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The Mechanistic Connection Between the Trunk, Hip, Knee, and Anterior Cruciate Ligament Injury
Open accessAbstract
In Brief Neuromuscular control of the trunk and knee predicts anterior cruciate ligament injury risk with high sensitivity and specificity. These predictors are linked, as lateral trunk positioning creates high knee abduction torque (load). The hypotheses explored are that lateral trunk motion increases load and that neuromuscular training that enhance trunk control will decrease load. Mechanistic linkages between trunk control and ACL injury provide a rationale for the development of "core-based" interventions to reduce ACL injury.
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“The fact that hip adduction and knee medio-lateral displacement was greater in poor SLSs than in good SLSs suggests that hip abductor weakness may be responsible for the sub-optimal performance. 1,23,24”
From Lower-Limb Kinematics of Single-Leg Squat Performance in Young Adults (2014) · cites this paper as [24]
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“The position of the trunk, however, should not be discounted as a contributor to increased knee medio-lateral displacement, as the large relative mass of the trunk has the potential to influence the position of the body's centre of mass in the frontal plane and thus to affect hip and knee loading during activities such as the SLS. 24”
From Lower-Limb Kinematics of Single-Leg Squat Performance in Young Adults (2014) · cites this paper as [24]
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Metadata
- Authors
- Hewett, T. E., & Myer, G. D.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Hewett, Timothy E.
- Venue
- Exercise and Sport Sciences Reviews
- Published
- 2011-10
- Volume
- 39
- Issue
- 4
- Pages
- 161-166
- ISSN
- 0091-6331 (ISSN-L)
- PMC
- PMC4168968
- OpenAlex
- W3972418
- Cited by
- 289
- References
- 58
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 22 · 2023: 18 · 2022: 25 · 2021: 32 · 2020: 23 · 2019: 22 · 2018: 16 · 2017: 19 · 2016: 16 · 2015: 20 · 2014: 26 · 2013: 9 · 2012: 10
- FWCI
- 14.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Exercise and Sport Sciences Reviews (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR05563, R01AR049735, R01AR055563, R01AR056259)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Keywords
- anterior cruciate ligament injury, knee abduction moment, trunk control, neuromuscular control, hip position, knee injury risk, neuromuscular training, injury prevention
- MeSH terms
- Anterior Cruciate Ligament Injuries, Biomechanical Phenomena, Female, Humans, Knee Injuries, Knee Joint, Male, Sex Characteristics, Anterior Cruciate Ligament, Torso
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