Differences in kinematic and muscle activity between ACL injury risk and healthy players in female football: influence of change of direction amplitude in a cross-sectional case–control study
Ferrández-Laliena, Loreto (Universidad de Zaragoza) ; Vicente-Pina, Lucía (Universidad de Zaragoza) ; Sánchez-Rodríguez, Rocío (Universidad de Zaragoza) ; Chapman, Graham J. ; Heredia-Jimenez, Jose ; Hidalgo-García, César (Universidad de Zaragoza) ; Tricás-Moreno, José Miguel (Universidad de Zaragoza) ; Lucha-López, María Orosia (Universidad de Zaragoza)
Resumen: Background and Objectives: Anterior cruciate ligament (ACL) injury rates remain high and have a significant impact on female football players. This study aims to evaluate knee kinematics and lower limb muscle activity in players at risk of ACL injury compared to healthy players through three side-cutting tests. It also investigates how the amplitude of a change in direction influences stabilization parameters.
Materials and Methods: A crosssectional case–control study was conducted with 16 second division female futsal players (23.93 ± 5.16 years), divided into injured (n = 8) and healthy groups (n = 8). Injured players had a history of non-contact knee injury involving valgus collapse, without undergoing surgical intervention. Three change of direction tests, namely the Change of Direction and Acceleration Test (CODAT), Go Back (GOB) test, and Turn (TURN) test, were used for evaluation. The peak and range of knee joint angles and angular velocities across three planes, along with the average rectified and peak envelope EMG signals of the Biceps Femoris (BF), Semitendinosus (ST), Vastus Medialis (VM), and Lateral Gastrocnemius (LG), were recorded during the preparation and load phases. Group differences were analyzed using two-factor mixed-model ANOVA with pairwise comparisons. Statistical significance was set at p < 0.05. Results: Injured players demonstrated lower external tibial
rotation angular velocity and a greater range of motion in tibial external rotation compared to healthy players. Additionally, the injured group showed significantly higher average rectified muscle activity in VM and LG both increased by 4% during the load phase. The CODAT and TURN tests elicited higher BF and VM muscle activity, compared to the GOB test. The TURN test also showed greater extension angular velocity in the sagittal plane.
Conclusions: The results revealed differences in knee kinematics and muscle activity between players at risk of ACL injury and healthy players, influenced by the amplitude of directional changes. Players altered transverse plane mechanics and increased VM and LG activation during LOAD may reflect a dysfunctional motor pattern, while the greater sagittal plane angular velocity and VM and BF activation from the CODAT and the TURN test highlight their higher potential to replicate ACL injury mechanisms compared to the GOB test.
Idioma: Inglés
DOI: 10.3390/medicina61071259
Año: 2025
Publicado en: Medicina (Lithuania) 61, 7 (2025), 1259 [17 pp.]
ISSN: 1010-660X
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Anatom.Embriol.Humana (Dpto. Anatom.Histolog.Humanas)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace.
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Exportado de SIDERAL (2025-10-17-14:33:31)
Materials and Methods: A crosssectional case–control study was conducted with 16 second division female futsal players (23.93 ± 5.16 years), divided into injured (n = 8) and healthy groups (n = 8). Injured players had a history of non-contact knee injury involving valgus collapse, without undergoing surgical intervention. Three change of direction tests, namely the Change of Direction and Acceleration Test (CODAT), Go Back (GOB) test, and Turn (TURN) test, were used for evaluation. The peak and range of knee joint angles and angular velocities across three planes, along with the average rectified and peak envelope EMG signals of the Biceps Femoris (BF), Semitendinosus (ST), Vastus Medialis (VM), and Lateral Gastrocnemius (LG), were recorded during the preparation and load phases. Group differences were analyzed using two-factor mixed-model ANOVA with pairwise comparisons. Statistical significance was set at p < 0.05. Results: Injured players demonstrated lower external tibial
rotation angular velocity and a greater range of motion in tibial external rotation compared to healthy players. Additionally, the injured group showed significantly higher average rectified muscle activity in VM and LG both increased by 4% during the load phase. The CODAT and TURN tests elicited higher BF and VM muscle activity, compared to the GOB test. The TURN test also showed greater extension angular velocity in the sagittal plane.
Conclusions: The results revealed differences in knee kinematics and muscle activity between players at risk of ACL injury and healthy players, influenced by the amplitude of directional changes. Players altered transverse plane mechanics and increased VM and LG activation during LOAD may reflect a dysfunctional motor pattern, while the greater sagittal plane angular velocity and VM and BF activation from the CODAT and the TURN test highlight their higher potential to replicate ACL injury mechanisms compared to the GOB test.
Idioma: Inglés
DOI: 10.3390/medicina61071259
Año: 2025
Publicado en: Medicina (Lithuania) 61, 7 (2025), 1259 [17 pp.]
ISSN: 1010-660X
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Anatom.Embriol.Humana (Dpto. Anatom.Histolog.Humanas)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. 0
Exportado de SIDERAL (2025-10-17-14:33:31)
Este artículo se encuentra en las siguientes colecciones:
Artículos > Artículos por área > Anatomía y Embriología Humana
Artículos > Artículos por área > Fisioterapia
Registro creado el 2025-07-17, última modificación el 2025-10-17