The Difference in Ground Reaction Force between Two Landing Strategies of Two Dunking Styles of Basketball Players by Hans P. Wulf Jr. Submitted in Partial Fulfillment of the Requirements for the Master of Science in Exercise Science Degree Kinesiology Department STATE UNIVERSITY OF NEW YORK COLLEGE AT CORTLAND Approved: ___________ Date _______________________________ Jeff Bauer, Ph.D. Thesis Advisor ___________ Date _______________________________ John Foley, Ph.D. Thesis Committee Member ___________ Date _______________________________ James Hokanson, Ph.D. Thesis Committee Member ___________ Date _______________________________ Eileen H. Gravani Associate Dean of Professional Studies ABSTRACT Basketball is a sport that involves many impacts with the ground from various jumping tasks, such a dunking a basketball, rebounding, and shooting. Repetitive impacts with the ground have been related to many injuries that occur while playing basketball. The purpose of this study was to quantify expected peak ground reaction forces differences between one-footed and two footed landings when dunking a basketball. Eight recreational, Division II and III college male players were recruited (age 22.25 ± 2.38 yrs; height 195.42 ± 4.68 cm; mass 98.55 ± 16.98 kg) for the study. The testing was performed at the Institute for Human Performance at SUNY Upstate in Syracuse, NY. Each participant needed to dunk three times while landing on one foot, and three more times while landing on two feet for the one and two handed dunks. Only three participants were able to perform a two-handed dunk, so descriptive analysis was done for the two-handed dunk trials. For the one-handed dunk trials, the two-footed landing strategy (M= 7.66 ± 1.57 BW) was significantly greater (p < 0.05) than the one footed landing (M= 6.2 ± 1.18 BW) strategy for peak ground reaction force. Impulse was significantly greater for the two-footed landing strategy (M= 719.23 ± 157.53 N∙s) when compared to the one-footed landing strategy (M= 602.83 ± 188.6 N∙s). For the twohanded dunk trials, the two-footed landing strategy had greater peak ground reaction forces (M= 8.98 ± 1.64 BW) and impulse (M= 927.29 ± 586.37 N∙s) than the one-footed landing strategy peak ground reaction forces (M= 6.4 ± 1.57 BW) and impulse (M= 527.75 ± 182.62 N∙s). The greater forces and impulses produced during the two-footed landing strategy are dispersed between both legs, which could lead to a lower predisposition of stress related injuries in this landing strategy. ii ACKNOWLEGEMENTS I would like to thank several people, without whom this project could not have been completed. My thesis committee: Dr. Jeff Bauer, chair, Dr. John Foley, and Dr. James Hokanson for all of their help and support throughout this process. You always kept me on top of the whole thesis process while making sure everything was going the way I wanted it to. My research assistant: D.J. Bevevino for taking time out of your busy schedule to assist me with the data collection. Nat Ordway, for meeting with me many times and letting me use the facilities at the Institute for Human Performance. This study would have not have been possible if it was not for you. My subjects: Division II and III basketball players and recreational basketball players, I appreciate and thank you all for traveling to the test site and volunteering your free time in the laboratory for data collection. I am very appreciative of everyone’s willingness to contribute their time, expertise, and patience with me. Without the help from all of you, none of this could be possible. iii TABLE OF CONTENTS Page Abstract ............................................................................................................................... ii Acknowledgments.............................................................................................................. iii Chapter 1. Introduction .....................................................................................................................1 Problem Statement ...................................................................................................2 Research Hypotheses ...............................................................................................2 Delimitations ............................................................................................................2 Limitations ...............................................................................................................3 Assumptions.............................................................................................................3 Operational Definitions ............................................................................................4 Significance of the Study .........................................................................................5 2. Review of Literature .......................................................................................................6 Physiology of Basketball .........................................................................................6 Heart rate ......................................................................................................7 Lactate ..........................................................................................................7 Nutrition .......................................................................................................8 Aerobic Capacity .........................................................................................8 Anaerobic Capacity......................................................................................9 Basketball Injuries & Rates ...................................................................................10 Ankle Injuries.............................................................................................10 Knee Injuries ..............................................................................................11 Isokinetics ..............................................................................................................11 Ground Reaction Forces ........................................................................................13 Jump Landing.........................................................................................................14 Landing Strategies & Shock Attenuation ..................................................14 Neuromuscular Recruitment ......................................................................15 Summary ................................................................................................................16 3. Research Manuscript I- Pilot Study ..............................................................................18 Introduction ............................................................................................................18 Purpose of the Study ..................................................................................18 Statement of Problem .................................................................................18 Research Hypothesis ..................................................................................19 Delimitations ..............................................................................................19 Limitations .................................................................................................19 Assumptions...............................................................................................20 Operational Definitions ..............................................................................20 Significance of the Study ...........................................................................20 Methods..................................................................................................................21 iv Participants .................................................................................................21 Instruments .................................................................................................21 Design & Procedures .................................................................................22 Statistics .....................................................................................................23 Results ....................................................................................................................23 Participants .................................................................................................23 Vertical Jump Testing ................................................................................24 One-Handed Dunk .....................................................................................25 Two-Handed Dunk.....................................................................................26 One-Handed vs. Two-Handed Dunking ....................................................27 Discussion ..............................................................................................................28 Assumptions...............................................................................................28 Ground Reaction Force ..............................................................................29 Jump Landing.............................................................................................30 Injury ..........................................................................................................31 Additions/Further Research .......................................................................32 Conclusion .................................................................................................33 4. Research Manuscript II .................................................................................................34 Methods..................................................................................................................34 Research Assistant .....................................................................................34 Participants .................................................................................................34 Instruments .................................................................................................35 Procedures ..................................................................................................36 Statistical Analysis .....................................................................................38 Results ....................................................................................................................39 Anthropometrics ........................................................................................39 Ground Reaction Force ..............................................................................39 Impulse .......................................................................................................41 Discussion ..............................................................................................................43 Ground Reaction Forces ............................................................................43 Movements .................................................................................................44 Impulse .......................................................................................................45 Shock Attenuation ......................................................................................45 Muscle Activity & Injury ...........................................................................47 Strength Training .......................................................................................47 Summary ....................................................................................................48 Conclusions ................................................................................................49 Recommendations ......................................................................................49 References ..........................................................................................................................51 v List of Tables Pilot Study Table 1 2 Title Page Participant Demographics ......................................................................................24 Recorded Data ........................................................................................................24 Research Study 3 Anthropometrics ....................................................................................................39 vi List of Figures Pilot Study Figure 1 2 3 4 Title Page Average Peak GRF for Vertical Jumps ..................................................................25 Average Peak GRF for One-Handed Dunks ......................................................... 