Customized Landing Task for ACL Injury Risk Assessment: Kinematic Sex-Related Differences.

IF 2.7 2区 医学 Q1 SPORT SCIENCES
Claudia Brunetti, Rodrigo Rabello, Federico Adragna, Lucas Silva Zandonato, Alessandro Zucchetti, Filippo Bertozzi, Manuela Galli, Chiarella Sforza
{"title":"Customized Landing Task for ACL Injury Risk Assessment: Kinematic Sex-Related Differences.","authors":"Claudia Brunetti, Rodrigo Rabello, Federico Adragna, Lucas Silva Zandonato, Alessandro Zucchetti, Filippo Bertozzi, Manuela Galli, Chiarella Sforza","doi":"10.1177/19417381241236893","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Women present a higher anterior cruciate ligament (ACL) injury rate than men, suggesting sex-related biomechanical differences. Task characteristics are often fixed for both sexes, possibly affecting the perceived difficulty. We investigated kinematic sex differences across landing tasks for ACL injury risk assessment, adjusted to participants' anthropometrics/performance, and whether different tasks affect kinematic sex comparisons.</p><p><strong>Hypothesis: </strong>Female subjects would exhibit motion patterns more associated with ACL injury risk, and sex-related differences may depend on task type.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 27 female and 29 male amateur players (18-30 years) executed horizontal hop, drop jump (DJ), and DJ followed by vertical or forward jump (length, proportional to maximal forward jump; box, 20% participant's height). An optoelectronic system provided lower limb kinematics at initial contact and peaks until maximum knee flexion (KF), analyzed separately by multivariate analysis of variance (MANOVA) (α = 0.05).</p><p><strong>Results: </strong>At initial contact, the interaction term had significant effects on hip adduction (<i>P</i> < 0.01) and knee abduction (KAb) (<i>P</i> = 0.04); female participants demonstrated higher KAb (<i>P</i> < 0.01) and knee internal rotation (<i>P</i> = 0.05). For peaks analysis, the interaction term had no significant effects on any individual variable, although significant in MANOVA; female participants had higher KAb (<i>P</i> = 0.01) and lower KF (<i>P</i> = 0.04). Task type affected hip flexion and knee angles in both analyses.</p><p><strong>Conclusion: </strong>All variables in which significant sex-related differences were found are potential ACL injury risk factors, and all findings indicate that the analyzed female sample exhibited higher injury-related patterns. Although customized, male and female participants showed different landing strategies depending on the task.</p><p><strong>Clinical relevance: </strong>The findings underline how female participants adopted potentially harmful kinematics while executing customized landing tasks (adjusted by subject's anthropometrics/performance), which may enhance risk of ACL injury.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"252-261"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569664/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Health-A Multidisciplinary Approach","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/19417381241236893","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/27 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Women present a higher anterior cruciate ligament (ACL) injury rate than men, suggesting sex-related biomechanical differences. Task characteristics are often fixed for both sexes, possibly affecting the perceived difficulty. We investigated kinematic sex differences across landing tasks for ACL injury risk assessment, adjusted to participants' anthropometrics/performance, and whether different tasks affect kinematic sex comparisons.

Hypothesis: Female subjects would exhibit motion patterns more associated with ACL injury risk, and sex-related differences may depend on task type.

Study design: Descriptive laboratory study.

Level of evidence: Level 3.

Methods: A total of 27 female and 29 male amateur players (18-30 years) executed horizontal hop, drop jump (DJ), and DJ followed by vertical or forward jump (length, proportional to maximal forward jump; box, 20% participant's height). An optoelectronic system provided lower limb kinematics at initial contact and peaks until maximum knee flexion (KF), analyzed separately by multivariate analysis of variance (MANOVA) (α = 0.05).

Results: At initial contact, the interaction term had significant effects on hip adduction (P < 0.01) and knee abduction (KAb) (P = 0.04); female participants demonstrated higher KAb (P < 0.01) and knee internal rotation (P = 0.05). For peaks analysis, the interaction term had no significant effects on any individual variable, although significant in MANOVA; female participants had higher KAb (P = 0.01) and lower KF (P = 0.04). Task type affected hip flexion and knee angles in both analyses.

Conclusion: All variables in which significant sex-related differences were found are potential ACL injury risk factors, and all findings indicate that the analyzed female sample exhibited higher injury-related patterns. Although customized, male and female participants showed different landing strategies depending on the task.

Clinical relevance: The findings underline how female participants adopted potentially harmful kinematics while executing customized landing tasks (adjusted by subject's anthropometrics/performance), which may enhance risk of ACL injury.

用于前交叉韧带损伤风险评估的定制着地任务:运动学上的性别差异
背景:女性的前十字韧带(ACL)受伤率高于男性,这表明与性别有关的生物力学差异。男女的任务特征通常是固定的,这可能会影响感知难度。我们研究了用于前交叉韧带损伤风险评估的着地任务的运动学性别差异,并根据参与者的人体测量/表现进行了调整,还研究了不同任务是否会影响运动学性别比较:研究设计:描述性实验室研究:研究设计:描述性实验室研究:证据等级:3 级:共有 27 名女性和 29 名男性业余运动员(18-30 岁)进行了水平跳、下蹲跳(DJ)和 DJ 后垂直跳或向前跳(长度与最大向前跳成正比;方框为参与者身高的 20%)。光电系统提供了初始接触时的下肢运动学数据和膝关节最大屈曲(KF)前的峰值数据,并通过多变量方差分析(MANOVA)分别进行了分析(α = 0.05):在初始接触时,交互作用项对髋关节内收(P < 0.01)和膝关节外展(KAb)(P = 0.04)有显著影响;女性参与者表现出更高的 KAb(P < 0.01)和膝关节内旋(P = 0.05)。在峰值分析中,交互项对任何单个变量都没有显著影响,但在 MANOVA 中有显著影响;女性参与者的 KAb 和 KF 分别较高(P = 0.01)和较低(P = 0.04)。在两项分析中,任务类型对髋关节屈曲和膝关节角度都有影响:结论:所有与性别相关的变量都有明显差异,这些变量都是前交叉韧带损伤的潜在风险因素,所有研究结果都表明,分析的女性样本表现出更高的损伤相关模式。尽管是定制的,但男性和女性参与者在不同的任务中表现出不同的着地策略:研究结果强调了女性参与者在执行定制的着地任务(根据受试者的人体测量/表现进行调整)时如何采用潜在的有害运动学,这可能会增加前交叉韧带损伤的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信