CoChat
Sign Up
Cited by 3,577Knee injuries and reconstruction techniquesLower Extremity Biomechanics and PathologiesSports injuries and prevention

The DOI matches its Crossref record; 40 of the 41 references it cites were found in a registry or an index.

Biomechanical Measures of Neuromuscular Control and Valgus Loading of the Knee Predict Anterior Cruciate Ligament Injury Risk in Female Athletes: A Prospective Study

Hewett, Timothy E., Myer, Gregory D., Ford, Kevin R., Heidt, Robert S., Colosimo, Angelo J., McLean, Scott G., van den Bogert, Antonie J., Paterno, Mark V., Succop, Paul·2005·The American Journal of Sports Medicine
DOI 10.1177/0363546504269591
Open this paper in CoChat — free account

Abstract

Background: Female athletes participating in high-risk sports suffer anterior cruciate ligament injury at a 4- to 6-fold greater rate than do male athletes. Hypothesis: Prescreened female athletes with subsequent anterior cruciate ligament injury will demonstrate decreased neuromuscular control and increased valgus joint loading, predicting anterior cruciate ligament injury risk. Study Design: Cohort study; Level of evidence, 2. Methods: There were 205 female athletes in the high-risk sports of soccer, basketball, and volleyball prospectively measured for neuromuscular control using 3-dimensional kinematics (joint angles) and joint loads using kinetics (joint moments) during a jump-landing task. Analysis of variance as well as linear and logistic regression were used to isolate predictors of risk in athletes who subsequently ruptured the anterior cruciate ligament. Results: Nine athletes had a confirmed anterior cruciate ligament rupture; these 9 had significantly different knee posture and loading compared to the 196 who did not have anterior cruciate ligament rupture. Knee abduction angle (P <. 05) at landing was 8° greater in anterior cruciate ligament-injured than in uninjured athletes. Anterior cruciate ligament-injured athletes had a 2.5 times greater knee abduction moment (P <. 001) and 20% higher ground reaction force (P <. 05), whereas stance time was 16% shorter; hence, increased motion, force, and moments occurred more quickly. Knee abduction moment predicted anterior cruciate ligament injury status with 73% specificity and 78% sensitivity; dynamic valgus measures showed a predictive r2 of 0.88. Conclusion: Knee motion and knee loading during a landing task are predictors of anterior cruciate ligament injury risk in female athletes. Clinical Relevance: Female athletes with increased dynamic valgus and high abduction loads are at increased risk of anterior cruciate ligament injury. The methods developed may be used to monitor neuromuscular control of the knee joint and may help develop simpler measures of neuromuscular control that can be used to direct female athletes to more effective, targeted interventions.

Overview

Integrity signals

Registry

Crossref · 10.1177/0363546504269591

Cites

40 of 40 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 41 references

Research works printed but not linked: 8

  1. Abdel-Aziz YI, Symposium on Close-Range Photogrammetry, 1
  2. Arendt EA, 2002, J Gend Specif Med, 5, 19
  3. Beynnon B, National Athletic Trainers’ Association 52nd Annual Meeting and Clinical Symposia
  4. Ford KR, American Society of Biomechanics Annual Meeting
  5. 2002, 2002 High School Participation Survey
  6. Scoville CR, Proceedings of the 68th Annual Meeting of the American Academy of Orthopaedic Surgeons, 564
  7. Steele J, 1987, J Hum Mov Stud, 13, 399
  8. Toth AP, 2001, J Gend Specif Med, 4, 25

Cited by

Sorted by citations

See all 3,577

Related

Metadata

Authors
Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Colosimo, A. J., McLean, S. G., van den Bogert, A. J., Paterno, M. V., & Succop, P.
Affiliations
  • Cincinnati Children's Hospital Medical Center (US)
  • Wellington Orthopaedic and Sports Medicine Center, Cincinnati, Ohio
  • University of Cincinnati (US)
  • Cleveland Clinic (US)
  • Department of Biomedical Engineering and Orthopaedic Research Center, Cleveland Clinic Foundation, Cleveland, Ohio
ORCID
Venue
The American Journal of Sports Medicine
Publisher
SAGE Publications
Published
2005-04
Volume
33
Issue
4
Pages
492-501
ISSN
  • 0363-5465 (ISSN-L)
  • 1552-3365
DOI
10.1177/0363546504269591
OpenAlex
W2086656914
Cited by
3,577
References
41
Citations by year
2026: 193 · 2025: 217 · 2024: 238 · 2023: 185 · 2022: 188 · 2021: 289 · 2020: 243 · 2019: 245 · 2018: 225 · 2017: 197 · 2016: 202 · 2015: 192 · 2014: 169 · 2013: 154 · 2012: 155
FWCI
53.57
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The American Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • EngagedScholarship @ Cleveland State University (Cleveland State University) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR049735, R101-ARO49735-01A1)
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, female athletes, neuromuscular control, valgus loading, knee abduction moment, knee abduction angle, jump landing, injury prediction, knee joint loading, ground reaction force, high-risk sports
MeSH terms
Anterior Cruciate Ligament Injuries, Adolescent, Basketball, Biomechanical Phenomena, Epidemiologic Methods, Female, Humans, Kinesis, Knee Injuries, Knee Joint, Rotation, Rupture, Sex Factors, Soccer, Task Performance and Analysis, Weight-Bearing

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review