26 Average Peak GRF for Two-Handed Dunks .........................................................27 Average Peak GRF- One vs. Two Handed Dunk .................................................28 Research Study 5a 5b 6 7 8 9 10 One-Footed Dunk Landing ....................................................................................39 Two-Footed Dunk Landing....................................................................................40 One-Handed Dunking ............................................................................................40 Two-Handed Dunking ...........................................................................................41 One-Handed Dunk Impulse Averages ...................................................................42 Two-Handed Dunk Impulse Averages...................................................................42 Heel (Flat-Footed) Landing ...................................................................................46 vii List of Appendices Appendix A B C D E F G H Title Page Informed Consent...................................................................................................56 Modified PAR-Q....................................................................................................58 Arrival Script .........................................................................................................60 Floor Layout...........................................................................................................62 Data Collection Sheet ............................................................................................63 Randomization of Landing Style Table .................................................................65 Dunking Script for Maximal Effort .......................................................................66 Procedure Matrix ...................................................................................................67 viii CHAPTER I INTRODUCTION The average basketball player jumps about 70 times per game, which puts a lot of stress upon the knee and ankle joints (Abdelkrim, Fazaa, & Ati, 2006). Jumping tasks are the leading cause of injury among basketball players (Cumps, Verhagen, & Meeusen, 2007; Meeuwisse, Sellmar, & Hagel, 2003). McClay, Robinson, Andriacchi, Frederick, Gross, & Martin (1994) found that while performing a lay-up, subjects produced 8.9 times their body weight when landing, which greatly stresses the ankle and knee joints during jumping tasks. Ankle and knee injuries are the two most common injuries among basketball players (Cumps et al., 2007; Meeuwisse et al., 2003). McClay et. al (1994) found that the continuous stress from all the jumping tasks performed wear down joints and tendons, causing a high risk situation. Gray, Tauton, McKenzie, Clement, McConkley and Davidson (1985) found that of the injured basketball players in their study, nearly 60% of them were injured while landing from a jump and that the landing strategy most widely used resulted in twisting the ankle upon impact to attempt to dissipate extremely high ground reaction forces (GRF’s) in the lower extremities Landing asymmetrically, landing on one foot before another, can result in injuries when performing jumping tasks (Kovacs, Tihanyi, De Vita, Racz, Barrier & Hortobagyi, 1999). Basketball players perform jumping tasks to shoot, dunk, perform lay-ups, rebound and block shots. One-footed landings result in most of the landing force being absorbed by the initial landing foot, creating higher stress in the joint, muscle or bone of the contact leg. Tillman, Criss, Brunt, and Hass (2004) found that female volleyball 1 players landing on one-foot produced nearly twice as much GRF (M= 3.24 times body weight), compared to landing on two-feet (M= 1.85 times body weight) when performing a vertical jump. Problem Statement The purpose of this study was to quantify expected peak GRF differences between one-footed and two footed landings when dunking a basketball. The independent variables were the one-handed dunk technique, and the onefooted and two-footed landing strategies. The two-handed dunk technique is the independent variable when the subjects perform this type of dunk. The dependent variables were the peak GRF and impulse values from each style of dunking. Research Hypotheses The following hypotheses were proposed prior to data collection: 1. The two footed landing strategy will generate statistically significantly lower GRF values when compared to the one footed landing strategy. 2. Dunking with two hands will result in lower GRF’s than dunking using the one handed technique. Delimitations Delimitations imposed by the researcher included selecting only male subjects, college and recreational level basketball players, college aged athletes (18-23 years old) and all dunks were performed with a run up parallel to the baseline. 1. The subjects for this study were confined to male subjects. Males more often meet the physical requirements to dunk. This means that there would be no gender effect size in the analysis. 2 2. Recreational and college basketball players were selected to participate. This demographic was more readily available to help with conducting this study. 3. The participants’ ages ranged from 18-26 years. 4. Subjects were asked run up to dunk a basketball from a starting position parallel to the backboard, instead of from in front of the basket like one normally would. Since a portable basketball hoop was used, the issue of landing on the support base was an injury concern. Dunking from the along the baseline ensured no one landed on the base, thereby minimizing injury risk. Limitations Limitations of this study included a small sample size of 8 for one-handed dunks and a sample size of 3 for the two-handed dunks. 1. Only 8 subjects could be recruited for the one-handed dunk group and, of those 8, only 3 participated in the two-handed dunk group. The sample size for the two-handed dunk group was expected to be smaller since not all basketball players can dunk using two hands. Dunking with one hand is an easier task, with more players being able to perform the skill. Assumptions The researcher assumed that the subjects were accurate when answering questions about previous injury, that the instruments used for data collection were valid and reliable, and that subjects had mastered the skill of dunking a basketball with one and two hands. 1. A Modified PAR-Q & YOU, a health questionnaire that ensures participants are healthy enough to participate in the study, was used to insure that each subject 3 was healthy enough to participate and provided the researcher with knowledge related to any past lower extremity injuries they might have suffered. 2. Prior to testing, the 2 Kistler Instrument Corp piezoelectric force plates model 9287B (Amherst, New York) were calibrated to manufacturer specifications. It was assumed that following proper calibration, the instruments reliably and accurately recorded data. 3. The study required participants to have already mastered the skill of dunking a basketball. Subjects were assumed to be able to perform one-handed and twohanded dunks with ease and be able to land on either one or two feet after dunking as directed. Operational Definitions Force Plate- An instrument used to accurately measure ground reaction forces (GRF). Dartfish- Biomechanical video analysis software used to analyze the motion and actions of people captured on digital video. Newtons- Units of force with units of kilograms · meters/seconds2 Force- An influence that causes a mass to accelerate Dominant Leg- the leg a person would self select to to kick a ball Ground Reaction Force- Force exerted by the ground on a body in contact with it; measured in Newtons Landing Strategy- The way a person lands from a jumping task; either using one or two feet to land One-footed Landing- Landing on one foot after a jumping task Two-footed Landing- Landing on two feet after a jumping task 4 Isokinetics- the muscle force applied by a body segment during a movement at a constant velocity Stress- an internal measure of force per unit area of contact One-handed dunk- a dunk performed with one-hand pushing the ball through the basket’s rim Two-handed dunk- a dunk performed with two-hands pushing the ball though the basket’s rim Significance of the Study The purpose of this study was to determine which landing strategy, one-footed or two-footed, generates lower GRF’s from dunking a basketball. A comparison of onehanded and two-handed dunking techniques was used to determine which technique generates greater GRF when landing. Tillman et al. (2004) found in their study that landing on one-foot (M= 3.24 times body weight) produces twice as much force as landing on two-feet (M= 1.77 times body weight) when landing from a vertical jump. Determining which landing strategy generates a lower GRF can help decrease the likelihood of injury from occurring. Lower GRF may lead to decreasing the stress placed on the joints (ankle and knee) involved in landing from jumping tasks, thereby reducing the risk of injury (Meeuwisse et al., 2003). Since basketball is a game consisting of a lot of jumping tasks, the overuse of these joints can take its toll on the athlete from “wear and tear”. The less force a person generates while landing, the better. This knowledge can help keep athletes safe and healthy in the future. 5 CHAPTER II LITERATURE REVIEW Even though dunking a basketball is very popular, it is not uncommon for players to injure themselves from landing on others, landing too hard or landing improperly from this jump task (McClay, Robinson, Andriacchi, Frederick, Gross, Martin, Valiant, William, & Cavanagh, 1994). Knowledge of the force values from landing and the proper way to land may help lead to a reduction in jumping related injuries. There have been few studies that provide injury reports (Meeuwisse, Sellmer, & Hegal, 2003) and landing force values (Gray, Tauton, McKenzie, Clement, McConkley & Davidson, 1985) from jumping tasks. There has been little research done specifically on landing related injuries in basketball. This chapter will address background information concerning the physiology of playing basketball, basketball injuries and injury rates, isokinetics, ground reaction forces and jump landing. Physiology of Basketball Basketball is a fast paced game with a great deal of stopping and starting, running, and jumping. The athlete performs jumping more than any other skill in basketball, besides running (Abdelkrim, Fazaa & Ati, 2006; Cumps, Verhagen, & Meeusen, 2007). Between the different positions, centers are jumping the most times per game (M = 49, SD= 3) (Abdelkrim, Fazaa & Ati, 2006). The center position is jumping, on average, once every 0.98 minutes at the collegiate level. Repetitive jumping results in high stress in the knee, hip and ankle joints (Abdelkrim, Fazaa & Ati, 2006). Injury occurs from high stress activities which require the athlete to function at near maximal heart rate, just like in basketball. 6 Heart Rate. At the collegiate level for men, the mean heart rate during a game for all positions was found to be 171 beats/minute (b∙min-1), which equates to be 91% of the maximal heart rate (Abdelkrim et al., 2006). Centers were found to have the lowest heart rates because they were involved in less of the more high intensity portions of the game, such as sprinting down the floor on a fast break and driving to the basket. The average guard’s heart rate was 176 b∙min-1 at the collegiate level for males. Near the end of the game, or the 2nd half at the college level, each player’s heart rate had dropped significantly (P < 0.05) due to fatigue (Abdelkrim, Fazaa & Ati, 2006). Fifteen percent of activity in a game was spent in high intensity activity, which is with a heart rate (HR) ≥ 90% HRmax, 35% was spent standing/walking, 31% was involved in shuffling, and the rest of the competition performed at an intensity greater than walking (McInnes, Carlson, Jones and McKenna, 1995). Lactate. Basketball emphasizes the use of the anaerobic energy system, so the onset of lactate build up in the blood is to be expected. Abdelkrim et al. (2006) found that before the game, plasma lactate concentrations were 6.05±1.27 mmol/l and only 4.94±1.46 mmol/l when the game had ended. Their study showed how the decrease in high intensity exercise and increase in stoppage time over the course of the game led to the increase in splanchnic blood flow, which caused an increase in the resynthesization of glycogen by the liver (Abdelkrim et al., 2006). The resynthesis of the glycogen by the liver shows how near the end of the game the body is supplied with more adenosine triphosphate (ATP), or energy. This means the athlete will still be able to dunk, even after participating in a long, strenuous game of basketball. 