Abstract:
OBJECTIVES:Relations between lower limb muscle strength and female ACL injury risk are well documented. How these relations combine with key ACL geometries however, is unknown. Identifying how these combined factors are impacted by maturation would benefit current risk screening and prevention efforts. This study compared hamstrings and quadriceps strength and ACL cross sectional area (CSA) indices across three maturation groups. DESIGN:Cross-sectional human experimental. METHODS:MRI scans of the dominant knee were collected in 35 females stratified into early (9.7±0.8yrs), middle (12.9±1.7yrs), and late (14.8±0.6yrs) maturation groups. Hamstring and quadriceps muscle volumes and ACL CSA measures were obtained. Isokinetic strength data were quantified for dominant knee flexors and extensors. Peak hamstring and quadriceps concentric and eccentric strength per unit volume magnitudes (QCSPV, HCSPV, QESPV, HESPV) were determined. Metrics and select ratios were submitted to a one way ANOVA to determine the main effect of maturation. RESULTS:Significant decreases occurred in HESPV (N/cm(3)) and ACL CSA (cm(2)/kgm), respectively, from early (0.188±0.023N/cm(3), 0.007±0.002cm(2)/kgm) to middle (0.157±0.029N/cm(3), 0.005±0.002cm(2)/kgm, p=0.034, p=0.029), and middle to late (0.132±0.031N/cm(3), 0.003±0.001cm(2)/kgm, p=0.044, p=0.018) maturation. A significant decrease in HESPV:QCSPV occurred between early (1.795±0.496) and middle (1.362±0.277, p=0.018) maturation. QCSPV:ACL CSA was significantly greater in late (37.26±13.35) compared to middle (25.81±9.17, p=0.021) maturation. CONCLUSIONS:Key ratios between female knee quadriceps and hamstring strength and ACL size parameters, which may directly impact ACL injury risk, are substantially different among three maturation states. The results are potentially hazardous strength mismatches in mid-pubertal females, where a smaller (weaker) ACL may be unable to stabilize quadriceps dominated loading strategies.
journal_name
J Sci Med Sportjournal_title
Journal of science and medicine in sportauthors
Davidson SP,McLean SGdoi
10.1016/j.jsams.2015.07.016subject
Has Abstractpub_date
2016-07-01 00:00:00pages
553-8issue
7eissn
1440-2440issn
1878-1861pii
S1440-2440(15)00170-Xjournal_volume
19pub_type
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章,评审
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章
doi:10.1016/j.jsams.2015.06.008
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journal_title:Journal of science and medicine in sport
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章,评审
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journal_title:Journal of science and medicine in sport
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章
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journal_title:Journal of science and medicine in sport
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journal_title:Journal of science and medicine in sport
pub_type: 临床试验,杂志文章
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更新日期:2000-12-01 00:00:00
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章
doi:10.1016/j.jsams.2006.03.004
更新日期:2006-12-01 00:00:00
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doi:10.1016/j.jsams.2008.07.004
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-03-01 00:00:00
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journal_title:Journal of science and medicine in sport
pub_type: 杂志文章
doi:10.1016/j.jsams.2009.06.002
更新日期:2010-07-01 00:00:00
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pub_type: 杂志文章
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