Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2013

01.12.2013 | Knee

Effects of the use of oral contraceptives on hip and knee kinematics in healthy women during anterior stair descent

verfasst von: Daniel Ferreira Moreira Lobato, Rodrigo de Marche Baldon, Paloma Yan Lam Wun, Paulo Roberto Pereira Santiago, Fábio Viadanna Serrão

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Our aim was to evaluate the effects of the use of oral contraceptives (OC) on the hip and knee kinematics of healthy women during anterior stair descent.

Methods

Forty volunteers aged from 18 to 26 years were divided into two groups: 1—Group of women who had used OC for at least 3 months prior to evaluation (n = 20) and 2—Group of women who did not use OC (n = 20). The knee flexion/extension and abduction/adduction, hip flexion/extension, abduction/adduction and medial/lateral rotation excursions (degrees) were calculated for the dominant (supporting) limb during anterior stair descent. T tests for independent samples were used to compare the kinematic differences between the groups (α = 0.05).

Results

No significant difference was verified between the groups regarding the maximum excursion of knee flexion (n.s.) and abduction (n.s.) or hip flexion (n.s.), adduction (n.s.) and medial rotation (n.s.). When considering the knee flexion at 50°, no significant difference was verified between the groups regarding the excursion of knee abduction (n.s.) or hip flexion (n.s.) adduction (n.s.) and medial/lateral rotation (n.s.).

Conclusion

These results suggest that the use of OC does not influence the hip and knee kinematics during anterior stair descent. Therefore, the role of this medication as a protective factor against anterior cruciate ligament injuries remains questionable.