7 Nutrition. Maintaining proper nutrition is beneficial to athletic performance (Ziv & Lidor, 2009). Basketball players are told they should maintain a positive energy balance, while avoiding low-energy intakes since basketball is a very demanding sport. For an average balanced meal, a basketball player should consume the following macronutrients, carbohydrates (55-58% of energy), fats (25-30%), and proteins (1215%). Additional supplements to supply micronutrients will be necessary to take during an intense basketball season (Ziv & Lidor, 2009). Aerobic Capacity. Several studies measured VO2max between the different positions on a basketball team and found that it ranged from 50-65 ml∙kg-1∙min-1 on average, with guards having the higher VO2max and the centers having the lowest (Ostojic, Mazic, & Dikic, 2006; Ziv & Liddor, 2009). In a study by Gotsentas, Landor, and Andziulis (2004), VO2max was found to have a strong negative correlation (r= 0.83) to the mean HR and a moderate correlation to HRmax (r= 0.699) of basketball players during a 3.5 minute shooting drill. VO2max was found to be moderately correlated (r= 0.663) to work rate (W). Each of these correlations were found to be significant (p < 0.05). In other studies (Gotsentas et al., 2004; Laplaud, Hug, & Menier, 2004), an improvement in VO2max after the implementation of a new aerobic training program was observed. There was a significant increase (P < 0.05) in the used fractions of maximal reserve existing at rest, and an increase in VO2 and W at the instant equality of the pulmonary gas exchange (RER= 1.00). There was a significant decrease (P < 0.05) in the HRrest for the athletes, which signifies an improvement in the player’s aerobic capacity from the completion of their new aerobic training program. These improvements also 8 lead to the conclusion of the ability to have a better capacity for higher exercise intensities (Laplaud et al., 2004). Catersiano, Patrick, Edenfield, & Batson (1997) showed in their study how aerobic capacity decreases over the season. The players are working on their basketball skills with small amounts of aerobic and resistance training during the year. The VO2max of starters did not decrease, but stayed the same, and the reserve players saw a significant (p < 0.05) drop of 5.2 ml/kg/min on average (Catersiano et al., 1997). Anaerobic Capacity. Just like building up the aerobic capacity of a basketball player, it is just as important to build the anaerobic capacity. Crisafulli, Melis, Tocco, Laconi, Lai, and Cancu (2002) found that basketball players who were being analyzed during a game that have the highest velocity, acceleration, mechanical power and velocity endurance had the highest external mechanical work versus energy consumption ratio. This can be concluded as those athletes with the highest biomechanical qualities, have the highest anaerobic capacity and power. There was a significant (p< 0.05) and strong correlation (r > 0.80) when comparing peak acceleration value, external mechanical work and peak mechanical power to external mechanical work versus energy consumption ratio (Crisafulli et al., 2002). There are many biomechanical factors that lead to having a high anaerobic capacity. Since basketball players perform around 995 movements per game (McInnes et al., 1995), the majority of the energy consumed comes from the immediate and glycolytic energy systems. The increase of the aerobic capacity is necessary to help the athletes recover faster (Gocentas et al. 2004; Gocentas & Landor, 2006; Tavino, Bowers, & 9 Archer, 1995). The better and the faster the athlete recovers, the better they can perform their basketball specific skills. Catersiano et al. (1997) had discovered that the anaerobic capacity of basketball players decreased significantly (p < 0.05) over the season. The bench press 1 repetition maximum (1RM) had decreased 8-15 kg and the leg press 1RM decreased 20-35 kg. This was found to occur because of the decrease in resistance training during the season. Basketball Injuries & Risk Even though basketball is considered a non-contact sport, it has higher injury rates and risks than some contact sports such as hockey (Meeuwisse et al., 2003). Research on injuries has mainly gone to the more popular contact sports where injuries occur frequently, such as American football (Cumps, Verhagen, & Meeusen, 2007). The ankle, knee and hip joints experiences strain from all the cutting, running, jumping, standing, and crouching during a normal basketball game or practice (Cumps et al., 2007; Meeuwissse et al., 2003). Performing these tasks frequently and at a high intensity can lead to injury. Ankle Injuries. One of the most common acute injuries resulting from playing basketball is the ankle sprain (Cumps et al., 2007; Meeuwissse et al., 2003). Cumps et al. (2007) and Meeuwisse et al. (2003) found in their studies that about 67% of all injuries, that occurred while playing basketball, where acute injuries. About 50% of all acute injuries were ankle injuries, thus making it the most common acute injury. According to Cumps et al. (2007), an acute injury is defined as an injury that causes a person to miss less than seven sessions of practices and/or games. Ankle injuries occurred 1.26 times per every 1000 hours of exposure to play on average for men and women at professional, 10 national and regional basketball levels. During that exposure, 52.9% of injury came from re-injuries and 47.1% came from new injuries to the ankle (Cumps et al., 2007; Meeuwisse et al., 2003). Ankle injuries cause a loss of 5.47 days or sessions of basketball practice/games on average (Meeuwisse et al., 2003). Both studies found that ankle injuries are the most common injuries for basketball players. The jumping tasks are the leading cause of ankle injury. Injury mechanisms include landing on another person’s foot or by landing awkwardly which could cause the ankle to buckle under applied pressure. Knee Injuries. Knee injuries are the second most common injury in basketball players (Cumps et al., 2007; Meeuwisse et al., 2003). Knee injuries are considered an overuse injury, which is defined by Cumps et al. (2007) is a recovery period of more than 7 days. Cumps et al. (2007) and Meeuwisse et al. (2003) established that there were, on average, 35.5% of the overuse injuries were knee injuries. Eighty percent of knee pain was defined as jumper’s knee caused by repetitive and continuous jumping during shots, rebounds, lay ups and dunks (Cumps et al., 2007). Centers are usually located in the area right around the basket, where it is very crowded because players are trying to retrieve rebounds from a missed shot. The two basketball positions that jump the most are the centers and forwards, and these two positions are the positions that like to dunk the most. Therefore, these players are always at risk for injury by landing wrong on someone’s foot, landing improperly or just by landing with too much force. Isokinetics Isokinetics is the muscle force applied by a limb during a movement at a constant velocity (Theoharopoulos & Tsitskaris, 2000). The isokinetic profiles of an athlete can 11 help inform the coaches of the athlete’s potential physical abilities. Isokinetics may be measured through various testing, such as using an ergogenic bike. The various skills associated with basketball causes the athletes to develop a dominant limb, which is defined by the researchers as the limb used to jump off of, kick a ball with and start running (Schiltz, Lehance, Maquet, Bury, Crielaard & Croisier, 2009). Theoharopoulos and Tsitskaris (2000) found that on an ergogenic bike, there were no significant differences between dominant and non-dominant plantar and dorsiflexion ankle muscle strength (tibialis anterior, soleus, and gastrocnemius) of professional basketball players. A balance in strength between these muscles on both ankles is a great way help prevent injury (Theoharopoulos & Tsitskaris, 2000). When jumping, the plantar and dorsiflexion muscles can support the addition of added stress to the ankle joint, so the ankle can stay stable (Theoharopoulos & Tsitskaris, 2000). Knee isokinetics plays another important role in injury prevention among basketball players (Schiltz et al., 2009). Schiltz et al. (2009) found that the professional players had a higher absolute peak torque value than the junior level and the recreational level groups in both their flexor and extensor muscles. Athletes with a history of injury to the knee were found to not perform as well as those who did not have previous injuries (Schiltz et al., 2009; Theoharopoulos & Tsitskaris, 2000). Overall strength in the knee is very important. As a basketball player, strength is very important to jump for rebounds, performing a lay-up or dunk, and for running. The more strength there is in the muscles of the lower extremities and the muscles surrounding the knee and ankle joints (tibialis anterior, gastrocnemius, soleus, etc.), the lower the injury risk to these joints (Schiltz et al., 2009). 12 Ground Reaction Forces Many forces are absorbed by an athlete’s body upon landing from different jumping tasks, such as dunking, performing a lay-up and jumping for a rebound. Ground reaction forces are a good indicator to the intensity and stress the body encounters during contact with the ground from a jump landing or just simply running (McClay et al., 1994). Gray, Tauton, McKenzie, Clement, McConkley and Davidson (1985) reported that nearly 60% of the 76 female basketball players surveyed were injured from jumping tasks. While attempting to dissipate the extremely high ground reaction forces in the lower extremities caused by landing from a jump, many of these females were injured after landing improperly causing them to sprain their ankles. Tillman, Criss, Brunt, and Hass (2004) found that when comparing single-footed landings to two-footed landings from a vertical jump, single footed landings produced almost twice as much peak loading force (3.23 times body weight) than the two-foot landings (1.86 times body weight). In single-foot landings, EMG values increased in muscle activity from 28% to 72% to show how much more work the muscles must do when both legs are not involved to help absorb the GRF (Tillman et al., 2004). McClay et al. (1994) studied the biomechanics of several basketball maneuvers: running, starting, cutting, stopping, jump shot takeoff, jump shot landing, layup takeoff, layup landing, vertical jump takeoff, vertical jump landing and shuffling of professional players. The investigators found that the layup landing created the most vertical ground reaction force (up to 8.9 times body weight). The next closest was the jump shot landing, which only produced 6.0 times body weight. Gymnasts landing from a somersault ranged from 6.0-7.0 times body weight, while basketball jump landings ranged from 4.3-8.9 13 times body weight. Caulfield & Garrett (2004) found that athletes with a history of previous injuries in the ankle, produced a slightly higher vertical mean magnitude of peak GRF’s (501.9 N) than a control group (476.9 N). These landing forces can be very high, and an athlete needs to know what his or her body if capable of to make sure their injury risk is as low as possible. Jump Landing The most common mechanism of injury in basketball is asymmetric landing from a jumping task (Kovacs, Tihanyi, De Vita, Racz, Barrier & Hortobagyi, 1999). A basketball player can produce up to 8.9 times their body weight in ground reaction forces when landing after performing a simple layup, which means that the lower extremities are placed under a lot of biomechanical stress (McClay et al., 1994). A way to prevent from injuring one’s self during jump landing tasks in basketball is to land on the forefoot instead of the heel of the foot (Gross & Nelson, 1988). Landing on the forefoot reduces exposure to skeletal transients by 50% when compared to landing on the heel because of the body using its own shock attenuation, which is the soft tissues, bones, and cartilage (Gross and Nelson, 1988). Landing Strategies & Shock Attenuation. The body has its shock attenuation within its bones, cartilage and soft tissue (McClay et al., 1994). Gross and Nelson (1988) found that heel contact had less range of motion in the ankle compared to those who had only forefoot contact. A decrease in the range of motion of the ankle joint can bring about heel contact, which has two peak forces during landing, thus increasing the risk of injury. Two peak GRF’s result from the forefoot striking the landing surface first, then the heel striking the ground right afterwards. Subjects, who used their forefoot only to land, 14 greatly reduced the magnitude of force from five times their bodyweight to two times their bodyweight, resulting in less strain and less force upon the lower limbs (Gross & Nelson, 1988). Different basketball skills vary in the amount of ground reaction force created and absorbed by the athlete (Valiant & Cavanagh, 1987). The force and pressure patterns underneath the foot during a landing phase from a vertical jump was 2.5 times the participant’s body weight (Valiant & Cavanagh, 1987). When landing on the foot occurs beneath the middle of the calcaneus, simultaneous ground reaction forces that equated up to 4 times the person’s body weight were produced. When landing flat footed, ground reaction forces were up to 6 times the athlete’s body weight (Valiant & Cavanagh, 1987). Landing on the forefoot instead of the heel helps the body absorb less force which results in less stress applied to the lower extremities. Neuromuscular Recruitment. Many muscles are recruited to perform and complete a jump landing task, including the quadriceps, hamstring, gastrocnemius, soleus, and tibialis anterior. Before landing, people often anticipate how they are going to land and get set for the landing to make sure they do not injure themselves. McKinley and Pedotti (1992) found that the muscle activity starts at the ankle muscles when about to land from a jumping task. Muscle activity then works its way up to the knee, and lastly the hip. Before the impact of landing, the EMG activity increase dramatically. For soft surfaces, the impact force will also be absorbed by the ground and not as much force will be passed to whoever is landing so the muscles are relaxed (McKinley & Pedotti, 1992). Fu and Hui-Chan (2007) found that in people with functional instability, muscles were activated significantly sooner than the muscles of those with healthy ankles. Caulifield, 15 Crammond, O’Sullivan, Reynolds and Ward (2004) found that the peroneus longus muscle had a significantly lower EMG score than those with healthy ankles. The peroneus longus muscle activity controls the degrees of eversion of the ankle joint and the less movement eversion, the higher the risk of injury. Bisseling, Hof, Bredeweg, Zwerver, and Mulder (2008) found that the first impact of landing is the most crucial. When a Participant has a smaller flexion in the ankle joint during the first part of the landing phase, and a higher rate of knee movement during the eccentric phases, it can lead to the development of patellar tendinopathy (Bisseling et al., 2008). The ankle joint should not be stiff when landing so that the person can give some movement to the joint as they are landing. This will prevent the absorbed force from placing all the stress on the knee joints. Different directions from jump landing tasks influence dynamic postural control. Wikstrom, Tillman, Schenker, and Borsa (2008) found that when diagonal and lateral jumps were attempted, the direction of jump will affect a person’s dynamic postural stability, which is their ability to stay balanced while performing a movement. The more direct forward the jump, the better stability there will be when landing. The more lateral the jump, the less stable the landing. When performing a dunk in basketball, it is always best to dunk straight ahead instead of from the side. This would result in the most stable landing possible, and is the best strategy to use to prevent injury. Summary Knee and ankle injuries are likely to occur when landing from a jumping task such as dunking. Knowing how to land without placing all the absorbed force in one area can keep athletes healthy. Improper takeoff and/or landing of jumping tasks are the 16 leading cause of knee and ankle injuries in basketball (Cumps et al., 2007; Meeuwisse et al., 2003). Different landing strategies will play a role in understanding injury prevention from the effects of single or two footed landings to where on the foot the athlete is landing (Mclay et al., 1994; Valiant & Cavanagh, 1987). Injury may happen to a basketball player no matter how hard they try and prevent it, but the injury severity may be reduced by using proper landing mechanics. 17 CHAPTER III- RESEARCH MANUSCRIPT I: PILOT STUDY INTRODUCTION There has been little research done on basketball injuries since it is considered a non-contact sport. However, compared to combative sports such as American Football, there have been some studies on the injury rate of basketball players and they have identified jumping tasks as the leading cause of injury to players (Cumps et al., 2007). Landing on top of another player’s foot and landing on one foot are the two leading causes of these injuries (Cumps et al., 2007). Ankle injuries are the most common injuries in basketball. When landing from jumping tasks, the lower extremities absorb a greater amount of GRF than from running. McClay et al. (1994) tested several basketball skills and their GRF values. The skill producing the highest amount of ground reaction force was the landing phase of a layup (dunking was not performed in this study), where the Participants produced 8.9 times their body weight on average (McClay et al., 1994). McClay helps give an insight on how much force is expected to be produced when landing from a jumping task in basketball that involves the athlete to quickly jump towards the rim. Purpose of the Study The goal of this study was to determine which type of dunk, one-handed or twohanded, would result in greater landing GRF. Statement of Problem Different landing strategies result in varying levels of landing force. The greater the landing force, the greater the likelihood of injury. 18 Research Hypothesis There will be a greater landing GRF following a one-handed dunk technique than in a two-handed dunk technique. Null Hypothesis There will be a greater landing GRF following a two-handed dunk technique than in an one-handed dunk technique. Delimitations This study was delimited to only recreational basketball players, participant’s age ranged from 20-22, and only male subjects. 1. Only recreational basketball players were available for the study. No collegiate basketball players were available to participate. 2. The participant’s ages ranged from 20-22. No one older than a college age range was available to participate in the study. 3. Only male subjects volunteered, and met the physical requirements for the study. No females responded or were able to dunk. Limitations This study had a limited number of participants used, and no force plates were available to record landing GRF. 1. Only five volunteers met the study requirements. 2. Proper force plates were not available for use for the dunk trials of this study. A force plate was available to use for the vertical jump trials. Forces were calculated using time of shock absorption, velocity final and work for the dunk trials. 19 Assumptions Assumptions of this study were that the participants had mastered the skill of dunking a basketball one-handed and two-handed, and the dunks were performed with maximal effort. 1. The participants have mastered the skill of dunking a basketball and should be able to perform the dunks with ease. 2. Participants dunked with maximal effort. They were asked to make a maximal effort, but there was no way to determine if they did. Operational Definitions Force Plate- an instrument used to measure ground reaction forces Dartfish- a biomechanical video analysis software used to analyze the motion and action of people captured on digital video. Newtons- are units of force measured in kilograms · meters/seconds2, which is based on mass multiplied by acceleration Force- is whatever causes an object with a mass to accelerate Dominant Leg- the leg you would use to kick a ball with Ground Reaction Force- any force exerted on the ground by contact with the body Landing Strategy- the way a person lands from a jumping task Significance of the Study The purpose of the pilot study is to determine which dunk, one-handed or twohanded, produces more force when landing. Determining which style of dunking produces more landing force can be useful for athletes to help prevent injury. In the study by Tillman (2004), it was shown that landing from vertical jumps on one foot produced 20 twice as much force, on average, as landing on two feet, which indicates that landing on two feet can lead to a lower likelihood of injury (Tillman et al., 2004). Determining what style of dunking produces a greater landing GRF, can help athletes reduce the likelihood. METHODS Participants Three male SUNY Cortland students, ranging in the age from to 20-22 years, volunteered for this study. Each volunteer had previous experience playing basketball and had the ability to dunk a basketball on a standard ten foot high rim. Participants were asked to read and sign an informed consent before the study to know the risks associated with participation. Numbers were assigned to the participants to keep their names and information anonymous. Each participant read and signed an informed consent (Appendix A) form indicating that they knew of the risks present in the study. Instruments The participants’ height and weight were measured on a scale (Detecto Medic) prior to testing. A Bertec force plate (Columbus, Ohio), which is used to measure force in Newtons. Reliability and validity of the force plates have been proven to be accurate and correct (Whittle, 1997). The force plate was linked to a computer that used Peak Motus System version 6.0 software. A JVC digital camcorder was used to record digital videos of the vertical jumps and the dunks. The camera was linked to a computer using the Dartfish 4.5 software, which was used to measure time of the flight from take-off to landing, and distance traveled while jumping. 21 Design & Procedures Three male recreational basketball players at SUNY Cortland volunteered to participate in the study. They ranged in the ages from 20-22. All participants play the forward position when they participate in the game of basketball. The participants were tested during a single experimental session where their max vertical jump height was measured, followed by their execution of a series of three onehanded dunks and three two-handed dunks, which were filmed using the JVC digital camcorder recording at 30 Hz. Upon arrival for testing, the participants had their height (centimeters) and weight (kilograms) recorded. Each participant’s max vertical jump was measured using a Vertec Vertical Jump Tester (Owatonna, MN). Each participant stood on the Bertec force plate and performed a counter movement vertical jump. The height of the jump and the landing GRF were measured. A JVC camcorder recorded a digital video of each participant jumping. The videos were then uploaded into Dartfish software for analysis. A meter stick was placed in the field of view, along the primary plane of motion, and was used to calculate real world distance values from the video information. The three vertical jump test scores and the average peak landing GRF’s were used for further analysis later in the study. Next, the participants performed the required dunks. Each participant dunked a basketball with one hand three times and then three more times with two hands. They were given a 10 minute warm up period to stretch and practice dunking. Each participant started their approach to the basket from the midway point between the foul line and three point line on the basketball court. The participants were asked to follow a specific path to the basket while dunking the basketball for the best video results. A JVC 22 camcorder recorded each dunk trial directly linked to a computer through the use of Dartfish software. A meter stick was aligned to the plane of motion as a reference point for distance. Time of flight, distance, and take-off/landing velocities was found using the Dartfish software. The videos were used for further analysis to determine the landing force of the participant. The average ground reaction force from the one and two handed dunk trials from each participant were calculated using the following equation: Average Reaction force = [(velocity final – velocity final)/ ∆ time of shock absorption] x Work The results from the above equation were then doubled to find the peak landing force of the participant. Data was then normalized to represent how much force was generated based on the participant’s body weight. Statistics A statistical analysis was not run because the sample size was too small. A descriptive analysis was done instead. RESULTS Participants The study began with five participants. Three dropped out of the study, two due to personal reasons and the third as the result of injury. The injured participant was able to complete the vertical jump testing session, but was not able to participate in the dunking session of the study. The participant had sprained his ankle while landing on top of another person’s foot after attempting to dunk a basketball. He was using a one-footed landing strategy. Two subjects completed all the phases of the study. Table 1 illustrates 23 the anthropometrics of the participants, and table 2 shows the results of each participant from the vertical jump and the dunk trials. Participant Number Height (cm) Weight (kg) Playing Position 1 196.9 82.3 Center/Forward 2 190.5 100.65 Center/Forward 3 198.1 100.5 Forward Averages 195.2 94.5 Table 1. This table shows the participant’s anthropometrics for the study. 