The Effects of Injury Prevention Programs on the Biomechanics of Landing Tasks: A Systematic Review With Meta-analysis.
Background: Anterior cruciate ligament (ACL) tear is a common injury in sports and often occurs during landing from a jump. Purpose: To synthesize the evidence on the effects of injury prevention programs (IPPs) on landing biomechanics as they relate to the ligament, quadriceps, trunk, and leg domin...
| Publicado en: | American Journal of Sports Medicine Vol. 46; no. 6; pp. 1492 - 1500 |
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| Autores principales: | , , , , , |
| Formato: | CEU research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129587010&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129587010 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03635465 ASM jtl: American Journal of Sports Medicine issn: 03635465 maglogo: Y pubinfo: dt: May2018 vid: 46 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 129587010 129587010 129587010 10.1177/0363546517716930 129587010 ppf: 1492 ppct: 8 formats: tig: atl: The Effects of Injury Prevention Programs on the Biomechanics of Landing Tasks: A Systematic Review With Meta-analysis. aug: au: Alves Lopes, Thiago Jambo Simic, Milena Myer, Gregory D. Ford, Kevin R. Hewett, Timothy E. Pappas, Evangelos affil: University of Sydney, Faculty of Health Sciences, Discipline of Physiotherapy, Sydney, Australia. sug: subj: Athletic Injuries Anterior Cruciate Ligament Injuries Prevention and Control Jumping Physiology Biomechanics Anterior Cruciate Ligament Physiology Kinematics Kinetics Quadriceps Muscles Physiology Flexion Human Education, Continuing (Credit) Systematic Review Meta Analysis Female P-Value Ground Reaction Force Medline Embase SportDiscus CINAHL Database Descriptive Statistics Data Analysis Software Confidence Intervals Adolescence Young Adult Adult Male Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Background: Anterior cruciate ligament (ACL) tear is a common injury in sports and often occurs during landing from a jump. Purpose: To synthesize the evidence on the effects of injury prevention programs (IPPs) on landing biomechanics as they relate to the ligament, quadriceps, trunk, and leg dominance theories associated with ACL injury risk. Study Design: Meta-analysis. Methods: Six electronic databases were searched for studies that investigated the effect of IPPs on landing task biomechanics. Prospective studies that reported landing biomechanics at baseline and post-IPP were included. Results from trunk, hip, and knee kinematics and kinetics related to the ACL injury theories were extracted, and meta-analyses were performed when possible. Results: The criteria were met by 28 studies with a total of 466 participants. Most studies evaluated young females, bilateral landing tasks, and recreational athletes, while most variables were related to the ligament and quadriceps dominance theories. An important predictor of ACL injury, peak knee abduction moment, decreased (P = .01) after the IPPs while other variables related to the ligament dominance theory did not change. Regarding the quadriceps dominance theory, after the IPPs, angles of hip flexion at initial contact (P = .009), peak hip flexion (P = .002), and peak knee flexion (P = .007) increased, while knee flexion at initial contact did not change (P = .18). Moreover, peak knee flexion moment decreased (P = .005) and peak vertical ground-reaction force did not change (P = .10). Conclusion: The exercises used in IPPs might have the potential to improve landing task biomechanics related to the quadriceps dominance theory, especially increasing peak knee and hip flexion angles. Importantly, peak knee abduction moment decreased, which indicates that IPPs influence a desired movement strategy to help athletes overcome dangerous ligament dominance loads arising from lack of frontal plane control during dynamic tasks. The lack of findings for some biomechanical variables suggests that future IPPs may be enhanced by targeting participants' baseline profile deficits, highlighting the need to deliver an individualized and task-specific IPP. pubtype: Academic Journal doctype: CEU meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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