Influence of drop-landing exercises on bone geometry and biomechanical properties in prepubertal girls: a randomized controlled study

Calcif Tissue Int. 2009 Aug;85(2):94-103. doi: 10.1007/s00223-009-9253-7. Epub 2009 May 21.

Abstract

We conducted a 28-week school-based exercise trial of single-leg drop-landing exercise with 42 girls (Tanner stage 1, 6-10 years old) randomly assigned to control (C), low-drop (LD), or high-drop (HD) exercise groups. The LD and HD groups performed single-leg drop-landings (three sessions/week and 50 landings/session) from 14 and 28 cm, respectively, using the nondominant leg. Single-leg peak ground-reaction impact forces in a subsample ranged between 2.5 and 4.4 times body weight. Dependent variables were bone geometry and biomechanical properties using magnetic resonance imaging. No differences (P > 0.05) were found among groups at baseline for age, stature, lean tissue mass (DXA--Lunar 3.6-DPX), leisure-time physical activity, average daily calcium intake, or measures of knee extensor or flexor torque. A series of ANOVA and ANCOVA tests showed no within- or between-group differences from baseline to posttraining. Group comparisons assessing magnitude of change in side-to-side differences in geometry (area cm(2)) and cross-sectional moment of inertia (cm(4)) at proximal, mid, and distal sites revealed negligible effect sizes. Our findings suggest that strictly controlled unimodal, unidirectional single-leg drop-landing exercises involving low to moderate peak ground-reaction impact forces do not influence geometrical or biomechanical measures in the developing prepubertal female skeleton.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Absorptiometry, Photon / methods
  • Adaptation, Physiological / physiology*
  • Biomechanical Phenomena
  • Calcium, Dietary / administration & dosage
  • Child
  • Exercise / physiology*
  • Exercise Test*
  • Female
  • Femur / anatomy & histology*
  • Femur / diagnostic imaging
  • Femur / physiology
  • Humans
  • Knee / physiology
  • Magnetic Resonance Imaging
  • Puberty / physiology*
  • Range of Motion, Articular
  • Torque

Substances

  • Calcium, Dietary