Evidence map›Paper›PMID 34384683›Full record

ArticleJournal of science and medicine in sport2021

When puberty strikes: Longitudinal changes in cutting kinematics in 172 high-school female athletes.

Lionel Chia, Gregory D Myer, Timothy E Hewett, Marnee J McKay, Justin Sullivan, Kevin R Ford, Evangelos Pappas

Abstract read
In one paragraph

Article in Journal of science and medicine in sport, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Effects of pubertal growth variation on knee mechanics during walking in female and male adolescents.American journal of human biology : the official journal of the Human Biology Council · 2023
    Article
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

7 authors.

Lionel ChiaDiscipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. Electronic address: lclionelchia@gmail.com.
Gregory D MyerEmory Sport Performance and Research Center, USA; Emory Sports Medicine Center, USA; Department of Orthopaedics, Emory University School of Medicine, USA; The Micheli Center for Sports Injury Prevention, USA.
Timothy E HewettHewett Global Consulting, USA; The Rocky Mountain Consortium for Sports Research, USA.
Marnee J McKayDiscipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
Justin SullivanDiscipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
Kevin R FordDepartment of Physical Therapy, Congdon School of Health Sciences, High Point University, USA.
Evangelos PappasDiscipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.

Funding

Multi-site Randomized Clinical Trial of FIT Teens for Juvenile FibromyalgiaR01AR070474 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2017 to 2023
$8.7M
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
Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual RealityU01AR067997 · NIAMS · EMORY UNIVERSITY · PI MYER, GREGORY DONALD · 2016 to 2022
$3.6M
IDENTIFYING FEMALE ATHLETES AT HIGH RISK FOR ACL INJURYR01AR049735 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI HEWETT, TIMOTHY E · 2004 to 2008
$2.6M
Neuroplastic Mechanisms for Acquisition and Transfer of Injury-Resistant Movement Patterns Assessed in VR Simulated SportR01AR076153 · NIAMS · EMORY UNIVERSITY · PI GROOMS, DUSTIN ROBERT, MYER, GREGORY DONALD · 2020 to 2022
$1.1M
Identifying risk profiles for anterior cruciate ligament injury among female athlSC3GM102053 · NIGMS · LONG ISLAND UNIVERSITY BROOKLYN CAMPUS · PI PAPPAS, EVANGELOS · 2012 to 2013
$203k
NIAMS NIH HHS R01 AR049735NIAMS NIH HHS R01 AR055563NIAMS NIH HHS R01 AR056259NIAMS NIH HHS R01 AR070474NIAMS NIH HHS R01 AR076153NIAMS NIH HHS U01 AR067997NIGMS NIH HHS SC3 GM102053
6 · The paper itself

Abstract

objectivesYoung female athletes involved in high-speed cutting and change-of-direction sports are particularly susceptible to anterior cruciate ligament (ACL) injuries. Little is known if maturational changes in cutting technique contribute to the increased injury risk. Our objective was to examine longitudinal changes in cutting kinematics in female athletes as they matured through puberty.

designLongitudinal cohort study

methodsHigh school female athletes (n=172) performed an unanticipated 45° cutting task in the biomechanics laboratory across two or more pubertal stages. Pubertal stages were classified using a modified Pubertal Maturational Observational Scale (pre-, mid-, or post-pubertal stages). Generalized linear mixed models were used to compare kinematics across pubertal stages.

resultsAs girls matured through puberty, they displayed a decrease in sagittal-plane hip (1.8-2.6°, p<0.03) and knee range-of-motion (ROM) (2.7-2.9°, p≤0.01), and decreased peak hip (2.9-3.2°, p≤0.02) and knee flexion angles (2.7-2.9°, p≤0.01), which is indicative of greater quadriceps dominance. Peak knee abduction angles also increased as girls progressed through puberty (0.9-1.4°, p≤0.02), suggesting greater ligament dominance. In terms of trunk dominance, there were mixed findings with a decrease in trunk frontal- (2.5-5.7°, p≤0.03) and sagittal-plane ROM (2.0°, p≤0.01), but an increase in trunk transverse-plane ROM (2.8-3.6°, p≤0.02) observed as girls mature. Other significant changes in cutting technique were decreased peak trunk flexion (3.8-7.8°, p≤0.01), and decreased hip flexion (2.9-3.3°, p≤0.02) and knee flexion angles (2.0-3.0°, p≤0.03) at initial contact, suggesting a more upright and stiffer cutting posture.

conclusionsAs girls mature through puberty, there is a change in cutting strategy characterized by greater quadriceps and ligament dominance.

Indexed as

Plyometric ExerciseAdolescentAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaChildCohort StudiesFemaleHip JointHumansKnee JointLongitudinal StudiesMovementPubertyRunningACL injuriesbiomechanicschange of directioninjury preventionmaturation

Identifiers

PMID34384683
PMCPMC11148810

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.