Evidence map›Paper›PMID 21655382›Full record

ArticleNorth American journal of sports physical therapy : NAJSPT2010

Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations - update 2010.

Timothy E Hewett, Kevin R Ford, Barbara J Hoogenboom, Gregory D Myer

3 registry-linked trialsOpen access · greenAbstract readCase Reports
In one paragraph

Article in North American journal of sports physical therapy : NAJSPT, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 174 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed, 14 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04051554 nacompletednot on this mapstarted 2018, after this paper: background citation

Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players

TypeinterventionalSponsorRiphah International UniversityRan2018 to 2019Enrolled40ConditionsFootball Players, Sport Injury, Sports Physical TherapyArmsNeuromuscular and Proprioceptive Training, Conventional Training
NCT06442956 nacompletednot on this mapstarted 2025, after this paper: background citation

The Impact of Rapid Heat Stress on Firefighters' Strength, Dynamic Balance, and Movement Quality

TypeinterventionalSponsorLouisiana State University Health Sciences Center ShreveportRan2025 to 2025Enrolled26ConditionsOccupational Injuries, Heat Stress, Leg Injury, Back InjuriesArmsRapid Heat Condition, Gradual Heat Condition
NCT06445491 nacompletednot on this mapstarted 2024, after this paper: background citation

Influence of Test Order of Isokinetic Torque, Y-Balance/Firefighter-Specific Functional-Balance, and Forward-Step-Down on Test Performance: Identifying Optimal Sequences

TypeinterventionalSponsorLouisiana State University Health Sciences Center ShreveportRan2024 to 2024Enrolled12ConditionsMuscle WeaknessArmsControl order, Randomized sequence
3 · Its place in the literature

Who cites it

174 citing papers in PubMed, 14 syntheses or guidelines pooled it, 396 citations in OpenAlex.

  1. Pooled it
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  7. Reduced knee laxity and failure rate following anterior cruciate ligament reconstruction compared with repair for acute tears: a meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Pooled it
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  10. Injury Prevalence of the Lower Limbs in Handball Players: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  12. Injuries in Netball-A Systematic Review.Sports medicine - open · 2021
    Pooled it
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  20. Increased contralateral dynamic valgus in female athletes following ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article

114 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Timothy E Hewett
Kevin R Ford
Barbara J Hoogenboom
Gregory D Myer

Funding

Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female AthletesR01AR055563 · NIAMS · OHIO STATE UNIVERSITY · PI BATES, NATHANIEL ANDREW, KRYCH, AARON · 2008 to 2022
$5.9M
Multi-faceted Approach to Modeling ACL Injury MechanismsR01AR056259 · NIAMS · OHIO STATE UNIVERSITY · PI HEWETT, TIMOTHY E · 2009 to 2017
$4.9M
IDENTIFYING FEMALE ATHLETES AT HIGH RISK FOR ACL INJURYR01AR049735 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI HEWETT, TIMOTHY E · 2004 to 2008
$2.6M
NIAMS NIH HHS R01 AR049735NIAMS NIH HHS R01 AR055563NIAMS NIH HHS R01 AR056259
6 · The paper itself

Abstract

This invited clinical commentary summarizes the current state of knowledge in the area of prevention of anterior cruciate ligament (ACL) injuries. ACL injuries occur with a four to six fold greater incidence in female compared to male athletes playing the same high risk sports. The combination of increased risk of ACL injury and a 10-fold increase in sports participation since the enactment of Title IX in 1972 has led to an almost epidemic rise in ACL injuries in female athletes. Examination of the mechanisms responsible for this sex disparity in ACL rupture accelerated in the last two decades. A summary of these findings and a synthesis and framework for understanding the results of the intense investigation of this research are detailed herein. This clinical commentary focuses on the current understanding, identification and interventional targeting of the primary neuromuscular and biomechanical risk factors associated with the ACL injury mechanism in high-risk individuals.

Indexed as

ACL injuryFemaleprevention strategies

Identifiers

PMID21655382
PMCPMC3096145
OpenAlexW74315417

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.