Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls
Purpose Anterior cruciate ligament (ACL) injury rate is low among children, but increases during adolescence, especially in girls. Increases in the knee valgus moment within 70 ms of contact with the ground (KFM 0-70 ) may explain the sex-specific increase in the risk of ACL injury. The purpose of t...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2023-05, Vol.31 (5), p.1833-1839 |
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| creator | Ghasemi, Mohammadhossein Sigurðsson, Haraldur Björn Sveinsson, Þórarinn Briem, Kristín |
| description | Purpose
Anterior cruciate ligament (ACL) injury rate is low among children, but increases during adolescence, especially in girls. Increases in the knee valgus moment within 70 ms of contact with the ground (KFM
0-70
) may explain the sex-specific increase in the risk of ACL injury. The purpose of the study was to investigate sex-dependent changes in the KFM
0-70
from pre-adolescence to adolescence during a cutting maneuver (CM).
Methods
Kinematic and kinetic data during the CM task, performed before and after physical exertion, were recorded using a motion capture system and a force plate. A total of 293 team handball and soccer players, aged 9–12 years, were recruited. A number of those who continued sports participation (
n
= 103) returned five years later to repeat the test procedure. Three mixed-model analysis of variance (ANOVA) for repeated measures tests were used to determine the effects of sex and age period on the KFM
0-70
(1: with no adjustment, 2: adjusted for repeated measurements, and 3: additionally adjusted with hip and knee joint frontal plane kinematics).
Results
Boys had significantly higher KFM
0-70
than girls at both age periods (
p
|
| doi_str_mv | 10.1007/s00167-023-07340-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10090008</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2799286985</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-436b0ccbdb545643b3dadcbcc6a0e52ef0266ccce79607835180ec2a1a3639cd3</originalsourceid><addsrcrecordid>eNp9Uc1u1jAQtBCIfhRegAOyxIUDASdO7PiEoOJPqtQLnC3H2eRzSexgO5Xad-Cdu19TSuHAyWvv7Ixnh5DnJXtTMibfJsZKIQtW8YJJXrPi6gHZlTXnBd7kQ7Jjqq6KijXiiDxJ6ZwxLGv1mBxx0ZbYVDvy60O4TLSHOfiUo8lAxwh4RPrDA9AhBp_NROcwg8-J5r3xdHRxwpk1Oj_iC1A3L8ZmuuxNAhoGatecD73ZeFgvIKbXqJAWh-xmhCLChAo9dd6iVoKE1Ub6lDwazJTg2e15TL5_-vjt5Etxevb568n708LWsslFzUXHrO36rqnREe94b3rbWSsMg6aCgVVCWGtBKsFky5uyZWArUxouuLI9PybvNt5l7WboLXqLZtJLdLOJlzoYp__ueLfXY7jQuHeFa2yR4dUtQww_V0hZzy5ZmCa0HNakKykVr0XT1gh9-Q_0PKzRoz9EKVW1QrUNoqoNZWNIKcJw95uSHWSl3uLWGLe-iVtf4dCL-z7uRn7niwC-AdJySAviH-3_0F4Delm6dg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2799286985</pqid></control><display><type>article</type><title>Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals</source><creator>Ghasemi, Mohammadhossein ; Sigurðsson, Haraldur Björn ; Sveinsson, Þórarinn ; Briem, Kristín</creator><creatorcontrib>Ghasemi, Mohammadhossein ; Sigurðsson, Haraldur Björn ; Sveinsson, Þórarinn ; Briem, Kristín</creatorcontrib><description>Purpose
Anterior cruciate ligament (ACL) injury rate is low among children, but increases during adolescence, especially in girls. Increases in the knee valgus moment within 70 ms of contact with the ground (KFM
0-70
) may explain the sex-specific increase in the risk of ACL injury. The purpose of the study was to investigate sex-dependent changes in the KFM
0-70
from pre-adolescence to adolescence during a cutting maneuver (CM).
Methods
Kinematic and kinetic data during the CM task, performed before and after physical exertion, were recorded using a motion capture system and a force plate. A total of 293 team handball and soccer players, aged 9–12 years, were recruited. A number of those who continued sports participation (
n
= 103) returned five years later to repeat the test procedure. Three mixed-model analysis of variance (ANOVA) for repeated measures tests were used to determine the effects of sex and age period on the KFM
0-70
(1: with no adjustment, 2: adjusted for repeated measurements, and 3: additionally adjusted with hip and knee joint frontal plane kinematics).
Results
Boys had significantly higher KFM
0-70
than girls at both age periods (
p
< 0.01 for all models). Girls, not boys, demonstrated significantly increased KFM
0-70
from pre-adolescence to adolescence. Importantly, this was fully explained by kinematic variables.
