Identification of Risk Factors for Lower Limb Injuries in Athletes

Authors

  • Pedro Ribeiro Centro Hospitalar do Tâmega e Sousa Author https://orcid.org/0000-0002-6987-8757
  • Ana Ribau Serviço de Ortopedia, Centro Hospitalar Universitário do Porto, Porto, Portugal Author
  • Tiago Amorim-Barbosa Serviço de Ortopedia, Centro Hospitalar Universitário do Porto, Porto, Portugal Author
  • João Esteves Serviço de Ortopedia, Centro Hospitalar Médio Ave, Santo Tirso, Portugal Author
  • Pedro Fonseca LABIOMEP ‐ Porto Biomechanics Laboratory, University of Porto, Porto, Portugal Author
  • Adélio Vilaça Serviço de Ortopedia, Centro Hospitalar Universitário do Porto, Porto, Portugal Author

Keywords:

Anterior Cruciate Ligament Injuries, Athletic Injuries, Biomechanical Phenomena, Leg Injuries, Lower Extremity, Muscle Strength, Risk Factors

Abstract

Introduction: Proper physical activity and sport for everyone are one of the main cornerstones for a healthy lifestyle. However, regular sport activity is not without risk, with the correlation between participation in sport activities and the emergence of injuries being well documented. One of the most common injuries is the anterior cruciate ligament rup‐ ture which brings negative consequences for both the athlete and the team. Therefore, there is a high priority need to find standardized methods to identify which athletes are in greater risk of injury and what are the problems responsible for that risk with the goal of correcting them with customized training programs.
The aim of this project is to identify the athletes who have a higher injury risk through their biomechanical profile and the recognition of neuromuscular deficits of the inferior limbs in kinematic patterns.
Methods: Video analysis of three jumps (countermovement vertical jump without arm swing) performed by 27 basket‐ ball athletes. We recorded the flexion and varus/valgus knee angles. Anthropometric data, training hours per week and the presence or not of hypermobility in the Beighton scale were also collected.
Results: The presence of a higher body mass index was correlated with personal history of ankle sprain (BMI=21.64 ± 2.28 kg/m2 versus BMI=19.80 ± 2.21 kg/m2). It was found that athletes who land in a valgus collapse also land with less knee flexion (57.60o ± 9.29o vs 62.80o ± 10,62o). Considering as an asymmetry a difference of at least 10o, we marked 6 athletes with considerable variance between the two legs.
Conclusion: We concluded that it is possible to characterize the studied population and split some of the athletes in two risk groups according to the neuromuscular deficits. One of the groups is the leg dominance one and the other is put together in the same group quadriceps dominance and ligament dominance.

Downloads

Download data is not yet available.

References

Direção Geral de Saúde. A actividade física e o desporto: um meio para melhorar a saúde e o bem‐estar. Lisboa:DGS; 2016.

Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, et al. Noncontact anterior cruciate ligament injuries: risk factors and pre‐ vention strategies. J Am Acad Orthop Surg. 2000;8:141‐50. doi: 10.5 435/00124635‐200005000‐00001.

Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, Demaio M, et al. Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. Am J Spor‐ ts Med. 2006;34:1512‐32. doi: 10.1177/0363546506286866.

Astur DC, Xerez M, Rozas J, Debieux PV, Franciozi CE, Cohen M. Ante‐ rior cruciate ligament and meniscal injuries in sports: incidence, time of practice until injury, and limitations caused after trauma. Rev Bras Ortop. 2016;51:652‐6. doi: 10.1016/j.rboe.2016.04.008.

Lohmander LS, Englund PM, Dahl LL, Roos EM. The long‐term consequence of anterior cruciate ligament and meniscus inju‐ ries: osteoarthritis. Am J Sports Med. 2007;35:1756‐69. doi: 10.1177/0363546507307396.

Ferretti A, Papandrea P, Conteduca F, Mariani PP. Knee ligament in‐ juries in volleyball players. Am J Sports Med. 1992;20:203‐7. doi: 10.1177/036354659202000219.

Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech. 2001;16:438‐45. doi: 10.1016/s0268‐ ‐0033(01)00019‐5.

Arendt E, Dick R. Knee injury patterns among men and women in collegia‐ te basketball and soccer. NCAA data and review of literature. Am J Spor‐ ts Med. 1995;23:694‐701. doi: 10.1177/036354659502300611.

Fleming BC. Biomechanics of the anterior cruciate ligament. J Orthop Sports Phys Ther. 2003;33:A13‐5.

Hewett TE, Ford KR, Hoogenboom BJ, Myer GD. Understanding and preventing acl injuries: current biomechanical and epidemiologic consi‐ derations ‐ update 2010. N Am J Sports Phys Ther. 2010;5:234‐51.

Hewett TE, Stroupe AL, Nance TA, Noyes FR. Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24:765‐73. doi: 10.1177/036354659602400611.

Pope MH, Johnson RJ, Brown DW, Tighe C. The role of the musculatu‐ re in injuries to the medial collateral ligament. J Bone Joint Surg Am. 1979;61:398‐402.

Hewett TE, Ford KR, Myer GD. Anterior cruciate ligament injuries in female athletes: Part 2, a meta‐analysis of neuromuscular interven‐ tions aimed at injury prevention. Am J Sports Med. 2006;34:490‐8. doi: 10.1177/0363546505282619.

Pappas E, Shiyko MP, Ford KR, Myer GD, Hewett TE. Biomechani‐ cal Deficit Profiles Associated with ACL Injury Risk in Female Athle‐ tes. Med Sci Sports Exerc. 2016;48:107‐13. doi: 10.1249/ MSS.0000000000000750.

Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loa‐ ding of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33492‐501. doi: 10.1177/0363546504269591.

Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewe‐ tt TE. Gender comparison of hip muscle activity during single‐leg lan‐ ding. J Orthop Sports Phys Ther. 2005;35:292‐9. doi: 10.2519/ jospt.2005.35.5.292.

Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35:1745‐50. doi: 10.1249/01.MSS.0000089346.85744.D9.

Published

2024-06-05

Issue

Section

Original Article

How to Cite

Identification of Risk Factors for Lower Limb Injuries in Athletes. (2024). Orthopaedic SPOT, 1(2), 93-100. https://orthopaedicspot.com/index.php/journal/article/view/32