Context: Altered neuromuscular control strategies during fatigue probably contribute to the increased incidence of noncontact anterior cruciate ligament injuries in female athletes.Objective: To determine biomechanical differences between 2 fatigue protocols (slow linear oxidative fatigue protocol [SLO-FP] and functional agility short-term fatigue protocol [FAST-FP]) when performing a running-stop-jump task. Design: Controlled laboratory study. Setting: Laboratory.
Patients or Other Participants:A convenience sample of 15 female soccer players (age = 19.2 ± 0.8 years, height = 1.67 ± 0.05 m, mass = 61.7 ± 8.1 kg) without injury participated.
Intervention(s):Five successful trials of a running-stopjump task were obtained prefatigue and postfatigue during the 2 protocols. For the SLO-FP, a peak oxygen consumption (V02peak) test was conducted before the fatigue protocol. Five minutes after the conclusion of the V02peak test, participants started the fatigue protocol by performing a 30-minute interval run. The FAST-FP consisted of 4 sets of a functional circuit. Repeated 2 (fatigue protocol) x 2 (time) analyses of variance were conducted to assess differences between the 2 protocols and time (prefatigue, postfatigue Conclusions: bur results demonstrated a more erect landing posture due to a decrease in hip and knee flexion angles in the postfatigue condition. The changes were similar between protocols; however, the FAST-FP was a clinically applicable 5-minute protocol, whereas the SLO-FP lasted approximately 45 minutes.Key Words: anterior cruciate ligament, hip, knee, biomechanics Key Points• Both the slow linear oxidative fatigue protocol (SLO-FP) and the functional agility short-term fatigue protocol (FAST-FP) demonstrated that the lower extremity is at a higher risk for sustaining injury when fatigue and unanticipated movement are combined.• Similar lower extremity biomechanical modifications occurred after 5 minutes of fatigue during the FAST-FP and after 45 minutes of fatigue during the SLO-FP.• Fatigue-induced decreases in hip and knee flexion resulted in a more extended landing posture, which can increase anterior tibial translation and thus increase strain on the anterior cruciate ligament.