No association between knee biomechanics during 90-degree cutting maneuver and future anterior cruciate ligament injury in female floorball players

IF 1.4 3区 医学 Q4 ENGINEERING, BIOMEDICAL
Kati Pasanen , Jari Parkkari , Sami Äyrämö , Tommi Vasankari , Tron Krosshaug , Mari Leppänen
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Abstract

Background

Young female floorball players are among the athletes at the highest risk of rupturing their anterior cruciate ligament in games and practices. Most anterior cruciate ligament injuries in female floorball occur in noncontact cutting situations. The primary aim of this study was to investigate association between knee biomechanics during a 90-degree cutting task and the risk for future non-contact anterior cruciate ligament injury in female floorball players.

Methods

Sixty-five female floorball players (median age 19.5 years; range 15–31) completed preseason testing and 2.5-year follow-up. The testing included marker-based three-dimensional motion analysis of a floorball-specific 90-degree cutting task. Players' movements were recorded by eight 300 Hz cameras, and ground reaction forces were captured by 1500 Hz force plates. Seven biomechanical variables were measured: knee valgus angle at initial contact, peak knee valgus angle, knee flexion angle at initial contact, peak knee flexion angle, peak knee abduction moment, peak knee flexion moment, and peak knee internal rotation moment. Anterior cruciate ligament injuries were recorded throughout the follow-up.

Findings

Ten ACL injuries occurred and were included in the analysis. No differences were observed in baseline biomechanical variables between players who sustained an ACL injury during follow-up and those who remained injury-free.

Interpretation

Knee valgus and flexion angles, and knee abduction, flexion, and internal rotation moments during the 90-degree cutting test were not associated with the risk of non-contact anterior cruciate ligament injury in female floorball players. The 90-degree cutting test developed for this study cannot predict ACL injuries in female floorball players.
90度切割运动中膝关节生物力学与女子地板运动员未来前交叉韧带损伤之间无关联。
背景:在比赛和训练中,年轻的女地板运动员是前交叉韧带断裂风险最高的运动员之一。女子地板球的前交叉韧带损伤多发生在非接触切割情况下。本研究的主要目的是调查女性地板运动员在90度切割任务中膝关节生物力学与未来非接触性前交叉韧带损伤风险之间的关系。方法:65名女地板运动员(中位年龄19.5岁;范围15-31)完成季前测试和2.5年的随访。测试包括基于标记的三维运动分析,分析一个特定的90度切割任务。运动员的动作由8台300赫兹的摄像机记录,地面反作用力由1500赫兹的测力板记录。测量了7个生物力学变量:初接触时膝关节外翻角、膝外翻角峰值、初接触时膝关节屈曲角、膝关节屈曲角峰值、膝关节外展力矩峰值、膝关节屈曲力矩峰值和膝关节内旋力矩峰值。在整个随访过程中记录前交叉韧带损伤。结果:10例前交叉韧带损伤被纳入分析。在随访期间,前交叉韧带损伤的球员和未受伤的球员在基线生物力学变量上没有观察到差异。解释:在90度切割试验中,女性地板运动员的膝关节外翻和屈曲角度、膝关节外展、屈曲和内旋力矩与非接触性前交叉韧带损伤的风险无关。为本研究开发的90度切割测试不能预测女性地板运动员的前交叉韧带损伤。
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来源期刊
Clinical Biomechanics
Clinical Biomechanics 医学-工程:生物医学
CiteScore
3.30
自引率
5.60%
发文量
189
审稿时长
12.3 weeks
期刊介绍: Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.
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