First-time anterior cruciate ligament injury in adolescent female elite athletes:a prospective cohort study to identify modifiable risk factors
| العنوان: | First-time anterior cruciate ligament injury in adolescent female elite athletes:a prospective cohort study to identify modifiable risk factors |
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| المؤلفون: | Lars L. Andersen, Mette K Zebis, Mikkel Bek Clausen, Per Hölmich, Mikkel Brandt, Jesper Bencke, Derek Curtis, Per Aagaard, Rasmus Skov Husted, H. B. Lauridsen |
| المصدر: | Zebis, M K, Aagaard, P, Andersen, L L, Hölmich, P, Clausen, M B, Brandt, M, Husted, R S, Lauridsen, H B, Curtis, D J & Bencke, J 2022, ' First-time anterior cruciate ligament injury in adolescent female elite athletes : a prospective cohort study to identify modifiable risk factors ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 30, no. 4, pp. 1341-1351 . https://doi.org/10.1007/s00167-021-06595-8 Zebis, M K, Aagaard, P, Andersen, L L, Hölmich, P, Clausen, M B, Brandt, M, Husted, R S, Lauridsen, H B, Curtis, D J & Bencke, J 2022, ' First-time anterior cruciate ligament injury in adolescent female elite athletes : a prospective cohort study to identify modifiable risk factors ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 30, pp. 1341–1351 . https://doi.org/10.1007/s00167-021-06595-8 |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | medicine.medical_specialty, Adolescent, Sports medicine, Athletic Injuries/epidemiology, Anterior cruciate ligament, Population, Football, Poison control, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Injury prevention, medicine, Humans, Orthopedics and Sports Medicine, Biomechanics, Prospective Studies, Risk factor, education, 030222 orthopedics, education.field_of_study, business.industry, Electromyography, Anterior Cruciate Ligament Injuries, ACL, 030229 sport sciences, medicine.disease, musculoskeletal system, ACL injury, Handball, Anterior Cruciate Ligament Injuries/epidemiology, medicine.anatomical_structure, Athletes, Relative risk, Athletic Injuries, Physical therapy, Screening, Surgery, Female, Football/injuries, business, human activities |
| الوصف: | Purpose To identify modifiable biomechanical and neuromuscular anterior cruciate ligament (ACL) injury risk factors for first-time ACL injury in adolescent female elite football and team handball players. Methods Adolescent female elite football and handball players with no previous ACL injury participated in the present study. At baseline, players were tested during side-cutting manoeuvres performed in a 3-dimensional motion analysis laboratory with concomitant electromyography (EMG) measurements. Maximal isometric lower limb muscle strength was assessed by handheld dynamometry. Players were prospectively followed for 2 years after baseline testing, and all magnetic resonance imaging (MRI) verified ACL injuries were registered. The effect of 16 risk factor candidates on the relative risk (RR) of ACL injury was estimated using Poisson regression analysis. Results Ninety players (age 16.9 ± 1.2 years) were included in the analyses. Nine first-time ACL injuries (injury incidence 10.0% (95% confidence interval (CI) 5.4–18.6%)) were registered during the 2-year follow-up period. Four risk factor candidates were significantly associated with the risk of ACL injury: (1) hip flexion angle at initial contact (IC) [RR 0.56, 95% confidence interval (CI) 0.34–0.92], (2) internal knee rotation angle at IC [RR 1.13, 95% CI 1.08–1.19], (3) semitendinosus EMG activity 50 ms prior to IC [RR: 0.62, 95% CI 0.43–0.89], and (4) external hip rotator strength [RR: 0.77, 95% CI 0.66–0.89]. Conclusion Four distinct ACL injury risk factors related to the side-cutting manoeuvre were identified in a population of adolescent female elite football and team handball players with no previous ACL injury. As ACL injury typically occur during side-cutting, intervention programmes to modify these risk factors pose a promising strategy for ACL injury prevention in adolescent female elite football and team handball. Level of evidence II. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1007/s00167-021-06595-8 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b3ea52090997fc09167ad54c3828f3b5 https://vbn.aau.dk/ws/files/473698776/Zebis2022_Article_First_timeAnteriorCruciateLiga.pdf |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b3ea52090997fc09167ad54c3828f3b5 |
| قاعدة البيانات: | OpenAIRE |
| DOI: | 10.1007/s00167-021-06595-8 |
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