Maturation and biomechanical risk factors associated with anterior cruciate ligament injury: Is there a link? A systematic review.

To establish the potential link between sex-specific maturation and biomechanical factors associated with ACL injury during dynamic tasks. Systematic review. Five databases (CINHAL®, Cochrane Library, PubMed®, Scopus®, and SPORTDiscus) were searched and monitored until 27 May 2024. Cross-sectional,...

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Publicado en:Physical Therapy in Sport Vol. 68; pp. 31 - 51
Autores principales: Butcher, Anna J., Ward, Sarah, Clissold, Tracey, Richards, Jim, Hébert-Losier, Kim
Formato: research systematic review Journal Article
Publicado: Elsevier B.V. Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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    shortDbName: ccm
    uiTerm: 178976186
    longDbName: CINAHL Complete
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        1466853X
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      dt: Jul2024
      vid: 68
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        178976186
        178976186
        178976186
        10.1016/j.ptsp.2024.06.002
        178976186
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        atl: Maturation and biomechanical risk factors associated with anterior cruciate ligament injury: Is there a link? A systematic review.
      aug:
        au:
          Butcher, Anna J.
          Ward, Sarah
          Clissold, Tracey
          Richards, Jim
          Hébert-Losier, Kim
        affil: Division of Health, Engineering, Computing and Science, Te Huataki Waiora School of Health, University of Waikato, Adams Centre for High Performance, 52 Miro Street, 3116, Tauranga, New Zealand
      sug:
        subj:
          Anterior Cruciate Ligament Injuries Risk Factors
          Biomechanics
          Emotional Maturity
          Puberty
          Risk Assessment
          Task Performance and Analysis
          Human
          Male
          Female
          Adolescence
          Systematic Review
          CINAHL Database
          Cochrane Library
          PubMed
          Checklists
          Questionnaires
          Quality of Health Care
          Personal Satisfaction
          Knee Joint Physiology
          Abduction Physiology
          Knee Physiology
          Flexion Physiology
          Body Mass Index
          Anterior Cruciate Ligament Injuries Prevention and Control
          Descriptive Statistics
          Adolescent: 13-18 years
          Male
          Female
      ab: To establish the potential link between sex-specific maturation and biomechanical factors associated with ACL injury during dynamic tasks. Systematic review. Five databases (CINHAL®, Cochrane Library, PubMed®, Scopus®, and SPORTDiscus) were searched and monitored until 27 May 2024. Cross-sectional, cohort, case-control, or interventional studies reporting one or more biomechanical variable linked with ACL injury and which assessed participants across two or more maturation phases were considered eligible. Studies were assessed for risk of bias using a modified version of the Newcastle Ottawa Scale and overall quality of evidence was rated using GRADE. Metrics and effect sizes were presented where available. Eighteen included studies examined 400 males, 1377 females, and 315 participants of undefined sex across various maturation phases. The methodological quality of most studies (n = 16) was considered good, and satisfactory for two. Knee abduction angle, knee abduction moment, knee flexion angle, and ground reaction forces were most commonly reported. Knee abduction angles and moments and knee flexion angles were greater in late and post-pubertal females than males and pre-pubertal females during both landing and cutting tasks. When normalised for body mass, ground reaction forces were generally greater in males compared to females overall and for less mature participants for both sexes. Overall quality of evidence was low or medium across the four biomechanical measures. Sex-specific maturation considerations are important in the targeted development and implementation of ACL injury risk identification and prevention strategies. • ACL injuries are increasingly common in late-to post-puberty, particularly females. • As females mature, knee abduction angles and moments typically increase during dynamic tasks. • As females mature knee flexion angles generally decrease during dynamic tasks. • Maturation can influence biomechanics associated with ACL injury during landing and cutting.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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