- Research Article
- 10.5507/ag.2026.001
The effect of calf muscle fatigue on cutting maneuver kinematics in female athletes with and without dynamic knee valgus
- Feb 16, 2026
- Acta Gymnica
- Mahla Dashkhaneh + 5 more +5
Background: Calf muscle fatigue has been shown to affect movement patterns and may contribute to increased injury risk, particularly in the knee joint. Objective: This study aims to investigate the effect of calf muscle fatigue on lower limb kinematics during cutting maneuvers in female athletes with and without dynamic knee valgus (DKV). Methods: This case-control study included female athletes with (n = 12) and without dynamic knee valgus (n = 12). The cutting maneuver kinematics were measured with 10 cameras motion analysis before and after calf muscle fatigue, which was induced using an isokinetic dynamometer through repeated maximal plantarflexion contractions at the time point corresponding with peak knee valgus angle. A two-way mixed-design analysis of variance was conducted to analyze within-group differences between the pre-test and post-test results. Results: The findings indicated that calf muscle fatigue was associated with a significant decrease in knee flexion (p = .006) and increases in valgus angle (p = .003) and external rotation angle (p = .028), during the cutting maneuver. Also, calf muscle fatigue significantly increased ankle inversion (p = .028) and decreased hip flexion (p = .030) in the DKV group. Moreover, a significant difference was observed in the effect of fatigue between the two groups, such that the ankle inversion (p = .021) and hip flexion angle (p = .006) changed more in the DKV group than in the group without DKV. Conclusions: This study showed significant effects of calf muscle fatigue on the lower limb kinematics of female athletes. These alterations in movement patterns, especially in athletes with DKV, may contribute to a higher risk of injury, particularly anterior cruciate ligament injuries, due to compromised joint stability and altered biomechanics.
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