Wearable technology identifies differences in change of direction kinetics and kinematics in soccer players with a history of anterior cruciate ligament reconstruction.

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-04-15 DOI:10.1002/ksa.12679

Joao Belleboni Marques, Vasileios Sideris, Rodney Whiteley, Paul James Read, Matheus Machado Gomes, Paulo Roberto Pereira Santiago

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引用次数: 0

Abstract

Purpose: This study investigates change of direction (COD) performance and biomechanics using wearable technology in athletes with a history of anterior cruciate ligament reconstruction (ACL-R) compared to healthy controls.

Methods: A within and between subjects' cross-sectional design was used. The sagittal plane kinematics of the hip, knee, and ankle during 90° side-step cutting were measured with inertial measurement units, while the vertical force was recorded with insoles in the players' boots. Twenty-six professional soccer players participated (mean age 22.7 ± 3.7 years, height 177.8 ± 5.1 cm, weight 69.4 ± 8.5 kg). Sixteen players were healthy controls, and 10 were in a full-time ACL-R rehabilitation programme, assessed 9 months post-surgery. Mixed model analysis and statistical parametric mapping were used to compare COD completion time, kinetics, and kinematics between limbs (involved vs. uninvolved) and groups (ACL-R vs. controls) during the penultimate and final foot contacts.

Results: No significant differences in COD completion time were found between limbs (p = 0.52, d = 0.22) or groups (p = 0.65, d = 0.51). However, during the penultimate foot contact, the involved limb exhibited greater ankle dorsiflexion compared to the uninvolved and controls from 48% to 100% of stance (p = 0.002, d = 0.94-1.86), with lower vertical force production (p > 0.05, d = 0.81-0.95). During the plant step, lower knee flexion angles were noted compared to the uninvolved limb and controls from 2% to 69% of stance (p = 0.011, d = 1.26-1.31).

Conclusion: The findings suggest that soccer players with ACL-R can restore COD completion time at the time to return to sport. However, they used compensatory movement strategies on the involved side to achieve similar performance, and this must be considered from a rehabilitation standpoint.

Level of evidence: Level III.

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可穿戴技术识别具有前交叉韧带重建史的足球运动员方向动力学和运动学变化的差异。

目的：研究采用可穿戴技术对有前交叉韧带重建（ACL-R）病史的运动员的方向改变（COD）性能和生物力学的影响，并与健康对照组进行比较。方法：采用受试者内部和受试者之间的横断面设计。用惯性测量装置测量90°侧步切割过程中髋关节、膝关节和踝关节的矢状面运动学，同时用运动员靴子的鞋垫记录垂直力。参与调查的职业足球运动员26名，平均年龄22.7±3.7岁，身高177.8±5.1 cm，体重69.4±8.5 kg。16名球员是健康对照组，10名球员在手术后9个月进行了全面的ACL-R康复计划。使用混合模型分析和统计参数映射来比较第二次和最后一次足部接触期间四肢（参与与未参与）和组（ACL-R与对照组）之间的COD完成时间、动力学和运动学。结果：不同肢体（p = 0.52, d = 0.22）和组（p = 0.65, d = 0.51）之间COD完成时间无显著差异。然而，在第二次足部接触时，受累肢体的踝关节背屈度比未受累肢体和对照组大，从站立的48%到100% (p = 0.002, d = 0.94-1.86)，垂直力产生较低（p = 0.05, d = 0.81-0.95）。在植物步中，与未参与的肢体和对照组相比，下肢膝关节屈曲角度从2%到69%不等（p = 0.011, d = 1.26-1.31）。结论：ACL-R的足球运动员在重返运动时可以恢复COD完成时间。然而，他们使用了相关侧的补偿性运动策略来达到类似的效果，这必须从康复的角度来考虑。证据等级：三级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).