Outline 1. Injuries of lower extremity in tennis Injuries of lower extremity in tennis player 2. Biomechanics of movement in tennis 3. Biomechanics of shoes and surface 4. Summary Reporter: Chin-Dai Wu Adviser : Hung-Ta Chiu Injuries of lower extremity in tennis In most cases, injuries to the lower extremities are surface related: 1. 21% of tennis injuries requiring medical treatment were due to uncontrolled slipping (Biener & Caluori, 1977) . 2. Fifteen top-ranked tennis players had more back and lower extremities injuries when playing on hard court than when playing on clay (Von Salis-Soglio, 1979). 3. Lower extremity injuries on hard court were twice as frequent as either upper extremity or central body injuries during the US National Boy’s Tennis Championship from 1986~1988 (Hutchinson et al., 1995). 5. Future Injuries of lower extremity in tennis Carrying out three electronic databases (Pubmed, Embase & CINAHL) from 1966 to 2005 on to identify relevant article relating to tennis injuries. Finding about lower extremities : 1. Most injuries occur in the lower extremities, followed by the upper extremities and than the trunk. * tendon injuries, plantar facia tears, muscles tears, stress fractures, and intra-articular knee injury. 2. Most acute injuries occurred in the lower extremities Plum, Staal, Windler & Jayanthi, 2006 Biomechanics of movement in tennis Injuries of lower extremity in tennis Lower extremity injuries are twice as common as those to the upper extremity or spine, with ankle injury being the most common (Joseph and Mark, 1998). Recording USA National Boy’s tennis Championships from 1986-1992, the analysis of injuries showed a higher rate of lower than upper extremity injuries (Mark et al., 1995). Injuries types: strains and sprains were most common (71% of all injuries). The lower extremity injuries provided the majority of sprain type injuries (87.5%) , ligament sprains coming from the knee and ankle. Sprinting, stopping and cutting Upon striking the ground, the motions specific to FOOT & ANKLE. foot is in a supinated position. Upon landing, the foot immediately pronates or flattens. The foot and ankle re-supinate prior to pushing off the ground. As failure to re-supinate prior to pushing off the court surface can lead to injury and non右腳 efficient propulsion. Paul & Todd,2001 Biomechanics of shoes and surface 1 To analyzed the behavior of frictional forces and torques produced during an open stance forehand. Method: 1.12 tennis player. 2. Four playing surface : Three layers: polyurethane with EDPM sandwiched between textile) (1) 、(2): (1) Tennis Fluid Texilast (smaller than .5mm) (2) Chevron 400 Fluid (12 mm). (3) Master Turf 20 SF (fill with sand). (4) Mondo Sportflex (5-mm rubber and 50 Shore-A). Van and Deporte, 1992 Biomechanics of shoes and surface 3.Three types of tennis shoes: (1) Nike Royal : PU outsole; air wedge cushioned rear foot. (2) Wimbledon GTS : rubber outsole, pillar cushioning. (3) Nike All Court: low cost all-surface shoe. 4. Open stance forehand. 5. For evaluation of friction generated by the same shoe/surface combinations in controlled laboratory conditions. Van and Deporte, 1992 1 Biomechanics of shoes and surface 1 Biomechanics of shoes and surface 1 Laboratory condition: Human condition: 1. Frictional torque is not significantly affected by shoes different, 1. Frictional force and torque display no significantly on different shoes. may be limited shoes sample. 2. Upon turning the foot, shoes also produce the largest variations on frictional force , may easily exceed 300N. 2. Nike All Court shoe displays the highest frictional force scores for all playing surface, except for the turf. 3. Turf may produced unexpected low friction force for shoes with cushioning ,PU and rubber of outsole. 3. Sportflex: Highest frictional torques; lowest frictional force. 4. Surfaces of friction: Sportflex <Fluid < sand with turf. 4. For the playing surface, Al l court shoe have significant different in frictional force and torque, and displays highest friction force and torque on the Sportflex. 5. Lowest friction force : Texilast Fluid<turf. Van and Deporte, 1992 Van and Deporte, 1992 Biomechanics of shoes and surface 1 Biomechanics of shoes and surface Surfaces of the fluid type mostly display the lowest friction Six female tennis player. and likely to induce less frictional overload. Wearing same tennis shoe (Adidas Big Court ). Three tennis surfaces: Real forehand and laboratory reveal different condition. 1. Sportflex <Fluid < sand with turf. 2. Texilast Fluid<turf<Sportflex. 1. Sand-filled artificial turf: high cushioning . 2. Cushioned acrylic hard-court (12-mm thickness): moderate cushioning. 3. Carpet (6-mm thickness): low cushioning. 4. Baseline : zero cushioning. Van and Deporte, 1992 Stiles & Dixon, 2006 2 Biomechanics of shoes and surface 2 Biomechanics of shoes and surface 3 Ten females tennis players Baseline compare with other surfaces : Four surface condition: 1. Low impact force (p<.005). 2. High braking force (p<.006). 1.Top layer: Acrylic multi-sport surface 3. Low average rate of loading (.039). 2. second layer: three different cushions pads: 4. Low Impact peak force for the resultant ground reaction force (.006). (1) Rubber tiles. (2) Thin foam (13mm). 5. High peak friction coefficient (.005). A lower peak vertical impact force for the baseline surface was unexpected. More dynamic skill used in stiff surface, that resulted in overcompensation. (3) Thick foam (45mm). 3. Forehand posture 4. shoes: (1) non-laced basic shoes. (2) Canvas upper. Stiles & Dixon, 2006 (3) Vulcanized rubber sole. Biomechanics of shoes and surface 3 ↑ Peak and average rates of loading were significantly lower, because of lower peak impact force were later . Stiles & Dixon, 2007 Biomechanics of shoes and surface Increasing deformation of foam reduces peak pressure, so that reducing the injuries risk. ↓ Stiles & Dixon, 2007 Stiles & Dixon, 2007 3 Biomechanics of shoes and surface 3 Biomechanics of shoes and surface 3 Small initial foot angle can adjust with changes in different cushioning, specially in stiff surface Stiles & Dixon, 2007 Stiles & Dixon, 2007 summary The surface with amount of cushioning would be greater, when we doing the sport specific movement and taskorientate, because of these types movement restrict on inherent impact-moderating adjustment. Increasing surface cushioning yielded significantly lower force and pressure loading rate, horizontal force, and peak heel pressures, these factors thought to be beneficial in lower risk and reducing the injuries. Picking good cushioning of surface and shoes can prevention the lower extremity injuries. Selecting the shoes has good cushioning when playing stiffer surface. Improving muscle strength ability have benefit in performance. Future Purpose: Comparing kinematics and dynamics parameter when we perform the forehand and backhand movement, more understanding about the lower extremity in tennis movement. Method: 1. Tennis player 2. The ball speed is controlled. 3. Motion 4. Force plate 5. EMG Thank you very much
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