Application of a Clinic-Based Algorithm as a Tool to Identify Female Athletes at Risk for Anterior Cruciate Ligament Injury

Goetschius, John; Smith, Helen C.; Vacek, Pamela M.; Holterman, Leigh Ann; Shultz, Sandra J.; Tourville, Timothy W.; Slauterbeck, James R.; Johnson, Robert J.; Beynnon, Bruce D.

doi:10.1177/0363546512456972

Cited by 44 publications

(64 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Goetschius et al 60 predicted the probability of high knee abduction moments for the female athletes in the study by Smith et al 58 The knee abduction moments were estimated from 2D knee valgus motion, knee flexion range of motion, body mass, tibia length, and quadriceps-to-hamstring strength ratio. 61 No significant difference was observed in the predicted probabilities between 20 injured athletes and 45 controls.…”

Section: Risk Factorsmentioning

confidence: 99%

Anterior cruciate ligament injuries in soccer: Loading mechanisms, risk factors, and prevention programs

Dai

Mao

Garrett

et al. 2014

Journal of Sport and Health Science

View full text Add to dashboard Cite

Anterior cruciate ligament (ACL) injuries are common in soccer. Understanding ACL loading mechanisms and risk factors for ACL injury is critical for designing effective prevention programs. The purpose of this review is to summarize the relevant literature on ACL loading mechanisms, ACL injury risk factors, and current ACL injury prevention programs for soccer players. Literature has shown that tibial anterior translation due to shear force at the proximal end of tibia is the primary ACL loading mechanism. No evidence has been found showing that knee valgus moment is the primary ACL loading mechanism. ACL loading mechanisms are largely ignored in previous studies on risk factors for ACL injury. Identified risk factors have little connections to ACL loading mechanisms. The results of studies on ACL injury prevention programs for soccer players are inconsistent. Current ACL injury prevention programs for soccer players are clinically ineffective due to low compliance. Future studies are urgently needed to identify risk factors for ACL injury in soccer that are connected to ACL loading mechanisms and have cause-and-effect relationships with injury rate, and to develop new prevention programs to improve compliance.

show abstract

Section: Risk Factorsmentioning

confidence: 99%

Anterior cruciate ligament injuries in soccer: Loading mechanisms, risk factors, and prevention programs

Dai

Mao

Garrett

et al. 2014

Journal of Sport and Health Science

View full text Add to dashboard Cite

show abstract

“…The strong correlation observed between the knee valgus angle during the DJ (which is currently used as a clinical screen for ACL injuries) and the VJ (r = 0.93) further supports the feasibility of using VJ as a potential screening tool for the risk of non-contact ACL injuries in female athletes. It is important to note, however, that additional research is required to understand the extent to which the DJ assessment can be used to identify athletes at increased risk of suffering ACL injuries (Goetschius et al, 2012;Krosshaug et al, 2016;Smith et al, 2012). The findings of our study provide support for investigating whether frontal plane knee mechanics during VJ can predict ACL injury and thus be used as an injury screening tool.…”

Section: Discussionmentioning

confidence: 64%

Frontal plane comparison between drop jump and vertical jump: implications for the assessment of ACL risk of injury

Cesar

Tomasevicz

Burnfield

2016

Sports Biomechanics

View full text Add to dashboard Cite

The potential to use the vertical jump (VJ) to assess both athletic performance and risk of anterior cruciate ligament (ACL) injury could have widespread clinical implications since VJ is broadly used in high school, university, and professional sport settings. Although drop jump (DJ) and VJ observationally exhibit similar lower extremity mechanics, the extent to which VJ can also be used as screening tool for ACL injury risk has not been assessed. This study evaluated whether individuals exhibit similar knee joint frontal plane kinematic and kinetic patterns when performing VJs compared with DJs. Twentyeight female collegiate athletes performed DJs and VJs. Paired t-tests indicated that peak knee valgus angles did not differ significantly between tasks (p = 0.419); however, peak knee internal adductor moments were significantly larger during the DJ vs. VJ (p < 0.001). Pearson correlations between the DJ and VJ revealed strong correlations for knee valgus angles (r = 0.93, p < 0.001) and for internal knee adductor moments (r = 0.82, p < 0.001). Our results provide grounds for investigating whether frontal plane knee mechanics during VJ can predict ACL injuries and thus can be used as an effective tool for the assessment of risk of ACL injury in female athletes.