1 Vertical Jump Height (cm) 49.5 Average Peak Vertical Jump GRF (BW) 3.94 Average Peak One-Handed Dunk GRF (BW) 6.25 Average Peak Two-Handed Dunk GRF (BW) 6.47 2 39.4 4.02 7.95 3.74 3 49.5 3.12 N/A N/A Average 46.1 3.69 7.1 5.11 Participant Number Table 2. This table shows the average peak scores to the vertical jump test, and the average peak landing GRF the one-handed and two handed dunks based on body weight (BW). Vertical Jump Testing Participants tested their vertical jump using the Vertec Vertical Jump Tester. Participants 1 and 3 had the highest vertical jump height with 49.5 cm. Participant 2 only had a vertical jump height of 39.4 cm. Dartfish video analysis software was used to time each participant’s jump. Participant 3’s average flight time for his vertical jump trials was the longest (M = 0.633 seconds (s)). Participant 1 was in the air the next longest (M = 0.6 s) and participant 2 was in the air the shortest (M = 0.55 s). Participant 2 had the smallest average score for the vertical jump (M= 39.4 cm) and the shortest flight time (M=0.55 s). 24 The vertical jump landing force varied for each participant. Participant 2 produced the highest landing GRF, which was 4.02 times body weight (BW). Participant 3 produced 3.12 BW, and participant 1 produced 3.94 BW. The average landing GRF for the vertical jump test was 3.69 BW. Figure 1 illustrates the average peak landing GRF’s of each participant for the vertical jump test. Average Peak GRF for Vertical Jumps 4.5 4 3.5 GRF (BW) 3 Participant 1 2.5 Participant 2 2 Participant 3 1.5 1 0.5 0 Figure 1. Average landing GRF generated from performing the vertical jump test. Participant 2 had an average peak GRF of 4.02 BW, 3.94 BW peak average for participant 3, and 3.12 BW peak average for participant 1. One-Handed Dunk For the landing force of the one-handed dunk, Dartfish video analysis software was used to record time and flight distances for calculating landing GRF. A difference was found between the average peak GRF’s of participant 1 (M= 6.25 BW) and participant 2 (M = 7.95 BW). Participant 2 produced 1.7 BW more peak landing force, on average, than participant 1 did for one-handed dunks. Figure 2 illustrates the average 25 peak landing GRF, normalized to body weight, between the remaining two participants for the one-handed dunk. Average Peak GRF for One-Handed Dunks 9 8 7 GRF (BW) 6 5 Participant 1 4 Participant 2 3 2 1 0 Figure 2. Average peak landing GRF of the one-handed dunk trials. Participant 2 produced a greater landing GRF than participant 1. Participant 2 produced 7.95 BW, and participant 1 produced 6.25 BW. Two-Handed Dunk Dartfish video analysis software was used to measure time and flight distance for calculations. There was a difference found in the average landing GRF’s between participant 1 (M = 5226.9 N) and participant 2 (M = 3690.9 N). Even though there was no significant difference, participant one produced 1536 N, which is 70.6%, more than participant two in landing force. Participant 1 produced an average peak landing GRF of 6.47 BW, and participant 2 produced an average peak landing GRF of 3.74 BW. Figure 3 illustrates the average peak landing GRF, normalized to body weight, of the two-handed dunk for both participants. 26 Average Peak GRF for Two-Handed Dunks 7 6 GRF (BW) 5 4 Participant 1 Participant 2 3 2 1 0 Figure 3. Average peak landing GRF, normalized to body weight, between the two Participants in the two-handed dunk. Participant 1 generated an average peak GRF of 6.47 BW, and Participant 2 produced an average peak GRF of 3.74 BW. One-Handed vs. Two-Handed Dunking Comparison of each participant’s one-handed dunks to their two-handed dunks was then performed. The average peak landing GRF produced from the one-handed dunk was 6.96 BW and 4.81 BW for the two-handed dunk. The average peak landing GRF of the one-handed dunk produced 2.15 BW more, on average, than for the two-handed dunk. Figure 4 illustrates the difference in average peak landing GRF between the two dunking styles of all participants. 27 Average Peak GRF-One vs. Two Handed Dunk 8 7 6 GRF (BW) 5 One-Handed Dunks 4 Two-Handed Dunks 3 2 1 0 Figure 4. Average peak GRF, by body weight, of the one and two-handed dunks. The one-handed dunk produced the highest average GRF, which was 6.96 BW. The twohanded dunks produced an average peak GRF of 4.81 BW. DISCUSSION From the results of the pilot study, there was a marked difference between the landing forces of the one-handed and two-handed dunks. The one-handed dunk technique produced a much higher peak landing GRF than the two-handed dunk technique, as stated in the hypothesis. There were several interesting results and findings during the study. Assumptions In the study, assumptions were made about how the participants had a full mastery of dunking with one and two hands, and that they would perform the task with maximal effort. The assumption on maximal effort was not met by one participant. Participant 1 gave a sub-maximal effort when performing the one-handed dunks, but a maximal effort when performing the two-handed dunks. This was shown through the 28 slow approach to the basketball hoop seen in the videos. His lack of effort to the onehanded dunks is believed to be the reason why the data and results were skewed. He would have produced more landing more if he had given maximal effort instead of only producing an average peak landing GRF of 6.25 BW, while participant 2 produced an average peak landing GRF of 7.95 BW. The assumption of having a mastery of performing both dunking styles was not met for participant 2. His attempts at the two-handed dunks were below par. He was very hesitant and slow when attempting to dunk. The videos showed stutter steps before jumping, which made him seem awkward in his attempts. Only one of the three dunks was made while the other two bounced off the rim. Participant 1 demonstrated a mastery of both dunking styles. Ground Reaction Force The one-handed dunk trials (M= 7.1 BW) produced a greater average peak landing GRF compared to the two-handed dunk trials (M= 5.11 BW). It was found that the amount of force produced ranged from 3.74-7.95 BW. McClay et al. (1994) found that a layup landing produced 4-8.9 BW, which is very close to what was found in this study, thus, showing how McClay’s findings could be replicated. Gray et al. (1985) found that 60% of injuries in basketball occur from improper landings from jumping tasks. Participant 3 agreed to let me talk about his injury in this research brief. He was playing basketball and landed on his foot wrong when coming down from a dunk. He landed on one foot and sprained his ankle. This injury relates to how the force absorbed by one leg is twice as much as when landing on both legs, thus increasing the likelihood of injury to the single leg (Tillman et al., 2004). In the study, the 29 one-footed landings (M = 7.1 BW) produced 72 % more force than the two-footed landings (M = 5.11 BW). This study showed that the force absorbed in one-foot landings was almost twice as much as in the two-foot landings. The athletes in this study showed that the injury rate also increases, thus showing why the ankle and knee injury rates are so high in basketball. Participant 3 now has functional instability in his ankle, which is a tendency of the foot to repeatedly give away or sprain as a result as an inability to maintain stability of the ankle joint during activity. Players with functional instability from sprained ankles were found to land with the same amount of GRF, and usually do not take any precautions when landing to prevent the injury from happening again (Caulfield & Garrett, 2004). When performing similar jumping tasks in the study, the ankle sustained similar GRF and did not get re-injured. This was even though strength in the ankle is reduced each time from injury. Participant 3 has to watch how he comes down when landing and fix his old habit to prevent too much force from being absorbed by one leg. Jump Landing Mckinley and Pedotti (1992) found in their study that each person likes to land a certain way. This is based on the firing of motor neurons in the muscles for muscle recruitment. Each person learns how to land a different way, so if they land a certain way repeatedly, the muscles will start to remember (muscle memory) what to do each time with minimal effort (Mckinley & Pedotti, 1992). From the video, participant 1 landed with more confidence and balance without having to try and adjust his legs in a proper manner. Participant 2 was unbalanced and uncoordinated at times while landing. It was 30 reported in a study by Kovacs and colleagues that asymmetric landings are the leading cause of injury in volleyball players (Kovacs et al., 1999). Participant 2 was found to be switching legs when landing in the videos. He would use his left leg half the time to land and his right leg to land the other half. This participant appeared to have no dominant landing leg. In a study by Schiltz, Lehance, Maquet, Bury, Crielaard, and Croisier (2009), it was found that the players showed no signs of a leg dominance at both the professional and junior basketball levels. The dominant leg is defined as which leg they use to kick a ball with. Both groups had found to show no significance (p > 0.05) when testing both legs in a series isokinetic tests, such as testing strength of the knee flexors and extensors. The quadricep and hamstring were tested at 60̊ ∙s-1 and 240̊ ∙s-1 for concentric movements, and then again for eccentric movements at 30̊ ∙s-1 and 120̊ ∙s-1. Schiltz et al. (2009) showed that there is no real dominant landing leg in basketball players, and that they need to use both legs to be successful. Theoharopoulos and Tsitskaris (2000) found the same results as Schiltz’s study. They found no difference in power/torque between the defined dominant and nondominant legs. Participant 2 in this study demonstrated a sign of a dominant leg (right leg) when landing. Injury The ankle injury that occurred to participant 3 is very common among basketball players (Meeuwisse et al., 2003; Cumps et al., 2007) Meeuwisse et al. (2003) did a survey of injuries over two seasons in a basketball league in Canada. It involved eight men’s college level teams. Ankle injuries were found to be the most common injury, followed by knee injuries. These injuries occurred most frequently when landing from a 31 jumping task. Meeuwisse et al.’s (2003) study had ankle injuries occurring 1.01 times out of every 1000 hours of exposure to playing basketball. Tillman et al. (2004) found in a study that in single-foot landings, EMG values increased in muscle activity by 28-72% higher. The vastus medialis activity was 39% higher in the dominant limb when comparing single-foot to two-foot landings. Hamstring activity was 70% higher in the dominant one-foot landing than in the non-dominant twofoot landing. This shows how a jump landing on one foot is more likely to lead to injury because of the strain in activity it puts on the muscles of the lower extremities. This could be part of the explanation of why Participant 3 was hurt playing basketball with some friends. Additions/Further Research This study was done with a limited amount of resources and participants. In the future, this study would have a higher statistical power and be more convincing if there were at least 10 participants. Also, the study should have been done with force plates that were big enough for the participants to land on. The force plates used when testing vertical jump reach height were barely big enough to fit the feet of these participants. Force plates that were placed in a more natural setting, such as being flush with the floor on a basketball court, would have been more effective. Testing in game situations would be a more effective way to measure peak landing GRF because it is hard to get motivated to perform at maximal effort in a laboratory setting. Since calculations were done, human error could be a factor in the skewing of results. If the peak GRF was just read off a computer screen for the dunk trials from software calculations, there is a chance for less error to occur. 