Level of evidence

III.
Literatur
1.
Zurück zum Zitat Abdel-Aziz YL, Kahara HM (1971) Direct linear transformation from comparator coordinates into object-space coordinates. Symposium on close-range photogrammetry. Falls Church, Va: American Society of Photogrammetry, pp 1–18 Abdel-Aziz YL, Kahara HM (1971) Direct linear transformation from comparator coordinates into object-space coordinates. Symposium on close-range photogrammetry. Falls Church, Va: American Society of Photogrammetry, pp 1–18
2.
Zurück zum Zitat Adachi N, Nawata K, Maeta M, Kurozawa Y (2008) Relationship of the menstrual cycle phase to anterior cruciate ligament injuries in teenaged female athletes. Arch Orthop Trauma Surg 128:473–478PubMedCrossRef Adachi N, Nawata K, Maeta M, Kurozawa Y (2008) Relationship of the menstrual cycle phase to anterior cruciate ligament injuries in teenaged female athletes. Arch Orthop Trauma Surg 128:473–478PubMedCrossRef
3.
Zurück zum Zitat Agel J, Bershadsky B, Arendt EA (2006) Hormonal therapy: ACL and ankle injury. Med Sci Sports Exerc 38(1):7–12PubMedCrossRef Agel J, Bershadsky B, Arendt EA (2006) Hormonal therapy: ACL and ankle injury. Med Sci Sports Exerc 38(1):7–12PubMedCrossRef
4.
Zurück zum Zitat Arendt EA, Bershadsky B, Agel J (2002) Periodicity of noncontact anterior cruciate ligament injuries during menstrual cycle. J Gend Specif Med 5(2):19–26PubMed Arendt EA, Bershadsky B, Agel J (2002) Periodicity of noncontact anterior cruciate ligament injuries during menstrual cycle. J Gend Specif Med 5(2):19–26PubMed
5.
Zurück zum Zitat Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23:694–701PubMedCrossRef Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23:694–701PubMedCrossRef
6.
Zurück zum Zitat Baldon Rde M, Lobato DFM, Carvalho LP, Santiago PRP, Benze BG, Serrão FV (2011) Relationship between eccentric hip torque and lower-limb kinematics: Gender differences. J Appl Biomech 27(3):223–232 Baldon Rde M, Lobato DFM, Carvalho LP, Santiago PRP, Benze BG, Serrão FV (2011) Relationship between eccentric hip torque and lower-limb kinematics: Gender differences. J Appl Biomech 27(3):223–232
7.
Zurück zum Zitat Bell DR, Blackburn JT, Ondrak KS, Hackney AC, Hudson JD, Norcross MA, Padua DA (2011) The effects of oral contraceptive use on muscle stiffness across the menstrual cycle. Clin J Sport Med 21(6):467–473PubMedCrossRef Bell DR, Blackburn JT, Ondrak KS, Hackney AC, Hudson JD, Norcross MA, Padua DA (2011) The effects of oral contraceptive use on muscle stiffness across the menstrual cycle. Clin J Sport Med 21(6):467–473PubMedCrossRef
8.
Zurück zum Zitat Bolgla LA, Malone TR, Umberger BR, Uhl TL (2008) Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 38:12–18PubMedCrossRef Bolgla LA, Malone TR, Umberger BR, Uhl TL (2008) Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 38:12–18PubMedCrossRef
9.
Zurück zum Zitat Cammarata ML, Dhaher YY (2008) The differential effects of gender, anthropometry, and prior hormonal state on frontal plane knee joint stiffness. Clin Biomech (Bristol, Avon) 23(7):937–945CrossRef Cammarata ML, Dhaher YY (2008) The differential effects of gender, anthropometry, and prior hormonal state on frontal plane knee joint stiffness. Clin Biomech (Bristol, Avon) 23(7):937–945CrossRef
10.
Zurück zum Zitat Cesar GM, Pereira VS, Santiago PRP, Benze BG, Lobo da Costa PH, Amorim CF et al (2011) Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle. Knee 18(4):224–230PubMedCrossRef Cesar GM, Pereira VS, Santiago PRP, Benze BG, Lobo da Costa PH, Amorim CF et al (2011) Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle. Knee 18(4):224–230PubMedCrossRef
11.
Zurück zum Zitat Chaudhari AMW, Lindenfeld TN, Andriacchi TP, Hewett TE, Riccobene J, Myer GD et al (2007) Knee and hip loadings patterns at different phases in the menstrual cycle: implications for the gender difference in anterior cruciate ligament injury rates. Am J Sports Med 35(5):793–800PubMedCrossRef Chaudhari AMW, Lindenfeld TN, Andriacchi TP, Hewett TE, Riccobene J, Myer GD et al (2007) Knee and hip loadings patterns at different phases in the menstrual cycle: implications for the gender difference in anterior cruciate ligament injury rates. Am J Sports Med 35(5):793–800PubMedCrossRef
12.
Zurück zum Zitat Earl JE, Monteiro SK, Snyder KR (2007) Differences in lower extremity kinematics between a bilateral drop-vertical jump and a single-leg step-down. J Orthop Sports Phys Ther 37(5):245–252PubMedCrossRef Earl JE, Monteiro SK, Snyder KR (2007) Differences in lower extremity kinematics between a bilateral drop-vertical jump and a single-leg step-down. J Orthop Sports Phys Ther 37(5):245–252PubMedCrossRef
13.
Zurück zum Zitat Ehara Y, Fujimoto H, Miyazaki S, Mochimaru M, Tanaka S, Yamamoto S (1997) Comparison of the performance of 3D camera systems II. Gait Posture 5:251–255CrossRef Ehara Y, Fujimoto H, Miyazaki S, Mochimaru M, Tanaka S, Yamamoto S (1997) Comparison of the performance of 3D camera systems II. Gait Posture 5:251–255CrossRef