Conclusion
Although the marked increase in KFM
0-70
seen in girls may play a role in their risk of ACL rupture, the higher values demonstrated by boys during CM reflect the complexity of multifactorial biomechanical risk factor analysis. The role of kinematics in mediating the KFM
0-70
provides means for modification of this risk factor, but as boys had higher joint moments, continued investigation into sex-dependent biomechanical risk factors is warranted.
Level of evidence
II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-023-07340-z</identifier><identifier>PMID: 36810949</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Age ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - etiology ; Biomechanical engineering ; Biomechanics ; Child ; Child development ; Children & youth ; Cutting ; Factor analysis ; Female ; Force plates ; Girls ; Health risks ; Humans ; Injuries ; Joints (anatomy) ; Kinematics ; Knee ; Knee Injuries - complications ; Knee Joint ; Ligaments ; Lower Extremity ; Male ; Maneuvers ; Medicine ; Medicine & Public Health ; Motion capture ; Orthopedics ; Risk analysis ; Risk factors ; Sex ; Sports Medicine ; Team handball ; Variance analysis</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023-05, Vol.31 (5), p.1833-1839</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-436b0ccbdb545643b3dadcbcc6a0e52ef0266ccce79607835180ec2a1a3639cd3</citedby><cites>FETCH-LOGICAL-c475t-436b0ccbdb545643b3dadcbcc6a0e52ef0266ccce79607835180ec2a1a3639cd3</cites><orcidid>0000-0001-8989-5514 ; 0000-0003-1796-5338 ; 0000-0002-4936-0168 ; 0000-0002-0606-991X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-023-07340-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-023-07340-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36810949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghasemi, Mohammadhossein</creatorcontrib><creatorcontrib>Sigurðsson, Haraldur Björn</creatorcontrib><creatorcontrib>Sveinsson, Þórarinn</creatorcontrib><creatorcontrib>Briem, Kristín</creatorcontrib><title>Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Anterior cruciate ligament (ACL) injury rate is low among children, but increases during adolescence, especially in girls. Increases in the knee valgus moment within 70 ms of contact with the ground (KFM
0-70
) may explain the sex-specific increase in the risk of ACL injury. The purpose of the study was to investigate sex-dependent changes in the KFM
0-70
from pre-adolescence to adolescence during a cutting maneuver (CM).
Methods
Kinematic and kinetic data during the CM task, performed before and after physical exertion, were recorded using a motion capture system and a force plate. A total of 293 team handball and soccer players, aged 9–12 years, were recruited. A number of those who continued sports participation (
n
= 103) returned five years later to repeat the test procedure. Three mixed-model analysis of variance (ANOVA) for repeated measures tests were used to determine the effects of sex and age period on the KFM
0-70
(1: with no adjustment, 2: adjusted for repeated measurements, and 3: additionally adjusted with hip and knee joint frontal plane kinematics).
Results
Boys had significantly higher KFM
0-70
than girls at both age periods (
p
< 0.01 for all models). Girls, not boys, demonstrated significantly increased KFM
0-70
from pre-adolescence to adolescence. Importantly, this was fully explained by kinematic variables.
Conclusion
Although the marked increase in KFM
0-70
seen in girls may play a role in their risk of ACL rupture, the higher values demonstrated by boys during CM reflect the complexity of multifactorial biomechanical risk factor analysis. The role of kinematics in mediating the KFM
0-70
provides means for modification of this risk factor, but as boys had higher joint moments, continued investigation into sex-dependent biomechanical risk factors is warranted.
Level of evidence
II.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - etiology</subject><subject>Biomechanical engineering</subject><subject>Biomechanics</subject><subject>Child</subject><subject>Child development</subject><subject>Children & youth</subject><subject>Cutting</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Force plates</subject><subject>Girls</subject><subject>Health risks</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joints (anatomy)</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Injuries - complications</subject><subject>Knee Joint</subject><subject>Ligaments</subject><subject>Lower Extremity</subject><subject>Male</subject><subject>Maneuvers</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Motion capture</subject><subject>Orthopedics</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Sex</subject><subject>Sports Medicine</subject><subject>Team handball</subject><subject>Variance analysis</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9Uc1u1jAQtBCIfhRegAOyxIUDASdO7PiEoOJPqtQLnC3H2eRzSexgO5Xad-Cdu19TSuHAyWvv7Ixnh5DnJXtTMibfJsZKIQtW8YJJXrPi6gHZlTXnBd7kQ7Jjqq6KijXiiDxJ6ZwxLGv1mBxx0ZbYVDvy60O4TLSHOfiUo8lAxwh4RPrDA9AhBp_NROcwg8-J5r3xdHRxwpk1Oj_iC1A3L8ZmuuxNAhoGatecD73ZeFgvIKbXqJAWh-xmhCLChAo9dd6iVoKE1Ub6lDwazJTg2e15TL5_-vjt5Etxevb568n708LWsslFzUXHrO36rqnREe94b3rbWSsMg6aCgVVCWGtBKsFky5uyZWArUxouuLI9PybvNt5l7WboLXqLZtJLdLOJlzoYp__ueLfXY7jQuHeFa2yR4dUtQww_V0hZzy5ZmCa0HNakKykVr0XT1gh9-Q_0PKzRoz9EKVW1QrUNoqoNZWNIKcJw95uSHWSl3uLWGLe-iVtf4dCL-z7uRn7niwC-AdJySAviH-3_0F4Delm6dg</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Ghasemi, Mohammadhossein</creator><creator>Sigurðsson, Haraldur