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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2020

01-04-2020 | HIP

Hip biomechanics differ in responders and non-responders to an ACL injury prevention program

Authors: Jeffrey B. Taylor, Anh-Dung Nguyen, Sandra J. Shultz, Kevin R. Ford

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2020

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Abstract

Purpose

To investigate the differences in demographic, anthropometric, biomechanical, and/or performance variables between those that do (responders) and do not (non-responders) exhibit reductions in knee abduction moments after an anterior cruciate ligament injury prevention program (ACL-IPP).

Methods

Forty-three adolescent female athletes completed biomechanical (3D motion analysis of a drop vertical jump) and performance testing before and after randomization into a 6-week ACL-IPP. Participants were classified into responders and non-responders based on their level of reduction of knee abduction moment from pre- to post-test.

Results

Compared to non-responders, responders exhibited increased hip adduction excursion at baseline (p = 0.02) and trended towards attending more training sessions (p = 0.07) and participating in soccer and not basketball (p = 0.07). Responders also showed greater improvements in hip flexion angles (p = 0.02) and moments (p < 0.001), and knee abduction angles (p < 0.001) and excursions (p = 0.001). There were no significant differences in age or experience with prior injury prevention programs (n.s.).

Conclusions

After an ACL-IPP, athletes that exhibit the greatest reduction in knee abduction moments exhibit greater hip adduction excursion at baseline and show corresponding improvements in hip flexion and knee abduction kinematics and hip flexion moments. These results can help clinicians prospectively identify individuals that may not respond to an ACL-IPP and target individualized training for those at risk of injury.

Level of evidence

I.

Clinical trial registration number

Clinicaltrials.gov NCT02530333.
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Metadata
Title
Hip biomechanics differ in responders and non-responders to an ACL injury prevention program
Authors
Jeffrey B. Taylor
Anh-Dung Nguyen
Sandra J. Shultz
Kevin R. Ford
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-018-5158-1

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