Evidence map›Paper›PMID 41295774›Full record

ArticleSports (Basel, Switzerland)2025

Testing ACL-Reconstructed Football Players on the Field: An Algorithm to Assess Cutting Biomechanics Injury Risk Through Wearable Sensors.

Stefano Di Paolo, Marianna Viotto, Margherita Mendicino, Chiara Valastro, Alberto Grassi, Stefano Zaffagnini

Abstract read
In one paragraph

Article in Sports (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Stefano Di Paolo2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0002-1761-7352
Marianna ViottoPediatric Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Margherita Mendicino2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0009-0009-5969-5832
Chiara Valastro2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Alberto Grassi2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0003-4236-1798
Stefano Zaffagnini2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0002-2941-1407

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament (ACL) injuries in football mostly occur during defensive (pressing) cut maneuvers. Football-specific cutting movements are key to identifying dangerous biomechanics but hard to evaluate clinically. This study aimed to develop a practical field-based tool-Anterior Cruciate Ligament Injury Risk Profile Detection (ACL-IRD)-to assess ACL injury risk during return to sport (RTS). It was hypothesized that the ACL-IRD could detect ACL injury risk profiles after ACLR players had RTS clearance. Sixty-one footballers (21 ACLR, 40 healthy; 16.2 ± 2.2 years old, >14 months post-surgery) were tested on a regular football pitch. Players performed pre-planned (AGTT) and unplanned football-specific cut maneuvers simulating defensive pressing (FS deceiving action). Kinematic data were collected via eight wearable inertial sensors (MTw Awinda, Movella) on trunk and lower limbs. The ACL-IRD analyzed biomechanics in three risk categories, knee valgus collapse, sagittal knee loading, and trunk-pelvis imbalance, using thresholds from healthy players. A clinician-friendly, automatic report was generated. At-risk biomechanics were identified in 36-37/104 AGTT trials and 25-41/97 FS deceiving actions (at initial contact and peak knee flexion). Over 60% of risky trials involved the ACLR limb. Major risk factors were altered knee/hip flexion ratio, knee valgus, and hip abduction. The ACL-IRD is a novel, clinical-friendly tool designed to identify potential ACL injury risk profiles and is intended to support safer RTS decisions.

Indexed as

ACLbiomechanicschange of directionecological dynamicsreturn to sportwearables inertial sensors

Identifiers

PMID41295774
PMCPMC12655897

What OpenQuestion holds

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Registered trials

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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.