Altered hip control during a standing knee-lift test is associated with increased risk of knee injuries
Leppänen, M., Rossi, M. T., Parkkari, J., Heinonen, A., Äyrämö, S., Krosshaug, T., Vasankari, T., Kannus, P., & Pasanen, K. (2020). Altered hip control during a standing knee-lift test is associated with increased risk of knee injuries. Scandinavian Journal of Medicine and Science in Sports, 30(5), 922-931. https://doi.org/10.1111/sms.13626
© 2020 John Wiley & Sons A/S.
Few prospective studies have investigated hip and pelvic control as a risk factor for lower extremity (LE) injuries. The purpose of this study was to investigate whether deficits in hip and lumbopelvic control during standing knee lift test are associated with increased risk of acute knee and LE injuries in youth team sports. At baseline, 258 basketball and floorball players (aged 12‒21 y.) participated in a standing knee lift test using 3‐dimensional motion analysis. Two trials per leg were recorded from each participant. Peak sagittal plane pelvic tilt and frontal plane pelvic drop/hike were measured. Both continuous and categorical variables were analysed. New non‐contact LE injuries, and match and training exposure, were recorded for 12 months. Seventy acute LE injuries were registered. Of these, 17 were knee injuries (eight ACL ruptures) and 35 ankle injuries. Risk factor analyses showed that increased contralateral pelvic hike was significantly associated with knee injury risk when using categorical variable (HR for high versus low group 4.07; 95% CI 1.32–12.6). Furthermore, significant association was found between high lateral pelvic hike angles and ACL injury risk in female players (HR for high versus low group 9.10; 95% CI 1.10–75.2). Poor combined sensitivity and specificity of the test was observed. In conclusion, increased contralateral pelvic hike is associated with non‐contact knee injury risk among young team sport players as well as non‐contact ACL injuries among female players. More research to determine the role of pelvic control as a risk factor for knee injuries is needed. ...
PublisherWiley-Blackwell Publishing Ltd.
ISSN Search the Publication Forum0905-7188
Publication in research information system
MetadataShow full item record
Additional information about fundingWe acknowledge the funding from Finnish Ministry of Education and Culture, and Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital (Grant 9S047).
Showing items with similar title or keywords.
Prevention of injuries among youth team sports : the role of decreased movement control as a risk factor Leppänen, Mari (University of Jyväskylä, 2017)Good movement control is essential in team sports that require fast-paced running, pivoting, jumping and landing. Alterations in dynamic neuromuscular control may cause significant stress on the musculoskeletal system, ...
Change of Direction Biomechanics in a 180-Degree Pivot Turn and the Risk for Noncontact Knee Injuries in Youth Basketball and Floorball Players Leppänen, Mari; Parkkari, Jari; Vasankari, Tommi; Äyrämö, Sami; Kulmala, Juha-Pekka; Krosshaug, Tron; Kannus, Pekka; Pasanen, Kati (SAGE Publications, 2021)Background: Studies investigating biomechanical risk factors for knee injuries in sport-specific tasks are needed. Purpose: To investigate the association between change of direction (COD) biomechanics in a 180-degree ...
Psychological processes of ACL-patients' post-surgery rehabilitation : A prospective test of an integrated theoretical model Lee, Alfred S.Y.; Yung, Patrick Shu-Hang; Mok, Kam-Ming; Hagger, Martin S.; Chan, Derwin K.C. (Elsevier, 2020)Objectives: The aim of this prospective study was to examine the utility of an integrated model comprising constructs from self-determination theory (SDT) and the theory of planned behavior (TPB) in predicting adherence ...
Sagittal Plane Hip, Knee, and Ankle Biomechanics and the Risk of Anterior Cruciate Ligament Injury : A Prospective Study Leppänen, Mari; Pasanen, Kati; Krosshaug, Tron; Kannus, Pekka; Vasankari, Tommi; Kujala, Urho; Bahr, Roald; Perttunen, Jarmo; Parkkari, Jari (Sage on behalf of: The American Orthopaedic Society for Sports Medicine, 2017)Background: Stiff landings with less knee flexion and high vertical ground-reaction forces have been shown to be associated with an increased risk of anterior cruciate ligament (ACL) injury. The literature on the association ...
Association between lower extremity muscular strength and acute knee injuries in young team‐sports athletes Hietamo, J.; Parkkari, J.; Leppänen, M.,; Steffen, K.; Kannus, P.; Vasankari, T.; Heinonen, A.; Mattila, V.; Pasanen, K. (John Wiley & Sons, 2020)The purpose of this study was to investigate LE muscular strength variables as potential risk factors for all and non‐contact acute knee and ACL injuries in young athletes. A total of 188 young (≤21) male and 174 female ...