The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Impact of Fatigue on Gender-Based High-Risk Landing Strategies
Abstract
PURPOSE: Noncontact anterior cruciate ligament (ACL) injuries carry significant short- and long-term morbidity, particularly in females. To combat this epidemic, neuromuscular training has evolved aimed at modifying high-risk lower-limb biomechanics. However, injury rates and the gender disparity in these rates remain, suggesting that key components of the injury mechanism continue to be ignored. This study examined the potential contributions of neuromuscular fatigue to noncontact ACL injuries. METHODS: Ten male and 10 female NCAA athletes had 3D lower-limb-joint kinematics and kinetics recorded during 10 drop jumps, both before and after fatigue. Mean subject-based initial-contact (N = 9) and peak stance-phase kinematic (N = 9) and normalized (mass x height) kinetic (N = 9) parameters were quantified before and after fatigue and submitted to a three-way ANOVA to determine for the main effects of leg, gender, and fatigue. A Bonferroni corrected alpha level of 0.002 was adopted for all statistical comparisons. RESULTS: Females landed with more initial ankle plantar flexion and peak-stance ankle supination, knee abduction, and knee internal rotation compared with men. They also had larger knee adduction, abduction, and internal rotation, and smaller ankle dorsiflexion moments. Fatigue increased initial and peak knee abduction and internal rotation motions and peak knee internal rotation, adduction, and abduction moments, with the latter being more pronounced in females. CONCLUSIONS: Fatigue-induced modifications in lower-limb control may increase the risk of noncontact ACL injury during landings. Gender dimorphic abduction loading in the presence of fatigue also may explain the increased injury risk in women. Understanding fatigue effects at both the central and peripheral levels will further afford elucidation of the ACL injury mechanism and, hence, more successful prevention strategies.
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Citations
Cites
Spinal and Supraspinal Factors in Human Muscle Fatigue
Gandevia, S. C. (2001) · Physiological Reviews · doi:10.1152/physrev.2001.81.4.1725 · Cited by 3,645
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. (2005) · The American Journal of Sports Medicine · doi:10.1177/0363546504269591 · Cited by 3,577
Self-citationAdjustments to Zatsiorsky-Seluyanov's segment inertia parameters
de Leva, P. (1996) · Journal of Biomechanics · doi:10.1016/0021-9290(95)00178-6 · Cited by 2,958
Understanding injury mechanisms: a key component of preventing injuries in sport
Bahr, R., & Krosshaug, T. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.018341 · Cited by 1,255 · cited 2×
“T he deleterious impact of noncontact anterior cruciate ligament (ACL) injuries on both short- and long-term athlete health and performance is well documented (2).”
BackgroundHuman movement analysis using stereophotogrammetry
Leardini, A., Chiari, L., Croce, U. D., & Cappozzo, A. (2005) · Gait & Posture · doi:10.1016/j.gaitpost.2004.05.002 · Cited by 1,239
Mandelbaum, B. R., Silvers, H. J., Watanabe, D. S., Knarr, J. F., Thomas, S. D., Griffin, L. Y., Kirkendall, D. T., & Garrett, W. (2005) · The American Journal of Sports Medicine · doi:10.1177/0363546504272261 · Cited by 1,136
Anterior Cruciate Ligament Injuries in Female Athletes: Part 1, Mechanisms and Risk Factors
Hewett, T. E., Myer, G. D., & Ford, K. R. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546505284183 · Cited by 1,081
Combined knee loading states that generate high anterior cruciate ligament forces
Markolf, K. L., Burchfield, D. M., Shapiro, M. M., Shepard, M. F., Finerman, G. A. M., & Slauterbeck, J. L. (1995) · Journal of Orthopaedic Research · doi:10.1002/jor.1100130618 · Cited by 1,036
Core Stability Measures as Risk Factors for Lower Extremity Injury in Athletes
LEETUN, D. T., IRELAND, M. L., WILLSON, J. D., BALLANTYNE, B. T., & DAVIS, I. M. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000128145.75199.c3 · Cited by 1,014
Lu, T.-W., & O’Connor, J. J. (1999) · Journal of Biomechanics · doi:10.1016/s0021-9290(98)00158-4 · Cited by 924
Cited by
Alentorn‐Geli, E., Myer, G. D., Silvers, H. J., Samitier, G., Romero, D., Lázaro‐Haro, C., & Cugat, R. (2009) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-009-0813-1 · Cited by 893
Renstrom, P., Ljungqvist, A., Arendt, E., Beynnon, B., Fukubayashi, T., Garrett, W., Georgoulis, T., Hewett, T. E., Johnson, R., Krosshaug, T., et al. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.048934 · Cited by 820
National Strength and Conditioning Association Position Statement on Long-Term Athletic Development
Lloyd, R. S., Cronin, J. B., Faigenbaum, A. D., Haff, G. G., Howard, R., Kraemer, W. J., Micheli, L. J., Myer, G. D., & Oliver, J. L. (2016) · Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001387 · Cited by 485
Borotikar, B. S., Newcomer, R., Koppes, R., & McLean, S. G. (2008) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2007.08.008 · Cited by 347
Self-citation
Metadata
- Authors
- MCLEAN, S. G., FELIN, R. E., SUEDEKUM, N., CALABRESE, G., PASSERALLO, A., & JOY, S.
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2007-03
- Volume
- 39
- Issue
- 3
- Pages
- 502-514
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2131703868
- Cited by
- 364
- References
- 46
- FWCI
- 18.65
- Type
- journal article
- Language
- en
- Open access
- closed
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