show abstract

“…12,13 Evaluations of the LESS and pKAM were done using data collected from the same prospective study with a nested case-control analysis.…”

Section: Evaluation Of Acl Injury Screening Toolsmentioning

confidence: 99%

“…12,13 Measurements of knee-valgus motion, knee-flexion range of motion, and tibial length were obtained from the drop vertical-jump video. We entered video-based measurements, participant mass, and a surrogate measure of the quadriceps-to-hamstrings ratio 15 into the algorithm as described by Myer et al to determine the pKAM.…”

Section: Evaluation Of Acl Injury Screening Toolsmentioning

confidence: 99%

See 1 more Smart Citation

A Sex-Stratified Multivariate Risk Factor Model for Anterior Cruciate Ligament Injury

Beynnon¹,

Sturnick

Argentieri³

et al. 2015

Journal of Athletic Training

Self Cite

View full text Add to dashboard Cite

A nterior cruciate ligament (ACL) injuries produce significant joint trauma and have been implicated as the inciting event for both short-term and longterm changes within the articular structures of the knee. [1][2][3][4][5][6][7][8] Regardless of whether a patient chooses surgical or nonsurgical treatment, ACL injury is associated with the onset of posttraumatic arthritis. 9 Consequently, recent researchers have focused on understanding the mechanisms and factors that place individuals at increased risk for sustaining this severe injury. However, variations in study designs and methods have led to conflicting reports regarding these relationships. For example, exclusion criteria used for control participants (eg, combining control participants who have a history of knee pain with those who have normal, pain-free knees) and the approaches used to match case and control participants vary widely among studies. In addition, previous authors have obtained data from the affected knees of ACL-injured patients after the injury. This approach does not take into consideration that the ACL injury itself is capable of producing both shortterm and long-term changes in knee-joint geometry. 1,5 Furthermore, few investigators have used measurement techniques with established interobserver and intraobserver measurement reliability.10 Finally, many researchers have evaluated men and women as a combined group. However, in light of the disparities that exist between the sexes in ACL injury rates, knee-joint geometry, anatomical alignment, joint laxity, demographic characteristics, and strength, male and female models of injury risk should be considered separately. 11This keynote presentation provided a summary of findings from our group's previous and ongoing research efforts that have focused on identifying the factors associated with increased risk of ACL injury. For clarity, the findings are organized in 3 sections: ''Epidemiology of ACL Injury,'' ''Evaluation of ACL Injury Screening Tools,'' and ''Development of ACL Injury Risk Models.'' Epidemiology of ACL InjuryOur epidemiology investigation evaluated the independent effects of athlete sex, level of competition, and sport on the risk of sustaining an ACL injury. 11 We prospectively followed athletes from 26 institutions (8 colleges, 18 high schools) over 4 years to determine the incidence of firsttime, noncontact ACL injuries. After controlling for differences in level of play and sport, we found that an athlete's sex had an independent influence on the risk of injury: female athletes' risk of experiencing a noncontact ACL injury was 2.10 times greater than that of their male counterparts.11 When athlete sex and sport were controlled, collegiate athletes were at greater risk for incurring a noncontact ACL injury than were high school athletes (relative risk [RR] ¼ 2.38). 11When controlling for athlete sex and level of play, we observed that the risk of sustaining a noncontact ACL injury was greatest in soccer (RR ¼ 1.77) and rugby (RR ¼ 2.23) compared with all other sports s...

show abstract

Application of a Clinic-Based Algorithm as a Tool to Identify Female Athletes at Risk for Anterior Cruciate Ligament Injury

Abstract: The pKAM was not associated with noncontact ACL injury in our group of injured athletes and matched controls.

Cited by 44 publications

References 25 publications

Anterior cruciate ligament injuries in soccer: Loading mechanisms, risk factors, and prevention programs

Anterior cruciate ligament injuries in soccer: Loading mechanisms, risk factors, and prevention programs

Frontal plane comparison between drop jump and vertical jump: implications for the assessment of ACL risk of injury

A Sex-Stratified Multivariate Risk Factor Model for Anterior Cruciate Ligament Injury

Contact Info

Product

Resources

About