32 Conclusion One-handed dunking (M= 7.1 BW) produced a greater average peak landing GRF than two-handed dunking (M= 5.11 BW). The difference was quite high between the two participants (1.99 BW). This may be due to the fact the when a person dunks onehanded, they are usually approaching the basket from further out on the court and with a higher velocity, than those who dunk with two hands. With the amount of body weight found from average peak landing GRF in this study (3.74-7.95 BW), it could be easily related to McClay et al.’s (1994) study when performing a layup (4-8.9 BW). Knowledge of what dunking style produces less average peak landing GRF can help basketball players make the right decision. The right decision could help lead to reducing the likelihood of injury. 33 CHAPTER IV- RESEARCH MANUSCRIPT II: The Difference in Ground Reaction Force between Two Landing Strategies of Two Dunking Styles of Basketball Players METHODS Jumping tasks are a regular part of the game of basketball. There have been studies that have reported injury rate, basketball physiology, and the GRF of some basketball skills. Tillman et al. (2004) found in collegiate female volleyball players that the force produced when landing one-footed is twice the amount when compared to landing two-footed. Meeuwisse et al. (2003) found that the most common injury suffered by basketball players was an ankle injury, resulting from landing on an opponent’s foot or from improper landing techniques. This chapter discusses the research assistants, subjects, instruments, location, procedures and statistical analysis associated with this study. Research Assistant One research assistant was used to help the researcher during this study. The assistant is enrolled in the Master’s level Exercise Science program at SUNY Cortland. The research assistant was responsible for recording anthropometry of each participant and recording the peak GRF’s of each dunk trial. Participants The eight participants that volunteered to be in this study included four recreational basketball players, three members of SUNY Cortland’s varsity basketball team, and one member of the LeMoyne varsity basketball team. The number of participants in this study was lower than those of similar research studies cited in the 34 literature review. Only one other study that had researched basketball movements used similar methods. At a minimum, subjects were able to perform a one-handed dunking skill to be considered for participation in the study. Not all study subjects were able to perform a two handed dunk, but those who could were instructed to do so. Participants were asked to read and sign an informed consent (see Appendix A) before the study so they knew the purpose of the study, the risks involved, and the testing procedures. A Modified Par-Q & You (see Appendix B) helped to determine any conditions preventing safe participation. Subjects who were healthy enough to perform the dunking task were chosen to participate in the study. Approval granted by SUNY Cortland’s Institutional Review Board was required before data collection began. Instruments The subjects’ weight was measured using a Pelouze model 4040 Digital scale (Bridgeview, IL) and their height was measured, using a tape measure taped to a wall, by the researcher prior to the start of testing. Two Kistler Instrument Corp piezoelectric force plates model 9287B (Amherst, New York) were placed next to one another. The force plates were arranged in a nine plate grid (seven plates were inactive), which were flush with the floor, and were used to measure the basketball player’s peak GRF’s in Newtons, using BioWare 3.0 software by Kistler. Collection frequency was set at 100 Hz. A JVC digital camcorder was used to record videos of the dunking trials. The videos were uploaded to a computer using the Dartfish TeamPro 5.5 software. Digital videos of each dunk trial were recorded for reference and record. The force plates are calibrated 35 and automatically calibrate after each trial and have a measuring resolution of +/- 2.5 N for a peak measurement of 10,000 N. Procedures For those who responded to the flyer handed out by the test administrator, a Modified PAR Q & YOU and Informed Consent forms was handed out at a meeting prior to the study to go over the purpose and procedures of the study. The volunteers were asked to fill out the Modified PAR Q & YOU form as accurately as possible. If the volunteer was not healthy enough to participate, they were excluded from participation in the study. The study required volunteers to be healthy enough to meet the physical demands of dunking a basketball. The modified PAR-Q and YOU was administered before testing to ensure no one traveled all the way to the test site only to be prohibited from participating in the study. This study required several days of data collection. The same procedures were followed each day of data collection. All subjects were assigned a number based on order of arrival for confidentiality and for randomization purposes. Subjects were instructed to wear appropriate clothing for playing basketball (i.e. basketball sneakers, shorts and a tshirt). Other clothing pieces that would not alter the dunking skill or reduce the visibility of necessary body landmarks, such as a head band or wrist band, and any braces were allowed. Upon arrival at the Institute of Human Performance (IHP) on the SUNY Upstate Medical University campus, the participants were read a script (Appendix C) of what was to be done during that session of data collection. Next, they had their height (cm) and weight (kg) recorded. Floor layout of the study at the IHP is shown in Appendix D. After 36 the anthropometric measurements were recorded for each subject, the subjects were asked to warm-up for a period of ten minutes. During the warm-up period, they were allowed to perform a dynamic warm-up for 5 minutes and to shoot around the basketball for the other 5 minutes. After the warm-up period was over for the subjects, each participant started their dunk trial from the three point line marker located foul line extended on the basketball court. Subjects were dunking the basketball from the side of the basketball hoop, parallel to the backboard. Since the basketball hoop that was used was portable, there was an issue of people landing on the support base which could have caused subjects to alter their landing style. To keep the subjects from altering the landing style, they performed the dunks from the side of the basketball hoop. The landing peak GRF was recorded on a computer using the BioWare 3.0 software. All force plate data collected was normalized to each person’s body weight. The weight in Newtons of each participant was found as follows: Subject’s Weight (kg) x 9.81 m/s2. A 30 Hz JVC camcorder was set up perpendicular to the baseline of the basketball court providing a sagittal view of the motion for the best video results. Subjects were randomized as to which landing style they performed first for the one and two-handed dunks based on their order of arrival (Appendix F). Each subject performed six dunks. Prior to each dunk trial, subjects were read another script (Appendix G) to attempt to get maximal effort from each participant. First, they were asked to perform three one-handed dunks landing on two feet and then followed by three dunks landing on one foot. Participants were asked to not hang on the rim after dunking because hanging on the rim would slow down the participant’s decent, and skew the data. 37 The sequence of three dunks landing on two feet followed by three dunks landing on one foot was repeated for those who could perform a quality two-handed dunk. A quality two-handed dunk was defined as a dunk that could be successfully performed as well as the person’s one-handed dunk. The ball must go through the hoop, the approach should be smooth with no hesitation and they must be able to repeat the two-handed dunk six more times. Data from the three dunks of each dunk style and landing strategy were averaged together for analysis purposes. Any of the dunk trials that did not meet the quality standards for dunking were discarded. The above procedures are shown in a matrix in Appendix H. A 30 Hz JVC digital camcorder was used to video record each dunk trial. The digital video was uploaded to a computer using Dartfish TeamPro 5.5 software. Videos were kept in Dartfish to be used for reference. Statistical Analysis Statistical analysis was done using the SPSS software for Windows (Version 18). The Kolmogrov –Smirnov test, along with skewness and kurtosis were tested to check for normal distribution within the data in the peak GRF and impulse data. A Repeated Measures ANOVA compared the different landing strategies of the one handed dunk trials. A P-value less than 0.05 was considered statistically significant for all tests run. Since there were only three participants for the two hand dunk trials, a descriptive analysis was done for their GRF and impulse data. All graphs were made using Microsoft Excel 2007. 38 RESULTS Anthropometrics The anthropometrics measurements of the participants are illustrated in Table 3. Table 3 Anthropometrics Subject # 1 2 3 4 5 6 7 8 AVG St. Dev. Age (yrs) 24 22 18 23 23 21 26 21 22.25 2.38 Height (cm) 190.50 198.12 194.31 186.69 198.12 200.66 196.85 198.12 195.42 4.68 Weight (kg) 81.00 118.00 96.60 77.00 98.00 123.40 86.20 108.20 98.55 16.98 Position Guard Power Forward Small Forward Guard Center Center Forward/Center Forward Table 3. This table shows the descriptive statistics of the measured anthropometrics of each participant. Ground Reaction Force Illustrated in Figures 5a and 5b are examples of the vertical components of the GRF from the two landing strategies. 7000 6000 5000 4000 3000 2000 1000 0 1.99 2 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.1 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.2 2.21 2.22 2.23 2.24 2.25 2.26 2.27 Ground Reaction Force (N) One-Footed Dunk Landing Time (s) Figure 5a. This is an example of GRF’s representative of one-footed dunk landing. 39 Ground Reaction Force (N) Two-Footed Dunk Landing 4500 4000 3500 3000 2500 2000 1500 1000 500 0 Force Plate #1 Force Plate #2 Time (s) Figure 5b. This is an example of GRF’s representative of two-handed dunk landings. There was a significant difference between the two landing strategies (F(1,7)= 18.956, p < 0.01, η2= .73). The mean peak GRF for the two-footed landing strategy (7.66 ± 1.57 BW) was significantly higher than the mean peak GRF of the one-footed landing strategy (6.2 ± 1.18 BW), as demonstrated in Figure 6. One-Handed Dunking * 10.0 Peak GRF's (Based on BW) 9.0 * 8.0 7.0 6.0 One-Footed Landing Strategy 5.0 Two-Footed Landing Strategy 4.0 3.0 2.0 1.0 0.0 Figure 6. This is a graph comparing the one-handed peak GRF values of the one-footed and two-footed landing strategies. There is a significant difference (p < 0.05) between the average one-footed landing peak GRF and the average two-footed landing peak GRF. 40 The two-footed landing strategy (8.98 ± 1.64 BW) produced a much higher average peak GRF than the one-footed landing strategy (6.4 ± 1.57 BW), as seen in Figure 7. This followed the same trend as the one-handed dunk trials with the two-footed landing strategy producing greater GRF’s than the one-footed landing strategy. Two-Handed Dunking Peak GRF's( Based on BW) 12.0 10.0 8.0 One-Footed Landing Strategy 6.0 Two-Footed Landing Strategy 4.0 2.0 0.0 Figure 7. This is a graph of the two-handed dunk trials comparing the peak GRF values between the one-footed and two-footed landing strategies. The two-footed landing strategy average peak GRF was much higher than the one-footed landing strategy average peak GRF. Impulse There was a significant difference in the impulse between the one and two-footed landing strategies (F(1,7)= 7.782, p < 0.05, η2= .526). The average impulse for the twofooted landing strategy (719.23 ± 157.53 Newtons per second (N∙s)) was significantly greater than average impulse for the one-footed landing strategy (602.83 ± 188.60 N∙s) as seen in Figure 8. 