Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury

The majority of anterior cruciate ligament (ACL) injuries occur during non-contact mechanisms. Knowledge of the risk factors would be relevant to help prevent athletes’ injuries. We aimed to study risk factors associated with non-contact ACL injuries in a population of athletes after ACL reconstruct...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Marc Dauty [verfasserIn] Vincent Crenn [verfasserIn] Bastien Louguet [verfasserIn] Jérôme Grondin [verfasserIn] Pierre Menu [verfasserIn] Alban Fouasson-Chailloux [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	knee ACL injury sport hamstring strength laxity

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 11(2022), 5, p 1402
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:5, p 1402

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm11051402

Katalog-ID:	DOAJ016343034

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author	Marc Dauty
spellingShingle	Marc Dauty misc knee misc ACL injury misc sport misc hamstring misc strength misc laxity misc Medicine misc R Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury
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topic_title	Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury knee ACL injury sport hamstring strength laxity
topic	misc knee misc ACL injury misc sport misc hamstring misc strength misc laxity misc Medicine misc R
topic_unstemmed	misc knee misc ACL injury misc sport misc hamstring misc strength misc laxity misc Medicine misc R
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title	Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury
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title_sort	anatomical and neuromuscular factors associated to non-contact anterior cruciate ligament injury
title_auth	Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury
abstract	The majority of anterior cruciate ligament (ACL) injuries occur during non-contact mechanisms. Knowledge of the risk factors would be relevant to help prevent athletes’ injuries. We aimed to study risk factors associated with non-contact ACL injuries in a population of athletes after ACL reconstruction. From a cohort of 307 athletes, two populations were compared according to the non-contact or contact mechanism of ACL injury. Gender, age and body mass index (BMI) were reported. Passive knee alignment (valgus and extension), knee laxity (KT-1000 test), and isokinetic knee strength were measured on the non-injured limb. The relationship between these factors and the non-contact sport mechanism was established with models using logistic regression analysis for the population and after selection of gender and cut-offs of age, BMI and knee laxity calculated from Receiver Operating Characteristics curve area and Youden index. Age, BMI, antero-posterior laxity, isokinetic knee strength, passive knee valgus and passive knee extension were associated with non-contact ACL injury. According to the multivariate model, a non-contact ACL injury was associated with non-modifiable factors, age (OR: 1.05; <i<p</i< = 0.001), passive knee extension (OR: 1.14; <i<p</i< = 0.001), and with one modifiable factor (Hamstring strength: OR: 0.27; <i<p</i< = 0.01). For women, only passive knee valgus was reported (OR: 1.27; <i<p</i< = 0.01). Age, passive knee extension and weak Hamstring strength were associated with a non-contact ACL injury. Hamstring strengthening could be proposed to prevent ACL injury in young male athletes or in case of knee laxity.
abstractGer	The majority of anterior cruciate ligament (ACL) injuries occur during non-contact mechanisms. Knowledge of the risk factors would be relevant to help prevent athletes’ injuries. We aimed to study risk factors associated with non-contact ACL injuries in a population of athletes after ACL reconstruction. From a cohort of 307 athletes, two populations were compared according to the non-contact or contact mechanism of ACL injury. Gender, age and body mass index (BMI) were reported. Passive knee alignment (valgus and extension), knee laxity (KT-1000 test), and isokinetic knee strength were measured on the non-injured limb. The relationship between these factors and the non-contact sport mechanism was established with models using logistic regression analysis for the population and after selection of gender and cut-offs of age, BMI and knee laxity calculated from Receiver Operating Characteristics curve area and Youden index. Age, BMI, antero-posterior laxity, isokinetic knee strength, passive knee valgus and passive knee extension were associated with non-contact ACL injury. According to the multivariate model, a non-contact ACL injury was associated with non-modifiable factors, age (OR: 1.05; <i<p</i< = 0.001), passive knee extension (OR: 1.14; <i<p</i< = 0.001), and with one modifiable factor (Hamstring strength: OR: 0.27; <i<p</i< = 0.01). For women, only passive knee valgus was reported (OR: 1.27; <i<p</i< = 0.01). Age, passive knee extension and weak Hamstring strength were associated with a non-contact ACL injury. Hamstring strengthening could be proposed to prevent ACL injury in young male athletes or in case of knee laxity.
abstract_unstemmed	The majority of anterior cruciate ligament (ACL) injuries occur during non-contact mechanisms. Knowledge of the risk factors would be relevant to help prevent athletes’ injuries. We aimed to study risk factors associated with non-contact ACL injuries in a population of athletes after ACL reconstruction. From a cohort of 307 athletes, two populations were compared according to the non-contact or contact mechanism of ACL injury. Gender, age and body mass index (BMI) were reported. Passive knee alignment (valgus and extension), knee laxity (KT-1000 test), and isokinetic knee strength were measured on the non-injured limb. The relationship between these factors and the non-contact sport mechanism was established with models using logistic regression analysis for the population and after selection of gender and cut-offs of age, BMI and knee laxity calculated from Receiver Operating Characteristics curve area and Youden index. Age, BMI, antero-posterior laxity, isokinetic knee strength, passive knee valgus and passive knee extension were associated with non-contact ACL injury. According to the multivariate model, a non-contact ACL injury was associated with non-modifiable factors, age (OR: 1.05; <i<p</i< = 0.001), passive knee extension (OR: 1.14; <i<p</i< = 0.001), and with one modifiable factor (Hamstring strength: OR: 0.27; <i<p</i< = 0.01). For women, only passive knee valgus was reported (OR: 1.27; <i<p</i< = 0.01). Age, passive knee extension and weak Hamstring strength were associated with a non-contact ACL injury. Hamstring strengthening could be proposed to prevent ACL injury in young male athletes or in case of knee laxity.
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title_short	Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury
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According to the multivariate model, a non-contact ACL injury was associated with non-modifiable factors, age (OR: 1.05; <i<p</i< = 0.001), passive knee extension (OR: 1.14; <i<p</i< = 0.001), and with one modifiable factor (Hamstring strength: OR: 0.27; <i<p</i< = 0.01). For women, only passive knee valgus was reported (OR: 1.27; <i<p</i< = 0.01). Age, passive knee extension and weak Hamstring strength were associated with a non-contact ACL injury. 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Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury

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