Evidence map›Paper›PMID 34235227›Full record

ArticleOrthopaedic journal of sports medicine2021

Anterior Cruciate Ligament Loading Increases With Pivot-Shift Mechanism During Asymmetrical Drop Vertical Jump in Female Athletes.

Ryo Ueno, Alessandro Navacchia, Nathan D Schilaty, Gregory D Myer, Timothy E Hewett, Nathaniel A Bates

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT05014009 nacompletednot on this map

The Influence of Neuromuscular Training on Whole-body Movement Strategies and Knee Mechanics During Change-of-direction Tasks in Sports Science Students

TypeinterventionalSponsorUniversitaet InnsbruckRan2021 to 2021Enrolled24ConditionsAnterior Cruciate Ligament InjuriesArmsFIFA11+ and multidirectional training (MD), FIFA11+ and linear sprint training (MD)
NCT05370534 withdrawnnot on this mapstarted 2023, after this paper: background citation

Smartphone-Based Markerless Motion Capture for Orthopaedic Clinical Use

TypeobservationalSponsorUniversity of ArkansasRan2023 to 2023Enrolled0ConditionsMusculoskeletal Diseases or Conditions
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Ryo UenoDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Alessandro NavacchiaDepartment of Sport Science, University of Innsbruck, Innsbruck, Austria.
Nathan D SchilatyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Gregory D MyerThe SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Timothy E HewettHewett Global Consulting, Rochester Minnesota, USA.
Nathaniel A BatesDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USCincinnati Children's Hospital Medical Center · USUniversität Innsbruck · AT

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
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 L30 AR070273NIAMS NIH HHS R01 AR049735NIAMS NIH HHS R01 AR055563NIAMS NIH HHS R01 AR056259NICHD NIH HHS K12 HD065987
6 · The paper itself

Abstract

backgroundFrontal plane trunk lean with a side-to-side difference in lower extremity kinematics during landing increases unilateral knee abduction moment and consequently anterior cruciate ligament (ACL) injury risk. However, the biomechanical features of landing with higher ACL loading are still unknown. Validated musculoskeletal modeling offers the potential to quantify ACL strain and force during a landing task. PURPOSE: To investigate ACL loading during a landing and assess the association between ACL loading and biomechanical factors of individual landing strategies. STUDY

designDescriptive laboratory study.

methodsThirteen young female athletes performed drop vertical jump trials, and their movements were recorded with 3-dimensional motion capture. Electromyography-informed optimization was performed to estimate lower limb muscle forces with an OpenSim musculoskeletal model. A whole-body musculoskeletal finite element model was developed. The joint motion and muscle forces obtained from the OpenSim simulations were applied to the musculoskeletal finite element model to estimate ACL loading during participants' simulated landings with physiologic knee mechanics. Kinematic, muscle force, and ground-reaction force waveforms associated with high ACL strain trials were reconstructed via principal component analysis and logistic regression analysis, which were used to predict trials with high ACL strain.

resultsThe median (interquartile range) values of peak ACL strain and force during the drop vertical jump were 3.3% (-1.9% to 5.1%) and 195.1 N (53.9 to 336.9 N), respectively. Four principal components significantly predicted high ACL strain trials, with 100% sensitivity, 78% specificity, and an area of 0.91 under the receiver operating characteristic curve (

conclusionACL loads were higher with a pivot-shift mechanism during a simulated landing with asymmetry in the frontal plane. Specifically, knee abduction can create compression on the posterior slope of the lateral tibial plateau, which induces anterior tibial translation and internal tibial rotation. CLINICAL RELEVANCE: Athletes are encouraged to perform interventional and preventive training to improve symmetry during landing.

Indexed as

ACLfinite elementkneelandingstrain

Identifiers

PMID34235227
PMCPMC8226378
OpenAlexW3134021457

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.