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Cited by 552Knee injuries and reconstruction techniquesLower Extremity Biomechanics and PathologiesSports injuries and prevention

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Decrease in Neuromuscular Control About the Knee with Maturation in Female Athletes

Hewett, Timothy E., Myer, Gregory D., Ford, Kevin R.·2004·The Journal of Bone and Joint Surgery-American Volume
DOI 10.2106/00004623-200408000-00001
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Abstract

Background: Compared with male athletes, female athletes demonstrate increased dynamic valgus angulation of the knee during landing from a jump, although prior to maturation male and female athletes have similar forces and motions about the knee when they land from a jump. Our hypothesis was that musculoskeletal changes that accompany maturation result in poor neuromuscular control of the knee joint in female athletes. Methods: One hundred and eighty-one middle-school and high-school soccer and basketball players—100 girls and eighty-one boys—participated in the study. Dynamic control of the knee joint was measured kinematically by assessing medial knee motion and the lower-extremity valgus angle and was measured kinetically by assessing knee joint torques; the values were then compared between female and male athletes according to maturational stage. Lower-extremity bone length was measured with three-dimensional kinematic analysis. Results: Following the onset of maturation, the female athletes landed with greater total medial motion of the knees and a greater maximum lower-extremity valgus angle than did the male athletes. The girls also demonstrated decreased flexor torques compared with the boys as well as a significant difference between the maximum valgus angles of their dominant and nondominant lower extremities after maturation. Conclusions: After girls mature, they land from a jump differently than do boys, as measured kinematically and kinetically. Clinical Relevance: Following the onset of the pubertal growth spurt, female athletes change the way that they land from a jump. This change may be due to decreased neuromuscular control of the knee and may explain why the risk of anterior cruciate ligament injury is higher in girls than it is in boys. The measures of neuromuscular control of the knee used in this report may be employed to monitor athletes and to direct appropriate new interventions to athletes at high risk for injury.

Overview

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Registry

Crossref · 10.2106/00004623-200408000-00001

Cites

36 of 36 references verified0 citation errors · 0 not checkable

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Claims other papers make about this one

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  • During the teenage years, boys experience a muscular strength and motor performance growth spurt, while girls plateau.

    “During the teenage years, boys experience a muscular strength and motor performance growth spurt, while girls plateau.27 28”

    From Anterior cruciate ligament injury: towards a gendered environmental approach (2021) · cites this paper as [28]

Citations

Cites

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Research works printed but not linked: 8

  1. 1993, J South Orthop Assoc, 2, 36
  2. 2001, Am J Orthop, 30, 103
  3. 1999, J Strength Cond Res, 13, 40
  4. 1988, Exerc Sport Sci Rev, 16, 503
  5. 2002, Med Sci Sports Exerc, 34, S247
  6. 1996, J Sports Med Phys Fitness, 36, 43
  7. 1988, Am J Dis Child, 142, 839
  8. 1987, J Hum Mov Stud, 13, 399

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Metadata

Authors
Hewett, T. E., Myer, G. D., & Ford, K. R.
Affiliations
Cincinnati Children's Hospital Medical Center (US)
ORCID
Venue
The Journal of Bone and Joint Surgery-American Volume
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-08
Volume
86
Issue
8
Pages
1601-1608
ISSN
0021-9355 (ISSN-L)
DOI
10.2106/00004623-200408000-00001
OpenAlex
W1898455994
Cited by
552
References
36
Citations by year
2026: 13 · 2025: 19 · 2024: 17 · 2023: 17 · 2022: 27 · 2021: 37 · 2020: 25 · 2019: 28 · 2018: 24 · 2017: 30 · 2016: 25 · 2015: 36 · 2014: 38 · 2013: 24 · 2012: 42
FWCI
18.43
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Bone and Joint Surgery (publishedVersion)
  • PubMed (publishedVersion)
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
neuromuscular control, knee joint, female athletes, maturation, pubertal growth spurt, knee joint torque, anterior cruciate ligament injury, sex differences, soccer players, basketball players
MeSH terms
Adolescent, Age Factors, Biomechanical Phenomena, Child, Cross-Sectional Studies, Female, Humans, Knee Joint, Male, Prospective Studies, Sex Characteristics, Sports, Anterior Cruciate Ligament, Peripheral Nervous System, Muscle, Skeletal

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