Björn</creator><creator>Sveinsson, Þórarinn</creator><creator>Briem, Kristín</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8989-5514</orcidid><orcidid>https://orcid.org/0000-0003-1796-5338</orcidid><orcidid>https://orcid.org/0000-0002-4936-0168</orcidid><orcidid>https://orcid.org/0000-0002-0606-991X</orcidid></search><sort><creationdate>20230501</creationdate><title>Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls</title><author>Ghasemi, Mohammadhossein ; Sigurðsson, Haraldur Björn ; Sveinsson, Þórarinn ; Briem, Kristín</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-436b0ccbdb545643b3dadcbcc6a0e52ef0266ccce79607835180ec2a1a3639cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - etiology</topic><topic>Biomechanical engineering</topic><topic>Biomechanics</topic><topic>Child</topic><topic>Child development</topic><topic>Children & youth</topic><topic>Cutting</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Force plates</topic><topic>Girls</topic><topic>Health risks</topic><topic>Humans</topic><topic>Injuries</topic><topic>Joints (anatomy)</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Knee Injuries - complications</topic><topic>Knee Joint</topic><topic>Ligaments</topic><topic>Lower Extremity</topic><topic>Male</topic><topic>Maneuvers</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Motion capture</topic><topic>Orthopedics</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Sex</topic><topic>Sports Medicine</topic><topic>Team handball</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghasemi, Mohammadhossein</creatorcontrib><creatorcontrib>Sigurðsson, Haraldur Björn</creatorcontrib><creatorcontrib>Sveinsson, Þórarinn</creatorcontrib><creatorcontrib>Briem, Kristín</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghasemi, Mohammadhossein</au><au>Sigurðsson, Haraldur Björn</au><au>Sveinsson, Þórarinn</au><au>Briem, Kristín</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>31</volume><issue>5</issue><spage>1833</spage><epage>1839</epage><pages>1833-1839</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Anterior cruciate ligament (ACL) injury rate is low among children, but increases during adolescence, especially in girls. Increases in the knee valgus moment within 70 ms of contact with the ground (KFM
0-70
) may explain the sex-specific increase in the risk of ACL injury. The purpose of the study was to investigate sex-dependent changes in the KFM
0-70
from pre-adolescence to adolescence during a cutting maneuver (CM).
Methods
Kinematic and kinetic data during the CM task, performed before and after physical exertion, were recorded using a motion capture system and a force plate. A total of 293 team handball and soccer players, aged 9–12 years, were recruited. A number of those who continued sports participation (
n
= 103) returned five years later to repeat the test procedure. Three mixed-model analysis of variance (ANOVA) for repeated measures tests were used to determine the effects of sex and age period on the KFM
0-70
(1: with no adjustment, 2: adjusted for repeated measurements, and 3: additionally adjusted with hip and knee joint frontal plane kinematics).
Results
Boys had significantly higher KFM
0-70
than girls at both age periods (
p
< 0.01 for all models). Girls, not boys, demonstrated significantly increased KFM
0-70
from pre-adolescence to adolescence. Importantly, this was fully explained by kinematic variables.
Conclusion
Although the marked increase in KFM
0-70
seen in girls may play a role in their risk of ACL rupture, the higher values demonstrated by boys during CM reflect the complexity of multifactorial biomechanical risk factor analysis. The role of kinematics in mediating the KFM
0-70
provides means for modification of this risk factor, but as boys had higher joint moments, continued investigation into sex-dependent biomechanical risk factors is warranted.
Level of evidence
II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36810949</pmid><doi>10.1007/s00167-023-07340-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8989-5514</orcidid><orcidid>https://orcid.org/0000-0003-1796-5338</orcidid><orcidid>https://orcid.org/0000-0002-4936-0168</orcidid><orcidid>https://orcid.org/0000-0002-0606-991X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023-05, Vol.31 (5), p.1833-1839 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10090008 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals |
| subjects | Adolescent Adolescents Age Anterior cruciate ligament Anterior Cruciate Ligament Injuries - etiology Biomechanical engineering Biomechanics Child Child development Children & youth Cutting Factor analysis Female Force plates Girls Health risks Humans Injuries Joints (anatomy) Kinematics Knee Knee Injuries - complications Knee Joint Ligaments Lower Extremity Male Maneuvers Medicine Medicine & Public Health Motion capture Orthopedics Risk analysis Risk factors Sex Sports Medicine Team handball Variance analysis |
| title | Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls |
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