuscular control and structural alignment contribute to DKV, recent evidence indicates that lower limb muscle p...

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Main Authors: Aleksandar Stojiljkovic, Eleni Karagianni, Varsamo Antoniou, Garyfallia Pepera
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/9/4881
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author Aleksandar Stojiljkovic
Eleni Karagianni
Varsamo Antoniou
Garyfallia Pepera
author_facet Aleksandar Stojiljkovic
Eleni Karagianni
Varsamo Antoniou
Garyfallia Pepera
author_sort Aleksandar Stojiljkovic
collection DOAJ
description (1) Background: Dynamic knee valgus (DKV) is a common biomechanical risk factor for knee injuries, particularly in sports involving high-intensity movements, such as basketball. While neuromuscular control and structural alignment contribute to DKV, recent evidence indicates that lower limb muscle power (LLMP) and cardiorespiratory fitness (CRF) may significantly influence DKV. This study aims to examine the relationship among LLMP, CRF, and DKV in adolescent basketball athletes. (2) Methods: A total of 104 adolescent basketball athletes (63.5% boys), 12 to 17 years old (13.87 ± 1.46 years) participated in this study. Anthropometric and demographic characteristics such as sex, age, height, weight, and body mass index (BMI) were recorded. The Counter Movement Jump (CMJ) was used for the evaluation and prediction of the LLMP, the 20 m shuttle run test (20mSRT) was used for the evaluation and prediction of CRF, and the single-leg drop jump (SLDJ) was used for the evaluation of DKV via a two-dimensional (2D) kinematic analysis. Statistical analysis included Pearson and Spearman correlations, as well as multiple linear regression, to determine the relationship among LLMP, CRF, and DKV. (3) Results: A statistical analysis revealed strong correlations among LLMP, CRF, and DKV. Pearson’s correlation coefficients demonstrated significant associations between the VO<sub>2</sub>max and frontal plane projection angle (FPPA) (r = 0.78, <i>p</i> < 0.001), as well as between LLMP and FPPA (r = 0.82, <i>p</i> < 0.001). Multiple linear regression analysis showed that VO<sub>2</sub>max and LLMP together accounted for 85% of the variance in FPPA (R<sup>2</sup> = 0.85, <i>p</i> < 0.001). (4) Conclusions: The findings highlight that both aerobic capacity and lower limb muscle power significantly contribute to knee valgus control among adolescent basketball players. Implementing training programs focused on improving lower limb muscle power and cardiorespiratory fitness may enhance knee stability and reduce the risk of lower limb injuries. Given the strong predictive value of VO<sub>2</sub>max and LLMP for knee control, targeted training programs focusing on neuromuscular conditioning and aerobic capacity may be effective for injury prevention.
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spelling doaj-art-5ef4d2ffe2e240edba4c1b744ed04ef72025-08-20T03:52:57ZengMDPI AGApplied Sciences2076-34172025-04-01159488110.3390/app15094881Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball AthletesAleksandar Stojiljkovic0Eleni Karagianni1Varsamo Antoniou2Garyfallia Pepera3Clinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, 35132 Lamia, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, 35132 Lamia, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, 35132 Lamia, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, 35132 Lamia, Greece(1) Background: Dynamic knee valgus (DKV) is a common biomechanical risk factor for knee injuries, particularly in sports involving high-intensity movements, such as basketball. While neuromuscular control and structural alignment contribute to DKV, recent evidence indicates that lower limb muscle power (LLMP) and cardiorespiratory fitness (CRF) may significantly influence DKV. This study aims to examine the relationship among LLMP, CRF, and DKV in adolescent basketball athletes. (2) Methods: A total of 104 adolescent basketball athletes (63.5% boys), 12 to 17 years old (13.87 ± 1.46 years) participated in this study. Anthropometric and demographic characteristics such as sex, age, height, weight, and body mass index (BMI) were recorded. The Counter Movement Jump (CMJ) was used for the evaluation and prediction of the LLMP, the 20 m shuttle run test (20mSRT) was used for the evaluation and prediction of CRF, and the single-leg drop jump (SLDJ) was used for the evaluation of DKV via a two-dimensional (2D) kinematic analysis. Statistical analysis included Pearson and Spearman correlations, as well as multiple linear regression, to determine the relationship among LLMP, CRF, and DKV. (3) Results: A statistical analysis revealed strong correlations among LLMP, CRF, and DKV. Pearson’s correlation coefficients demonstrated significant associations between the VO<sub>2</sub>max and frontal plane projection angle (FPPA) (r = 0.78, <i>p</i> < 0.001), as well as between LLMP and FPPA (r = 0.82, <i>p</i> < 0.001). Multiple linear regression analysis showed that VO<sub>2</sub>max and LLMP together accounted for 85% of the variance in FPPA (R<sup>2</sup> = 0.85, <i>p</i> < 0.001). (4) Conclusions: The findings highlight that both aerobic capacity and lower limb muscle power significantly contribute to knee valgus control among adolescent basketball players. Implementing training programs focused on improving lower limb muscle power and cardiorespiratory fitness may enhance knee stability and reduce the risk of lower limb injuries. Given the strong predictive value of VO<sub>2</sub>max and LLMP for knee control, targeted training programs focusing on neuromuscular conditioning and aerobic capacity may be effective for injury prevention.https://www.mdpi.com/2076-3417/15/9/4881frontal plane projection anglemuscle powercardiorespiratory fitnessphysical attributessports-specific testingyoung athletes
spellingShingle Aleksandar Stojiljkovic
Eleni Karagianni
Varsamo Antoniou
Garyfallia Pepera
Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
Applied Sciences
frontal plane projection angle
muscle power
cardiorespiratory fitness
physical attributes
sports-specific testing
young athletes
title Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
title_full Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
title_fullStr Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
title_full_unstemmed Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
title_short Relationship Between Physical Fitness Attributes and Dynamic Knee Valgus in Adolescent Basketball Athletes
title_sort relationship between physical fitness attributes and dynamic knee valgus in adolescent basketball athletes
topic frontal plane projection angle
muscle power
cardiorespiratory fitness
physical attributes
sports-specific testing
young athletes
url https://www.mdpi.com/2076-3417/15/9/4881
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AT varsamoantoniou relationshipbetweenphysicalfitnessattributesanddynamickneevalgusinadolescentbasketballathletes
AT garyfalliapepera relationshipbetweenphysicalfitnessattributesanddynamickneevalgusinadolescentbasketballathletes