41 One -Handed Dunk Impulse Averages 1000 * Impulse (N∙s) 800 600 One-Foot Landing Strategy Two-Footed Landing Strategy 400 200 0 Figure 8. This graph compares the average peak impulse values of the one-handed dunk trials of the one and two-footed landing strategies. There was a significant difference (p < 0.05) between the average impulse of the one-footed landing and the average impulse of the two-footed landing. The two-footed landing strategy (927.29 ± 586.37 N∙s) produced a much higher average impulse than the average impulse for the one-footed landing strategy (527.75 ± 182.62 N∙s), as seen in Figure 9. This followed the same trend as the one-handed dunk trials with the two-footed landing strategy producing a greater average impulse than the one-footed landing strategy. Two-Handed Dunk Impulse Averages 1600 1400 Impulse (N∙s) 1200 1000 One-Foot Landing Strategy 800 Two-Footed Landing Strategy 600 400 200 0 42 Figure 9. This graph compares the average peak impulse values from the two-handed dunk trials of the one and two-footed landing strategies. The two-footed landing strategy average impulse was much higher than the one-footed landing strategy average impulse. DISCUSSION The results of the peak GRF analysis specify that the body experiences relatively large landing forces during the typical basketball maneuver of dunking. Similar to findings in McClay et al’s (1994) study, dunking a basketball is in a similar average range of peak GRF’s than performing other jumping tasks in basketball (4.3-8.9 BW) in the vertical direction. Ground Reaction Forces There was a big range in peak GRF between the participants (4.3-11.11 BW). This high variability observed in the peak GRF’s among the basketball players may have been partially due to the different amount of physical effort put forth in the movement. Even though a script was read to each participant before to try and ensure maximal effort, it was still difficult to motivate the athletes to perform dunks in a competitive manner in a non-competitive lab setting. Some of the data may have been near-maximal effort, but the large range of peak GRF’s were probably from varying sub-maximal efforts. The main finding of this study was that the two-footed landing strategy produced a significantly higher total peak GRF than the one-footed landing strategy. This caused the researcher’s hypothesis to be rejected. When comparing the force absorbed by each leg, Tillman et al. (2004) found that the one-footed landing (3.23 BW) showed almost twice the GRF absorbed than the two-footed landing (1.86 BW). When performing the two-footed landing strategy, the feet landed at the same time. This study shows how it is related to Tillman et al.’s (2004) study by seeing the same trend of landing force with the 43 one-footed landing strategy (6.2 BW) producing almost twice as high peak GRF as the two-footed landing strategy (3.83 BW) per leg. For the two handed dunk trials, the onefooted landing strategy would have a single leg absorb a peak GRF of 6.4 BW and the two-footed landing strategy would have the legs absorb a peak GRF of 4.49 BW each. Thus showing how asymmetrical landings can increase the likelihood of injury occurrence in dunking a basketball. Movements In this study, the participants only jumped six times for the one handed dunk trials, and twelve times if they participated in the two handed dunk trials. Instead of only jumping six-twelve times in a laboratory setting, assume each player is jumping 50-70 times (based on position) per basketball game (Abdelkrim, Fazaa & Ati, 2006; Cumps, Verhagen, & Meeusen, 2007). This means that each participant are applying 310-434 BW for one-footed landings and 383-536.2 BW for two-footed landings for one-handed dunks, 320-448 BW for one-footed landings and 449-628.6 BW for two-footed landings for two-handed dunks to the lower extremities during a single game. This causes a lot of stress on the ankle and knee joints from all the weight being applied from jump landings, which can lead to the increased likelihood of injury (Tillman et al., 2004). The participants of this study were asked to approach the basketball hoop from an angle close to parallel with the baseline to prevent them from landing on the base. When they jumped up for the dunk, the participants were jumping diagonally more than straight ahead. Wikstrom et al. (2008) found that when landing from a diagonal and/or lateral jumping task, the person is less dynamically stable than compared to those who land straight ahead. The videos show how those participants, who landed more diagonally, 44 were stumbling a few feet before they were able to balance themselves while those who landed straight ahead were able to stop and balance themselves instantly. Those who land straight ahead and not diagonally will be able to control how balanced they are faster, which in the long run, could reduce the likelihood of injury from occurring. Impulse The impulses were found to be significantly greater in two-footed landing strategy (719.23 ± 157.53 N∙s) than the one-footed landing strategy (602.83 ± 188.60 N∙s) in onehanded dunk trials. They were also greater for the two-footed landing strategy (927.29 ± 586.37 N∙s) than the one-footed landing strategy (527.75 ± 182.62 N∙s) in the two-handed dunk trials. The greater the impulses were from the dunk trials, the greater the change in velocity there was from the flight phase to the landing phase. This greater change in velocity can possibly create higher strain rates forced on the musculoskeletal system (McClay et al., 1994). Shock Attenuation As this study proves, large amounts of force occur in a short period of time during jump landings, which places a lot of strain on the lower extremities. As the body lands from jumping tasks, the body has its own shock attenuation abilities. The body absorbs some of the GRF through passive shock attenuation (bones, tendons, and soft tissue), but active attenuation (joint angles and muscle activity) also plays a big part when it comes to injury occurrence (Gross & Nelson, 1988). Not only can the landing style, one or two-footed, affect how the landing forces are attenuated within the lower extremities, but studies have shown how the use of proper joint kinematics can lower these forces as well. Gross and Nelson (1988), and Valiant and 45 Cavanagh (1987) reported that landing on the forefoot instead of landing on the heel, or flat footed, reduced the exposure to skeletal transients by about 50%. When landing on the heel, the body absorbs up to 6 BW while the forefoot only lands with 3-4 BW. As the foot lands on the forefoot, there is a greater range of motion in the joint, thus there is a greater amount of time for the body to come to rest. Also, if the person lands on the heel, there is usually a second peak GRF created because the forefoot and heel will land just separately of each other and not at the exact same time. This second peak GRF increases the likelihood of injury from occurring then because the lower extremities have to absorb even more force than if they would if they just landed on the forefoot. In this study, there were several subjects that had a second peak GRF, which indicates that they landed flat footed instead of on their forefoot (Figure 10). The proper landing style based on foot angle can play a huge role in injury prevention from jump task landings. 9000 Heel (Flat-Footed) Landing Ground Reaction Force (N) 8000 7000 6000 OneFooted Landing 5000 4000 3000 2000 1000 2.61 2.63 2.65 2.67 2.69 2.71 2.73 2.75 2.77 2.79 2.81 2.83 2.85 2.87 2.89 2.91 2.93 2.95 2.97 2.99 3.01 3.03 3.05 3.07 0 Time (s) Figure 10. Illustration of the heel landing that causes two peak GRF’s when landing from a dunk trail. 46 Muscle Activity & Injury Studies have shown how EMG activity increases drastically in one-footed landings compared to two-footed landings (Tillman et al., 2004; McKinley & Pedotti, 1992). There was a 28-72% muscle activity increase before landings when comparing one-footed to two-footed landings. Muscle activity started in the ankle joints, then moved to the knee joints, and then lastly the hip joints. Caulifield et al. (2004) and Bisseling et al. (2008) found that when athletes who have functional instability in the ankles land from a jumping task, they have significantly lower muscle activity than those who have healthy ankles. This drop in muscle activity shows a trend of why it is so easy for athletes to reinjure their ankles while playing basketball. Previous studies have found that after the initial injury, 52.9% were reinjured with the majority of the re-injuries being to the ankle (Cumps et al., 2007; Meeuwisse et al., 2003). Keeping the joints of the lower extremities healthy is very important because research has seen how often the recurrence of injuries really happens. Strength Training McInnes et al. (1995) had found in their study that basketball is a game of many movements (995 ± 183). To keep up with all the changing of directions, plyometrics and resistance training is necessary for basketball players to work on during the off-season. Boracsynski and Urnaiz (2008) showed how the implementation of a plyometrics workout routine had significantly (p < 0.05) improved the vertical jump height, maximum jump speed, maximum jump power and impulse of force. Plyometrics can help strengthen the lower extremities, especially around the joints. These improvements can lead to the decrease in likelihood of injury. 47 For the athlete to get optimal strength training results, the best time for a basketball player to perform resistance training and plyometrics is during the off season. The off season gives the athlete the right amount of rest and recovery time in between workouts. To make sure the athletes have the best aerobic capacity before the season starts for the greatest recovery time, the basketball players would need to increase their aerobic training during the preseason, while only performing resistance training 2-3 times a week. During the season, the athlete should only be endurance training, which is 12-15 repetitions for 3 sets at a light weight (60-70% 1RM), twice a week to maintain strength (Tavino, Bowers, & Archer, 1995). Summary The two-footed landing strategy had a significantly higher total peak GRF and impulse than the one-footed landing strategy in the one-handed dunk trials. Similar trends were observed in the two-handed dunk trials. Even though this resulted in rejecting the study’s hypothesis, the high peak GRF from dunking a basketball were similar to the findings in the study by Tillman et al. (2004), when comparing the jump landings as a whole, and not per leg. This study and the study by Tillman et al. (2004) found that the one-footed landings produced twice as much peak GRF per leg than the two-footed landing strategy. It is the opinion of the researcher that basketball players should use the two-footed landing strategy for a safer landing from dunking. Even though the twofooted landing strategy produced a significantly higher total peak GRF, landing on the two feet disperses the forces between the two legs, which puts less strain on each leg. 48 Conclusions Based upon the methodology utilized to collect data and the statistical analysis of the collected data, the following conclusions were made: 1. The total peak GRF was significantly higher in the two-footed landing strategy than in the one-footed landing strategy, resulting in the rejection of the researcher’s hypothesis. 2. The impulse was significantly higher for the two-footed landing strategy than for the one footed landing strategy. 3. The two-handed dunk trials followed a similar trend found in the one-handed dunk trials with the total peak GRF and impulses being greater in the two-footed landing strategy than in the one-footed landing strategy. 4. Even though the two-footed landing strategy produced a higher total peak GRF and impulse than the one-footed landing strategy, it is safer to land on two feet than one foot. When performing a two-footed landing, the force is dispersed between two legs, which means that each leg will absorb less than the peak GRF. Less strain placed upon each leg, will reduce the possibility of injury from occurring. Recommendations Based upon the conclusions reached in this study, future research could benefit by following these recommendations: 1. Future research designs could increase the diversity and number of participants used for data collection. There were only eight participants for this study, and three of which that could perform a two-handed dunk. A sample size of 20 or higher could give a greater effect size and may produce different results. Also, expanding the 49 basketball players recruited from just Division III and recreational players to Division I or Professional level players could greatly increase the sample size. The Division I and Professional levels would have more players who could dunk a basketball, and more players who could dunk with two hands. 