Skip to main content
Log in

Biomechanics, Load Analysis and Sports Injuries in the Lower Extremities

  • Research Review
  • Published:
Sports Medicine Aims and scope Submit manuscript

Summary

The study of sports injuries has grown with the increase in importance of sport as a leisure-time activity. The origin of many sports injuries is assumed to be mechanical, with the forces and/or stresses acting on one element of the human locomotor system exceeding the critical limits. This article presents some biomechanical considerations on the mechanical aspect of the aetiology, reduction and treatment of sport injuries with special emphasis on the lower extremities.

Forces acting on the locomotor system have a magnitude, a point of application and a direction. Both magnitude and geometry (point of application and direction) are important in load analysis. However, the geometrical aspect of externally acting forces is an extremely important aspect, especially with respect to reduction of load in practical situations. Load analysis is usually performed with force transducers and optical instruments in order to quantify magnitude and geometry. Two possible approaches to load analysis are discussed. One approach works with the critical limits of biomaterials. This approach shows that the local stresses for cartilage, tendon and bone are in the order of 10 to 20% of the critical limit for normal daily activities, such as walking. The second approach deals with strategies to reduce load, assuming that it is usually too high in sports activities. The nature of playing surfaces and shoes are revealed as important possibilities for load reduction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bahlsen, H.A.; Vermeulen, S.; Nigg, B.M. and Luethi, S.M.: Kinetic and kinematic of the effective mass in heel-toe running. Proceedings of the third symposium on locomotion, Canadian Society of Biomechanics: 63–64 (1984).

    Google Scholar 

  • Bates, B.T.; Osternig, L.R. and Mason, B.: Lower extremity function during the support phase of running; in Asmussen and Jorgensen (Eds) Biomechanics VI-A pp. 31–39 (University Park Press, Baltimore, 1978).

    Google Scholar 

  • Baumann, W. and Stucke, H.: Sportspezifische Belastungen aus der Sicht der Biomechanik; in Cotta, Krahl and Steinbrueck (Eds), Die Belastungstoleranz des Bewegungsapparates pp. 55–64 (Thieme, Stuttgart 1980).

    Google Scholar 

  • Biener, K..: Sportmedizin (Habegger Verlag, Solothurn 1982).

    Google Scholar 

  • Bonstingel, R.W.; Morehouse, C.A. and Niebel, B.W.: Torques developed by different types of shoes on various playing surfaces. Medicine and Science in Sports and Exercise 7: 127–131 (1975).

    Google Scholar 

  • Bowers, K.D. and Martin, R.B.: Impact absorption, new and old Astroturf at West Virginia University. Medicine and Science in Sports and Exercise 6: 217–221 (1974).

    Article  Google Scholar 

  • Bowers, K.D. and Martin, R.B. Cleat surface friction on new and old Astroturf. Medicine and Science in Sport and Exercise 7: 132 (1975).

    Google Scholar 

  • Butler, D.L.; Grood, E.S.; Noyes, F.R. and Zernicke, R.F.: Biomechanics of ligaments and tendons; in Hutton (Ed.) Exercise and Sports Medicine Review, Vol. 6, pp. 125–182 (Franklin Institute Press, Washington 1978).

    Google Scholar 

  • Cappozzo, A.: Gait analysis methodology. Human Movement Science 3: 27–50 (1984).

    Article  Google Scholar 

  • Cavagna, G.A. and Margaria, R.: Mechanical work in running. Journal of Applied Physiology 39: 174–179 (1964).

    Google Scholar 

  • Cavanagh, P.R.: The Running Shoe Book (Anderson World Inc., Mountain View 1980).

    Google Scholar 

  • Cavanagh, P.R. and Lafortune, M.A.: Ground reaction forces in distance running. Journal of Biomechanics 13: 397–406 (1980).

    Article  PubMed  CAS  Google Scholar 

  • Cavanagh, P.R.; Hennig, E.M.; Bunch, R.P. and Macmillan, N.H.: A new device for the measurement of pressure distribution inside the shoe; in Matsui and Kobayashi (Eds) Biomechanics VIII-B, pp. 1089–1096, (Human Kinetics Publishers, Illinois 1983).

