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LEMPI Research Project

Lower Extremity Mechanics and Performance–Injury Conflict

The LEMPI study investigates why dynamic knee valgus appears in high-speed cuts and whether it is related to lower-limb force production.

Anterior cruciate ligament (ACL) rupture is one of the most common serious sports injuries, and one-third of those affected develop knee osteoarthritis within 10–15 years of injury (Lohmander et al., 2007). ACL injuries are especially prevalent among young female athletes in sports involving rapid stops, changes of direction, and landings (Mall et al., 2014).

They typically occur during a swift cutting maneuver or landing, when a nearly fully extended knee suddenly collapses inward at initial ground contact, subjecting the ACL to loads beyond its tensile strength (Hewett et al., 2005; Leppänen et al., 2015). Although athletes are coached to avoid these risky knee positions, dynamic valgus still occurs during fast changes of direction, and ACL injury rates have not declined (Kulmala, 2019).

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Research objectives

The LEMPI study investigates why dynamic knee valgus appears in high-speed cuts and whether it is related to lower-limb force production.

Funding & Data Collection This research is funded by Metropolia University of Applied Sciences and the Academy of Finland. Data have been collected at the Metropolia movement laboratory from healthy athletes and those recovering from ACL reconstruction. Data analysis is currently in progress.

Research Team

  • Anu Valtonen, PhD, PT, Principal Lecturer, Metropolia UAS – Principal Investigator
  • Juha-Pekka Kulmala, PhD, Academy Research Fellow, HUS & University of Helsinki
  • Tom Thiel, M.Sc., Laboratory Engineer, Metropolia UAS
  • Di Wang, M.Sc., Doctoral Researcher, HUS & University of Helsinki
  • Gao Ying, PhD, Postdoctoral Researcher, Zhejiang University
  • Andrey Zhdanov, D.Sc., Laboratory Engineer, HUS
  • Mika Peltoniemi, M.Sc., Biomechanics Specialist, HUS
  • Mikko Haara, MD, PhD, Paediatric Orthopaedist, HUS
  • Matti Kantola, M.Sc., Podiatrist, Metropolia UAS
  • Lasse Liikanen, M.Sc., PT, Doctoral Researcher, Metropolia UAS & University of Helsinki

Key Publications

Wang D, Valtonen AM, Thiel T, Stenroth L, Gao Y, Kulmala J-P. Effects of ACL exercise-based injury prevention interventions on knee motion in athletes: a systematic review and Bayesian network meta-analysis. J Orthop Sports Phys Ther. 2025;55(2):1–14. DOI: 10.2519/jospt.2024.12720.

Contact

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Duration
31.8.2023 – 31.12.2028
Funder