ArticleThe American journal of sports medicine2021
Change of Direction Biomechanics in a 180-Degree Pivot Turn and the Risk for Noncontact Knee Injuries in Youth Basketball and Floorball Players.
Article in The American journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 28 citations in OpenAlex.
- Age, Workload, and Usage Rate: Risk Factors Associated With Knee Injuries in Women's National Basketball Association Athletes.Orthopaedic journal of sports medicine · 2026Article
- Anticipation-angle interaction identifies 45° unanticipated change of direction as a high-demand movement with altered ACL injury-related biomechanical characteristics.Frontiers in bioengineering and biotechnology · 2026Article
- Competitive floorball over the last decade: a scoping review.Frontiers in sports and active living · 2026Review
- Impact of Neuromuscular Fatigue on Dynamic Knee Valgus in Female Basketball Players.Life (Basel, Switzerland) · 2025Article
- The impact of anterior knee displacement on knee joint load during the forward bow step in Tai Chi.Frontiers in bioengineering and biotechnology · 2024Article
- Meniscal resection increases the risk of residual knee laxity even in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction with eight strands of hamstring autografts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A Preliminary Investigation into the Neural Correlates of Knee Loading during a Change of Direction Task in Individuals after Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2023Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies investigating biomechanical risk factors for knee injuries in sport-specific tasks are needed. PURPOSE: To investigate the association between change of direction (COD) biomechanics in a 180-degree pivot turn and knee injury risk among youth team sport players. STUDY
designCohort study; Level of evidence, 2.
methodsA total of 258 female and male basketball and floorball players (age range, 12-21 years) participated in the baseline COD test and follow-up. Complete data were obtained from 489 player-legs. Injuries, practice, and game exposure were registered for 12 months. The COD test consisted of a quick ball pass before and after a high-speed 180-degree pivot turn on the force plates. The following variables were analyzed: peak vertical ground-reaction force (N/kg); peak trunk lateral flexion angle (degree); peak knee flexion angle (degree); peak knee valgus angle (degree); peak knee flexion moment (N·m/kg); peak knee abduction moment (N·m/kg); and peak knee internal and external rotation moments (N·m/kg). Legs were analyzed separately and the mean of 3 trials was used in the analysis. Main outcome measure was a new acute noncontact knee injury.
resultsA total of 18 new noncontact knee injuries were registered (0.3 injuries/1000 hours of exposure). Female players sustained 14 knee injuries and male players 4. A higher rate of knee injuries was observed in female players compared with male players (incidence rate ratio, 6.2; 95% CI, 2.1-21.7). Of all knee injuries, 8 were anterior cruciate ligament (ACL) injuries, all in female players. Female players displayed significantly larger peak knee valgus angles compared with male players (mean for female and male players, respectively: 13.9°± 9.4° and 2.0°± 8.5°). No significant associations between biomechanical variables and knee injury risk were found.
conclusionFemale players were at increased risk of knee and ACL injury compared with male players. Female players performed the 180-degree pivot turn with significantly larger knee valgus compared with male players. However, none of the investigated variables was associated with knee injury risk in youth basketball and floorball players.
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