    Google Scholar 

  • Clarke, T.E.: The pressure distribution under the foot during barefoot walking. Ph.D. Thesis in Biomechanics. Pennsylvania State University (1980).

    Google Scholar 

  • Clarke, T.E.; Frederick, E.C. and Cooper, L.B.: The effects of shoe cushioning upon selected force and temporal parameters in running. Medicine and Science in Sports and Exercise 14: 144 (1982).

    Google Scholar 

  • Clarke, T.E.; Frederick, E.C. and Hamill, C.L.: The effects of shoe design parameters on rearfoot control in running. Medicine and Science in Sports and Exercise 15: 376–381 (1983).

    PubMed  CAS  Google Scholar 

  • Clement, D.B.; Taunton, J.E.; Wiley, J.P.; Smart, G.W. and McNicol, K.L.: Investigation of metabolic efficiency in runners with and without corrective orthotic devices. International Journal of Sport Medicine 2: 14–15 (1982).

    Google Scholar 

  • Crowninshield, R.D.; Brand, R.A.; Johnston, R.C. and Milroy.: The effect of femural stem cross-sectional geometry on cement stresses in total hip reconstruction. Clinical Orthopaedics 146: 71–77 (1980).

    Google Scholar 

  • Crowninshield, R.D. and Brand, R.A.: A physiologically based criterion of muscle force prediction in locomotion. Journal of Biomechanics 14: 793–801 (1981).

    Article  PubMed  CAS  Google Scholar 

  • Denoth, J.: Der Einfluss des Sportplatzbelages auf den menschlichen Bewegungsapparat. Medita 9: 164–167 (1977).

    Google Scholar 

  • Denoth, J.: Ein mechanisches Modell zur Beschreibung von passiven Belastungen; in Nigg and Denoth (Eds) Sportplatzbelaege, pp. 45–48 (Juris Verlag, Zurich 1980).

    Google Scholar 

  • Denoth, J.: Load on the musculo-skeletal system and modelling; in Nigg (Ed.) Biomechanics of Running Shoes, pp. 103–172 (Human Kinetics Publishers, Illinois 1985).

    Google Scholar 

  • Denoth, J. and Nigg, B.M.: The influence of various sport floors on the load on the lower extremities; in Morecki et al. (Eds) Biomechanics VII-B, pp. 100–105 (University Park Press, Baltimore 1981).

    Google Scholar 

  • Denoth, J.; Gruber, K.; Keepler, M. and Ruder, H.: Forces and torques during sport activities with high accelerations; in Perren (Ed.) Biomechanics: Principles and Applications, Vol 2 (Martinus Nijhoff Publishers, The Hague, In press 1985).

    Google Scholar 

  • Falsetti, H.L.; Burke, E.R.; Feld, R.; Frederick, E.C. and Ratering, C.: Hematological variations after endurance running with hard and soft soled running shoes. Physician and Sportsmedicine 11 (8): 118–127 (1983).

    Google Scholar 

  • Fasler, S.: Statistische Unterlagen der Schweizerischen Unfalsversicherungsanstalt zum Skiunfall; in Schwarzenbach (Ed.) Sicherheit und Skifahren (Forum, Davos 1973).

    Google Scholar 

  • Frederick, E.C.; Hagy, J.L. and Mann, R.A.: Prediction of vertical impact force during running. (Abstract.) Journal of Biomechanics 14: 498 (1981).

    Article  Google Scholar 

  • Frederick, E.C.; Clarke, T.E. and Hamill, C.L.: The effect of running shoe design on shock attenuation; in Frederick (Ed.) Sport Shoes and Playing Surfaces, pp. 190–198 (Human Kinetics Publishers, Illinois 1984).

    Google Scholar 

  • Hess, H. and Hort, W.: Erhoehte Verletzungsgefahr beim Leichtathletik-training auf Kunststoffboeden. Sportarzt und Sportmedizin 12: 282–285 (1973).

    Google Scholar 

  • Hort, W.: Ursachen, Klinik, Therapie und Prophylaxe der Schaeden auf Leichtathletik Kunststoffbahnen. Leistungssport 1: 48052 (1976).