14.
Zurück zum Zitat Ferber R, Davis IM, Williams DS (2003) Gender differences in lower extremity mechanics during running. Clin Biomech 18(4):350–357CrossRef Ferber R, Davis IM, Williams DS (2003) Gender differences in lower extremity mechanics during running. Clin Biomech 18(4):350–357CrossRef
15.
Zurück zum Zitat Figueroa PJ, Leite NJ, Barros RM (2003) A flexible software for tracking of markers used in human motion analysis. Comput Methods Programs Biomed 72(2):155–165PubMedCrossRef Figueroa PJ, Leite NJ, Barros RM (2003) A flexible software for tracking of markers used in human motion analysis. Comput Methods Programs Biomed 72(2):155–165PubMedCrossRef
16.
Zurück zum Zitat Grenholm A, Stensdotter AK, Hager-Ross C (2009) Kinematic analyses during stair descent in young women with patellofemoral pain. Clin Biomech 24:88–94CrossRef Grenholm A, Stensdotter AK, Hager-Ross C (2009) Kinematic analyses during stair descent in young women with patellofemoral pain. Clin Biomech 24:88–94CrossRef
17.
Zurück zum Zitat Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Engin 105:136–144CrossRef Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Engin 105:136–144CrossRef
18.
Zurück zum Zitat Hama H, Yamamuro T, Takeda T (1976) Experimental studies on connective tissue of the capsular ligament. Influences of aging and sex hormones. Acta Orthop Scand 47:473–479PubMedCrossRef Hama H, Yamamuro T, Takeda T (1976) Experimental studies on connective tissue of the capsular ligament. Influences of aging and sex hormones. Acta Orthop Scand 47:473–479PubMedCrossRef
19.
Zurück zum Zitat Heinert BL, Kernozek TW, Greany JF, Fater DCJ (2008) Hip abductor weakness and lower extremity kinematics during running. J Sport Rehabil 7(3):243–256 Heinert BL, Kernozek TW, Greany JF, Fater DCJ (2008) Hip abductor weakness and lower extremity kinematics during running. J Sport Rehabil 7(3):243–256
20.
Zurück zum Zitat Herrington L, Munro A (2010) Drop jump landing knee valgus angle; normative data in a physically active population. Phys Ther Sport 11(2):56–59PubMedCrossRef Herrington L, Munro A (2010) Drop jump landing knee valgus angle; normative data in a physically active population. Phys Ther Sport 11(2):56–59PubMedCrossRef
21.
Zurück zum Zitat Hollman JH, Ginos BE, Kozuchowski J, Vaughn AS, Krause DA, Youdas JW (2009) Relationships between knee valgus, hip-muscle strength, and hip-muscle recruitment during single-limb step-down. J Sport Rehab 18:104–117 Hollman JH, Ginos BE, Kozuchowski J, Vaughn AS, Krause DA, Youdas JW (2009) Relationships between knee valgus, hip-muscle strength, and hip-muscle recruitment during single-limb step-down. J Sport Rehab 18:104–117
22.
Zurück zum Zitat Liu SH, Al-Shaikh R, Panossian V, Yang RS, Nelson SD, Soleiman N et al (1996) Primary immunolocalization of estrogen and progesterone target cell in the human anterior cruciate ligament. J Orthop Res 14:526–533PubMedCrossRef Liu SH, Al-Shaikh R, Panossian V, Yang RS, Nelson SD, Soleiman N et al (1996) Primary immunolocalization of estrogen and progesterone target cell in the human anterior cruciate ligament. J Orthop Res 14:526–533PubMedCrossRef
23.
Zurück zum Zitat Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935PubMedCrossRef Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935PubMedCrossRef
24.
Zurück zum Zitat Martineau PA, Al-Jassir F, Lenczner E, Burman ML (2004) Effect of the oral contraceptive pill on ligamentous laxity. Clin J Sports Med 14(5):281–286CrossRef Martineau PA, Al-Jassir F, Lenczner E, Burman ML (2004) Effect of the oral contraceptive pill on ligamentous laxity. Clin J Sports Med 14(5):281–286CrossRef
25.
Zurück zum Zitat Moller-Nielsen J, Hammar M (1989) Women’s soccer injuries in relation to the menstrual cycle and oral contraceptive use. Med Sci Sports Exerc 21:126–129PubMed Moller-Nielsen J, Hammar M (1989) Women’s soccer injuries in relation to the menstrual cycle and oral contraceptive use. Med Sci Sports Exerc 21:126–129PubMed
26.
Zurück zum Zitat Park SK, Stefanyshyn DJ, Loitz-Ramage B, Hart DA, Ronsky JL (2009) Changing hormone levels during the menstrual cycle affect knee laxity and stiffness in healthy female subjects. Am J Sports Med 37:588–598PubMedCrossRef Park SK, Stefanyshyn DJ, Loitz-Ramage B, Hart DA, Ronsky JL (2009) Changing hormone levels during the menstrual cycle affect knee laxity and stiffness in healthy female subjects. Am J Sports Med 37:588–598PubMedCrossRef
27.
Zurück zum Zitat Park SK, Stefanyshyn DJ, Ramage B, Hart DA, Ronsky JL (2009) Alterations in knee joint laxity during the menstrual cycle in healthy women leads to increases in joint loads during selected athletic movements. Am J Sports Med 37:1169–1177PubMedCrossRef Park SK, Stefanyshyn DJ, Ramage B, Hart DA, Ronsky JL (2009) Alterations in knee joint laxity during the menstrual cycle in healthy women leads to increases in joint loads during selected athletic movements. Am J Sports Med 37:1169–1177PubMedCrossRef