2. Future studies could use more than one camera to film the dunk trials. One camera was used for the present study to film the dunk trial, but was placed at half court. One place another camera could have been placed would be right by the landing. The focus could be how the participants land on their feet, forefoot vs. heel landings. 3. Another suggestion would be to keep the study close to where the recruitment of participants takes place. In this study, many participants dropped out because of having to travel to the test site, which was 40 minutes away. The closer the test site is to the participants, the more likely they would stay in the study. 50 References Abdelkrim, N., El Fazaa, S., & El Ati, J. (2007). Time-motion analysis and physiological data of elite under-19-year-old basketball players during competition. British Journal of Sports Medicine, 41(2), 69-75. Retrieved from SPORTDiscus database. Bisseling, R., Hof, A., Bredeweg, S., Zwerver, J., & Mulder, T. (2008). Are the take-off and landing phase dynamics of the volleyball spike jump related to patellar tendinopathy?. British Journal Of Sports Medicine, 42(6), 483-489. 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Training-Induced Changes in Aerobic Aptitudes of Professional Basketball Players. International Journal of Sports Medicine, 25, 103-108. Retrieved from MEDLINE with Full Text database. McClay, I., Robinson, J., Andriacchi, T., Frederick, E., Gross, T., Martin, P., et al. (1994). A profile of ground reaction forces in professional basketball. / Un profil des forces de reaction du sol en basketball professionnel. Journal of Applied Biomechanics, 10(3), 222-236. Retrieved from SPORTDiscus database. McInnes, S., Carlson, J., Jones, C., & McKenna, M. (1995). The Physiological Load Imposed on Basketball Players During Competition. Journal of Sports Sciences, 13, 387-397. Retrieved from MEDLINE with Full Text database. McKinley, P., & Pedotti, A. (1992). Motor strategies in landing from a jump: the role of skill in task execution. Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale, 90(2), 427-440. Retrieved from MEDLINE with Full Text database. 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Isokinetic evaluation of the ankle plantar and dorsiflexion strength to determine the dominant limb in basketball players. Isokinetics & Exercise Science, 8(4), 181. Retrieved from Health Source: Nursing/Academic Edition database. Tillman, M., Criss, R., Brunt, D., & Hass, C. (2004). Landing Constraints Influence Ground Reaction Forces and Lower Extremity EMG in Female Volleyball Players. Journal of Applied Biomechanics, 20(1), 38-50. Retrieved from SPORTDiscus database. Valiant, G.A., & Cavanagh, P.R. (1987). A study of landing from a jump: Implications for the design of a basketball shoe. In R.W. Norman, R.P. Wells, K.C. Hayes, & A.E. Patta (Eds.), Biomechanics XB (pp. 117-122). Champaign, IL: Human Kinetics. 54 Wikstrom, E., Tillman, M., Schenker, S., & Borsa, P. (2008). Jump-landing direction influences dynamic postural stability scores. Journal of Science & Medicine in Sport, 11(2), 106-111. Retrieved from SPORTDiscus database. Ziv, G. & Lidor, R. (2009). Physical Attributes, Physiological Characteristics, On-Court Performances and Nutritional Strategies of Female and Male Basketball Players. Journal of Sports Medicine, 39(7), 547-568. Retrieved from MEDLINE with Full Text database. 55 Appendix A Informed Consent Subject # _____ State University of New York College at Cortland The study you have been asked to participate in is being conducted by Hans Wulf Jr. of the Kinesiology Department at SUNY Cortland. Please read the following information, and sign the freedom of consent section if you choose to participate. Purpose and Explanation of Testing Procedures The purpose of this study is to understand which landing strategy produces a higher peak ground reaction force. The research session you will be taking part in will consist of one day of data collection. This day will depend on when you will be able to be tested. During this session of research, you will be dunking a basketball with one hand and with two hands, while landing in two different ways, one footed and two footed. There will be several sessions of data collection taking place over several weeks to ensure that each participant has the chance to attend one of them. The measurement taken will include height, weight, vertical jump height, and peak ground reaction forces for the vertical jump and dunk trials. This study should take approximately one hour per subject to collect data. Risk and Discomforts The protocol for this study will cause no more risk or discomfort for the subject than playing in a basketball game or practice. Maximum risk associated with the study includes ankle sprains. If at any point you wish to stop your participation in this study, please do not hesitate to tell the test administrator. Participant Responsibilities Please communicate with the test administrator if your experience any problems before, during, or after the study session. Participants will need to supply their own transportation to and from the testing site. A Modified PAR Q & YOU will be asked to answer accurately to ensure all participants are healthy enough to participate in the study. Those who are not healthy enough to participate will be asked to not participate. Benefits This study will give basketball players the knowledge of which dunking style and which landing strategy produces less peak ground reaction force. This knowledge can lead to a decrease in likelihood from injury from occurring. 56 Participants will all receive a dvd copy of their dunk trials for participating in this study. Inquires Test: Administrator: Hans Wulf Jr Email Address: hans.wulfjr@cortland.edu Phone #: 845-741-2728 For questions about research or research subjects’ rights, contact Amy Henderson-Harr, IRB Designee, Office of Research and Sponsored Programs, SUNY Cortland, at (607) 753-2511. Use of Records The results from the vertical jump tests and the dunk trials will be kept confidential for each individual. You results will be identified by an assigned number, not your name. The only individuals who will have access to your information are the testing administrator and assistant. Collected data will be stored in a locked cabinet. Freedom of Consent I have read the information on this page, and understand the potential risks and discomforts of participation. Any questions I have regarding this information were answered to my satisfaction. I consent to participate in this experimental study. Participant’s Signature __________________________ __________________ Date: ______________ Participant’s name (Printed) __________________________ __________________ Date: ______________ Signature of Witness __________________________ __________________ Date: ______________ 57 Appendix B Modified Physical Activity Readiness Questionnaire (PAR-Q) Name Date DOB Age Unit Work Phone Regular exercise is associated with many health benefits, yet any change of activity may increase the risk of injury. Completion of this questionnaire is a first step when planning to increase the amount of physical activity in your life. Please read each question carefully and answer every question honestly: Yes No Don’t 1) Has a physician ever said you have a heart condition and you should only do Know physical activity recommended by a physician? Yes No Don’t 2) When you do physical activity, do you feel pain in your chest? Know Y No Don’t 3) In the past month have you had chest pain when you were not doing physical Know activity? Y No Don’t 4) Do you lose your balance because of dizziness or do you ever lose Know consciousness? Y No Don’t 5) Do you have a joint or bone problem that may be made worse by a change in Know your physical activity? If yes, explain to HPC. Yes No Don’t 6) Do you currently have high blood pressure that is not controlled by medication? Know Yes No Don’t 7) Do you have osteoarthritis? Know Yes No Don’t 8) Do you currently have an ankle or foot injury that could prevent you from Know performing jumping tasks? Yes No Don’t 9) Do you know of any other reason you should not exercise or increase your Know physical activity? Yes Yes Yes Participant signature Date 58 Members answering no to all questions may begin a moderately paced exercise program. If a member answers yes to any of the above questions wait for clearance from physician to begin exercise program. Reference: ACSM’s Guidelines for Exercise Testing and Prescription, Sixth Edition, 2000 59 Appendix C Arrival Script Hello and thank you for your participation in my study. Today we are going to see how high the peak GRF is from dunking one and two-handed, and from landing one and two-footed. As a bonus for participating, you will receive a DVD of all your dunks performed, upon request. They will be made up as soon as the study is complete. To start today’s session, I will like all of you to review the informed consent and Modified PAR-Q & You, answer the questions to the best of your ability, and sign them. Once this is complete, you will be taken by my research assistant here to get your height and weight recorded. Once that is complete, you will be given a 10 minutes warm-up period. For 5 minutes you will perform a dynamic warm-up, which includes a slow jog, high knees, butt kicks, skipping and shuffling. We will start the dunk trials with the one-handed dunks. Landing strategy is randomized based on order of arrival here as well. Six dunks will be performed, three per landing strategy. Each dunk trial will be recorded using a JVC camcorder, so make the dunks count. For the two-handed dunk, a trial dunk will be asked to be performed to ensure you can perform a quality two-handed dunk. If your two-handed dunk does not pass the quality test, you will not be asked to perform the dunk. You can leave at this time or you can stay to watch the others dunk. If your two-handed dunk passes the test to ensure quality dunks are being performed, then you will perform 6 more dunks, 3 for each landing strategy. Once all of your dunk trials have been performed, you will be allowed to leave. 60 Once again, I would like to say thank you for participating. I greatly appreciate it. I hope you all have fun and learn a lot from this study. Let’s get started. 61 Appendix D Floor Layout 62 Appendix E Data Collection Day # Subject # Date Time Position . 1) Physical Measurements: Age years Height cm Weight kg 2) Peak Vertical Jump GRF Testing: Peak GRF (N) 1 2 3 3) One-Handed Dunking Testing: Landing Style Peak GRF (N) One-foot One-foot One-foot One-foot Average Two-feet Two-feet Two-feet Two-feet Average 4) Two-handed Dunking Testing (if applicable): Yes Landing Style No Peak GRF (N) 63 . . One-foot One-foot One-foot One-foot Average Two-feet Two-feet Two-feet Two-feet Average 64 Appendix F Randomized Order of Landing Style Being Performed for Both One and Two-handed Dunking Styles Order of Arrival Landing Style to Perform First Landing Style to Perform Second 1 One-foot Two-feet 2 Two-feet One-foot 3 One-foot Two-feet 4 Two-feet One-foot 5 One-foot Two-feet 6 Two-feet One-foot 7 One-foot Two-feet 8 Two-feet One-foot 9 One-foot Two-feet 10 Two-feet One-foot 65 Appendix G Dunking Script for Maximal Effort I need you to dunk this ball with as much force as possible. I need you to attack the rim like you are LeBron James. Just like you are going to dunk over Michael Jordan and beat him at his game. This dunk needs to look good for the camera. Don’t you want your friends to see how hard you throw down on DVD? You’ll be the only one of your friends with a DVD of your own amazing dunks being performed. Now, when I tell you to go, you dunk that basketball with so much force, your friend’s mouths will drop. Get at it! 66 Appendix H Procedure Matrix Dunk 3 times landing on one foot One-handed 10 Minute Warm- Up Period Dunking Volunteers (5 minute dynamic warm-up, 5 minutes shoot around) Random Order n= 8 Dunk 3 times landing on two feet If they can dunk with two hands then follow procedures below Dunk 3 times landing on one foot Two-handed Dunking Volunteers Random Order n=5 Dunk 3 times landing on two feet 67