    Google Scholar 

  • Krahl, H.: Das elastomechanische Verhalten der Patellarsehne. Sportarzt und Sportmedizin 10: 285–289 (1977).

    Google Scholar 

  • Krahl, H. and Steinbrueck, K.: Traumatologic des Sports; in Cotta et al. (Eds) Die Belastungstoleranz des Bewegungsapparates, pp. 166–174 (Thieme, Stuttgart 1980).

    Google Scholar 

  • Krissoff, W.B. and Ferris, W.D.: Runner’s Injuries. Physician and Sportsmedicine 7 (12): 55–64 (1979).

    Google Scholar 

  • Marcus, B.: The influence of footwear and surfaces on performance and injury potential in running. Ph.D. Thesis, Imperial College, University of London (1983).

    Google Scholar 

  • Misevich, K.W. and Cavanagh, P.R.: Material aspects of modelling shoe/foot interaction; in Frederick (Ed.) Sport Shoes and Playing Surfaces, pp. 47–75 (Human Kinetics Publishers, Illinois 1984).

    Google Scholar 

  • Miura, M.; Miyashita, M.; Matsui, H. and Sodeyama, H.: Photographic method of analysing the pressure distribution of the foot against the ground; in Nelson and Morehouse (Eds) Biomechanics IV, pp. 482–487 (University Park Press, Baltimore 1974).

    Google Scholar 

  • Morrison, J.B.: Bioengineering analysis of force actions transmitted by the knee joint. Biomedical Engineering 4: 164–170 (1969).

    Google Scholar 

  • Morrison, J.B.: The mechanics of the knee joint in relation to normal walking. Journal of Biomechanics 3: 51–61 (1970).

    Article  PubMed  CAS  Google Scholar 

  • Nicol, K. and Hennig, E.M.: Time dependent method for measuring force distribution using a flexible mat as a capacitor; in Komi (Ed.) Biomechanics V-B, pp. 433–440 (University Park Press, Baltimore 1976).

    Google Scholar 

  • Legal, H. and Ruder, H.: Zur biostatischen Analyse des Hueftgelenks. Zeitschrift für Orthopädie und ihre Grenzqebiete 115: 215–234 (1977).

    CAS  Google Scholar 

  • Nigg, B.M.; Neukomm, P.A. and Unold, E.: Biomechanik und Sport. Orthopaede 3: 140–147 (1974).

    Google Scholar 

  • Nigg, B.M.: Sprung-Springen-Spruenge (Juris Verlag, Zurich 1974).

    Google Scholar 

  • Nigg, B.M.; Denoth, J.; Neukomm, P.A. and Segesser, B.: Biomechanische Aspekte zu Sportplatzbelaegen (Juris Verlag, Zurich 1978).

    Google Scholar 

  • Nigg, B.M.; Eberle, G.; Frey, D.; Luethi, S.M.; Segesser, B. and Weber, B.: Gait analysis and sport shoe construction; in Asmussen and Joergensen (Eds) Biomechanics VI/A, pp. 303–309 (University Park Press, Baltimore 1978).

    Google Scholar 

  • Nigg, B.M. and Denoth, J.: Sportplatzbelaege (Juris Verlag, Zurich 1980).

    Google Scholar 

  • Nigg, B.M.; Denoth, J. and Neukomm, P.A.: Quantifying the load on the human body: Problems and some possible solutions; in Morecki et al. (Eds) Biomechanics VII, pp. 88–99 (University Park Press, Baltimore 1981).

    Google Scholar 

  • Nigg, B.M.; Denoth, J. and Unold, E.: Belastung des menschlichen Bewegungsapparates bei ausgewaehlten Bewegungen im Kuflgtturnen. Leistungssport 11: 93–100 (1981).

    Google Scholar 

  • Nigg, B.M.: External force measurements with sports shoes and playing surfaces; in Nigg and Kerr (Eds) Biomechanical aspects of sports shoes and playing surfaces, pp. 11–23 (University Printing, Calgary 1983).

