ArticleFrontiers in bioengineering and biotechnology2021
Fatigue Induced by Repeated Changes of Direction in Élite Female Football (Soccer) Players: Impact on Lower Limb Biomechanics and Implications for ACL Injury Prevention.
Article in Frontiers in bioengineering and biotechnology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 35 citations in OpenAlex.
- Impact of playing position on ACL injury characteristics, risk and career outcomes in football-An analysis of 742 cases of the anterior cruciate ligament registry in German football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Running-Related Musculoskeletal Injuries in Saudi Arabia: Epidemiology, Biomechanical Determinants, and Global Comparative Insights.Healthcare (Basel, Switzerland) · 2026Review
- Effect of lower-limb fatigue on kinematic variables during an unanticipated block among adolescent female volleyball players.BMC sports science, medicine & rehabilitation · 2025Article
- Association Between theGenes · 2025Article
- Neurosciences and Sports Rehabilitation in ACLR: A Narrative Review on Winning Alliance Strategies and Connecting the Dots.Journal of functional morphology and kinesiology · 2025Review
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- Effects of mental fatigue on biomechanical characteristics and risk associated with non-contact anterior cruciate ligament injuries during landing.Frontiers in bioengineering and biotechnology · 2025Article
- Kinetic analysis of change of direction simulating a defensive action in soccer players with and without acute fatigue.Heliyon · 2024Article
- Team Approach: Neuromuscular Training for Primary and Secondary Prevention of Anterior Cruciate Ligament Injury.JBJS reviews · 2024Review
- Metabolic, cognitive and neuromuscular responses to different multidirectional agility-like sprint protocols in elite female soccer players - a randomised crossover study.BMC sports science, medicine & rehabilitation · 2024Article
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- Kinematics but not kinetics alterations to single-leg drop jump movements following a subject-tailored fatiguing protocol suggest an increased risk of ACL injury.Frontiers in sports and active living · 2024Article
- Influences of fatigue and anticipation on female soccer players' biomechanical characteristics during 180° pivot turn: implication for risk and prevention of anterior cruciate ligament injury.Frontiers in physiology · 2024Article
- Comparison of Physiological and Perceptional Responses to 5-m Forward, Forward-Backward, and Lateral Shuttle Running.Frontiers in physiology · 2021Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe etiology of Anterior Cruciate Ligament (ACL) injury in women football results from the interaction of several extrinsic and intrinsic risk factors. Extrinsic factors change dynamically, also due to fatigue. However, existing biomechanical findings concerning the impact of fatigue on the risk of ACL injuries remains inconsistent. We hypothesized that fatigue induced by acute workload in short and intense game periods, might in either of two ways: by pushing lower limbs mechanics toward a pattern close to injury mechanism, or alternatively by inducing opposed protective compensatory adjustments.
aimIn this study, we aimed at assessing the extent to which fatigue impact on joints kinematics and kinetics while performing repeated changes of direction (CoDs) in the light of the ACL risk factors.
methodsThis was an observational, cross-sectional associative study. Twenty female players (age: 20-31 years, 1st-2nd Italian division) performed a continuous shuttle run test (5-m) involving repeated 180°-CoDs until exhaustion. During the whole test, 3D kinematics and ground reaction forces were used to compute lower limb joints angles and internal moments. Measures of exercise internal load were: peak post-exercise blood lactate concentration, heart rate (HR) and perceived exertion. Continuous linear correlations between kinematics/kinetics waveforms (during the ground contact phase of the pivoting limb) and the number of consecutive CoD were computed during the exercise using a Statistical Parametric Mapping (SPM) approach.
resultsThe test lasted 153 ± 72 s, with a rate of 14 ± 2 CoDs/min. Participants reached 95% of maximum HR and a peak lactate concentration of 11.2 ± 2.8 mmol/L. Exercise duration was inversely related to lactate concentration ( DISCUSSION: Players exhibited different strategies to cope with repeated CoDs, ranging from protective to potentially dangerous behaviors. While the latter was not a univocal effect, it reinforces the importance of individual biomechanical assessment when coping with fatigue.
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