28.
Zurück zum Zitat Park SK, Stefanyshyn DJ, Ramage B, Hart DA, Ronsky JL (2009) Relationship between knee joint laxity and knee joint mechanics during the menstrual cycle. Br J Sports Med 43:174–179PubMedCrossRef Park SK, Stefanyshyn DJ, Ramage B, Hart DA, Ronsky JL (2009) Relationship between knee joint laxity and knee joint mechanics during the menstrual cycle. Br J Sports Med 43:174–179PubMedCrossRef
29.
Zurück zum Zitat Pokorny MJ, Smith TD, Calus SA, Dennison EA (2000) Self-reported oral contraceptive use and peripheral joint laxity. J Orthop Sports Phys Ther 30:683–692PubMedCrossRef Pokorny MJ, Smith TD, Calus SA, Dennison EA (2000) Self-reported oral contraceptive use and peripheral joint laxity. J Orthop Sports Phys Ther 30:683–692PubMedCrossRef
30.
Zurück zum Zitat Powers CM (2010) The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther 40(2):42–51PubMedCrossRef Powers CM (2010) The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther 40(2):42–51PubMedCrossRef
31.
Zurück zum Zitat Ruedl G, Ploner P, Linortner I, Schranz A, Fink C, Sommersacher R et al (2009) Are oral contraceptive use and menstrual cycle phase related to anterior cruciate ligament injury risk in female recreational skiers? Knee Surg Sports Traumatol Arthrosc 17(9):1065–1069PubMedCrossRef Ruedl G, Ploner P, Linortner I, Schranz A, Fink C, Sommersacher R et al (2009) Are oral contraceptive use and menstrual cycle phase related to anterior cruciate ligament injury risk in female recreational skiers? Knee Surg Sports Traumatol Arthrosc 17(9):1065–1069PubMedCrossRef
32.
Zurück zum Zitat Russell KA, Palmieri RM, Zinder SM, Ingersoll CD (2006) Sex differences in valgus knee angle during a single leg drop jump. J Athl Train 41(2):166–171PubMed Russell KA, Palmieri RM, Zinder SM, Ingersoll CD (2006) Sex differences in valgus knee angle during a single leg drop jump. J Athl Train 41(2):166–171PubMed
33.
Zurück zum Zitat Shultz SJ, Schmitz RJ, Kong Y, Dudley WN, Beynnon BD, Nguyen A, Kim H, Montgomery MM (2012) Cyclic variations in multiplanar knee laxity influence landing biomechanics. Med Sci Sports Exerc 44(5):900–909PubMedCrossRef Shultz SJ, Schmitz RJ, Kong Y, Dudley WN, Beynnon BD, Nguyen A, Kim H, Montgomery MM (2012) Cyclic variations in multiplanar knee laxity influence landing biomechanics. Med Sci Sports Exerc 44(5):900–909PubMedCrossRef
34.
Zurück zum Zitat Speroff L, Fritz MA (2005) Clinical gynecologic endocrinology and infertility, 7th edn. Lippincott, Williams & Wilkins, Philadelphia, p 1334 Speroff L, Fritz MA (2005) Clinical gynecologic endocrinology and infertility, 7th edn. Lippincott, Williams & Wilkins, Philadelphia, p 1334
35.
Zurück zum Zitat Steinetz BG, Williams AJ, Lust G, Schwabe C, Büllesbach EE, Goldsmith LT (2008) Transmission of relaxin and estrogens to suckling canine pups via milk and possible association with hip joint laxity. Am J Vet Res 69(1):59–67PubMedCrossRef Steinetz BG, Williams AJ, Lust G, Schwabe C, Büllesbach EE, Goldsmith LT (2008) Transmission of relaxin and estrogens to suckling canine pups via milk and possible association with hip joint laxity. Am J Vet Res 69(1):59–67PubMedCrossRef
36.
Zurück zum Zitat Willson JD, Davis IS (2008) Utility of the frontal plane projection angle in females with patellofemoral pain. J Orthop Sports Phys Ther 38(10):606–615PubMedCrossRef Willson JD, Davis IS (2008) Utility of the frontal plane projection angle in females with patellofemoral pain. J Orthop Sports Phys Ther 38(10):606–615PubMedCrossRef
37.
Zurück zum Zitat Winter DA (2009) Biomechanics and motor control of human movement, 4th edn. Wiley, New York, pp 70–73CrossRef Winter DA (2009) Biomechanics and motor control of human movement, 4th edn. Wiley, New York, pp 70–73CrossRef
38.
Zurück zum Zitat Yu B, Stuart MJ, Kienbacher T, Growney ES, An K-N (1997) Valgus-varus motion of the knee in normal walking and stair climbing. Clin Biomech 12(5):286–293CrossRef Yu B, Stuart MJ, Kienbacher T, Growney ES, An K-N (1997) Valgus-varus motion of the knee in normal walking and stair climbing. Clin Biomech 12(5):286–293CrossRef
39.
Zurück zum Zitat Zeller BL, McCrory JL, Kibler B, Uhl TL (2003) Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 31(3):449–456PubMed Zeller BL, McCrory JL, Kibler B, Uhl TL (2003) Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 31(3):449–456PubMed
Metadaten
Titel
Effects of the use of oral contraceptives on hip and knee kinematics in healthy women during anterior stair descent
verfasst von
Daniel Ferreira Moreira Lobato
Rodrigo de Marche Baldon
Paloma Yan Lam Wun
Paulo Roberto Pereira Santiago
Fábio Viadanna Serrão
Publikationsdatum
01.12.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2248-3

Weitere Artikel der Ausgabe 12/2013

Knee Surgery, Sports Traumatology, Arthroscopy 12/2013 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.