    Google Scholar 

  • Nigg, B.M.; Denoth, J.; Kerr, B.A.; Luethi, S.M.; Smith, D. and Stacoff, A.: Load, sport shoes and playing surfaces; in Frederick (Ed.) Sport Shoes and Playing Surfaces, pp. 1–23 (Human Kinetics Publishers, Illinois 1984).

    Google Scholar 

  • Nigg, B.M.: Biomechanics of Running Shoes (Human Kinetics Publishers, Illinois 1985).

    Google Scholar 

  • Paul, J.P.: Bioengineering studies of the forces transmitted by joints; in Kennedy (Ed.) Engineering analysis, Biomechanics and related bioengineering topics, pp. 369–380 (Pergamon Press, Oxford 1965).

    Google Scholar 

  • Paul, J.P.: Forces transmitted by joints in the human body. Proceedings of the Institute of Mechanical Engineers 181 (3J), 8. Presented at the Institute of Mechanical Engineering Symposium in lubrication and wear and artificial human joints. Paper 8, London (1967).

  • Pauwels, F.: Biomechanics of the locomotor apparatus (Springer Heidelberg 1980).

    Book  Google Scholar 

  • Procter, P.: Ankle joint biomechanics. Ph.D. Thesis, University of Strathclyde (1980).

    Google Scholar 

  • Procter, P.; Berme, N. and Paul, J.P. Ankle joint biomechanics; in Morecki et al. (Eds) Biomechanics VII-A, pp. 52–56 (University Park Press, Baltimore 1981).

    Google Scholar 

  • Radin, E.L.; Orr, R.B.; Kelman, J.L.; Paul, I.L. and Rose, R.M.: Effect of prolonged walking on concrete on the knees of sheep. Journal of Biomechanics 15: 487–492 (1982).

    Article  PubMed  CAS  Google Scholar 

  • Roesler, H.: Biomechanische Abschaetzung der Belastung von Achillessehnen bei Spruengen; in Cotta et al. (Eds) Die Belastungstoleranz des Bewegungsapparates, pp. 72–80 (Thieme, Stuttgart 1980).

    Google Scholar 

  • Segesser, B.: Sportschaeden durch ungeeignete Boeden in Sportanlagen (Arztdienst, ETS Magglingen 1970).

    Google Scholar 

  • Segesser, B.; Nigg, B.M. and Denoth, J.: Orthopaedisch-medizinische Ueberlegungen zum menschlichen Bewegungsapparat. Groessenordnung der Belastbarkeit; in Nigg and Denoth (Eds) Sportplatzbelaege, pp. 79–97 (Juris, Zurich 1980).

    Google Scholar 

  • Seireg, A. and Arvikar, R.J.: The prediction of muscular load sharing and joint forces in the lower extremities during walking. Journal of Biomechanics 8: 89–102 (1975).

    Article  PubMed  CAS  Google Scholar 

  • Shrive, N.G.; O’Connor, J.J. and Goodfellow, J.W.: Load-bearing in the kneejoint. Clinical Orthopaedics 131: 279–287 (1978).

    Google Scholar 

  • Stacoff, A. and Kaelin, X.: Pronation and sportshoe design; in Nigg and Kerr (Eds) Biomechanical Aspects of Sport Shoes and Playing Surfaces, pp. 143–151 (University Printing, Calgary 1983).

    Google Scholar 

  • Tiegermann, V.: Reaction forces and EMG activity in fast sideward movements; in Nigg and Kerr (Eds) Biomechanical Aspect of Sport Shoes and Playing Surfaces, pp. 83–90 (University Printing, Calgary 1983).

    Google Scholar 

  • Yamada, H.: Strength of Biological Materials; in Evans (Ed.), (Williams and Wilkins, Baltimore 1970).

  • Yamada, H.: Strength of Biological Materials (Krieger, New York 1973).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nigg, B.M. Biomechanics, Load Analysis and Sports Injuries in the Lower Extremities. Sports Medicine 2, 367–379 (1985). https://doi.org/10.2165/00007256-198502050-00005

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00007256-198502050-00005

Keywords

Navigation