Deficits in neuromuscular control of the trunk predict knee injury risk: A prospective biomechanical-epidemiologic study

American Journal of Sports Medicine

Volumn 35, Issue 7, 2007, Pages 1123-1130

  Zazulak, Bohdanna T ^a,b,c,h   Hewett, Timothy E ^d,e   Reeves, N Peter ^c,f   Goldberg, Barry ^g   Cholewicki, Jacek ^c,f  

^a YALE NEW HAVEN HOSPITAL   (United States)

^b QUINNIPIAC UNIVERSITY   (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d CINCINNATI CHILDREN S HOSPITAL RESEARCH FOUNDATION   (United States)

^e UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^f Yale University   (United States)

^g YALE UNIVERSITY   (United States)

^h Yale Physicians Building ^*  (United States)

Author keywords

Anterior cruciate ligament (ACL); Gender; Knee injury prevention; Trunk or core stability

Indexed keywords

ACCURACY; ADULT; ANALYSIS OF VARIANCE; ARTICLE; ATHLETE; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; FORCE; HUMAN; KNEE INJURY; KNEE INSTABILITY; KNEE LIGAMENT INJURY; LOGISTIC REGRESSION ANALYSIS; LOW BACK PAIN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; NEUROMUSCULAR DISEASE; NEUROMUSCULAR FUNCTION; PREDICTION; PRIORITY JOURNAL; PROPRIOCEPTION; RISK ASSESSMENT; RISK FACTOR; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; TRUNK;

ABDOMINAL MUSCLES; ADULT; ANTERIOR CRUCIATE LIGAMENT; ATHLETIC INJURIES; BIOMECHANICS; FEMALE; HUMANS; JOINT INSTABILITY; KNEE INJURIES; KNEE JOINT; MALE; MUSCLE CONTRACTION; MUSCLE STRENGTH; PATELLAR LIGAMENT; PROPRIOCEPTION; QUESTIONNAIRES; RANGE OF MOTION, ARTICULAR; RISK FACTORS; SEX FACTORS;

EID: 34250892655     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546507301585     Document Type: Article

References (39)

1. Beckman SM, Buchanan TS Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Arch Phys Med Rehabil. 1995 ; 76: 1138-1143.
2. Bendjaballah MZ, Shirazi-Adl A., Zukor DJ Finite element analysis of human knee joint in varus-valgus. Clin Biomech (Bristol, Avon). 1997 ; 12: 139-148.
3. Beynnon B., Vacek PM, Abate JA III, Murphy D., Paller D. A prospective study of risk factors for first time ankle inversion ankle ligament trauma. Presented at the 32nd annual meeting of the American Orthopaedic Society for Sports Medicine ; 2006 ; Hershey, Pa.
4. Bullock-Saxton JE, Janda V., Bullock MI The influence of ankle sprain injury on muscle activation during hip extension. Int J Sports Med. 1994 ; 15: 330-334.
5. Cholewicki J., Greene HS, Polzhofer GK, Galloway MT, Shah RA, Radebold A. Neuromuscular function in athletes following recovery from a recent acute low back injury. J Orthop Sports Phys Ther. 2002 ; 32: 568-575.
6. Cholewicki J., McGill SM Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech (Bristol, Avon). 1996 ; 11: 1-15.
7. Cholewicki J., Silfies SP, Shah RA, et al. Delayed trunk muscle reflex responses increase the risk of low back injuries. Spine. 2005 ; 30: 2614-2620.
8. Cholewicki J., VanVliet JJ Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions. Clin Biomech (Bristol, Avon). 2002 ; 17: 99-105.
9. Devlin L. Recurrent posterior thigh symptoms detrimental to performance in rugby union: predisposing factors. Sports Med. 2000 ; 29: 273-287.
10. Greene HS, Cholewicki J., Galloway MT, Nguyen CV, Radebold A. A history of low back injury is a risk factor for recurrent back injuries in varsity athletes. Am J Sports Med. 2001 ; 29: 795-800.
11. Hewett TE, Ford KR, Myer GD, Wanstrath K., Scheper M. Gender differences in hip adduction motion and torque during a single leg agility maneuver. J Orthop Res. 2006 ; 24: 416-421.
12. Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR The effect of neuromuscular training on the incidence of knee injury in female athletes: a prospective study. Am J Sports Med. 1999 ; 27: 699-706.
13. Hewett TE, Myer GD, Ford KR, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005 ; 33: 492-501.
14. Hewett TE, Paterno MV, Myer GD Strategies for enhancing proprioception and neuromuscular control of the knee. Clin Orthop Relat Res. 2002 ; 402: 76-94.
15. Hewett TE, Stroupe AL, Nance TA, Noyes FR Plyometric training in female athletes: decreased impact forces and increased hamstring torques. Am J Sports Med. 1996 ; 24: 765-773.
16. Hewett TE, Zazulak BT, Myer GD, Ford KR A review of electromyographic activation levels, timing differences, and increased anterior cruciate ligament injury incidence in female athletes. Br J Sports Med. 2005 ; 39: 347-350.
17. Hodges PW, Richardson CA Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997 ; 77: 132-144.
18. Hodges PW, Richardson CA Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997 ; 114: 362-370.
19. Ireland ML, Willson JD, Ballantyne BT, Davis IM Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther. 2003 ; 33: 671-676.
20. Kibler WB, Press J., Sciascia A. The role of core stability in athletic function. Sports Med. 2006 ; 36: 189-198.
21. Krosshaug T., Nakame A., Boden B., et al. Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med. 2007 ; 35: 359-367.
22. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004 ; 36: 926-934.
23. Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005 ; 33: 1003-1010.
24. Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res. 1995 ; 13: 930-935.
25. McConnell J. The physical therapist's approach to patellofemoral disorders. Clin Sports Med. 2002 ; 21: 363-387.
26. Myer GD, Ford KR, Brent JL, Hewett TE The effects of plyometric versus dynamic balance training on power, balance and landing force in female athletes. J Strength Cond Res. 2006 ; 20: 345-353.
27. Myer GD, Ford KR, Palumbo JP, Hewett TE Comprehensive neuromuscular training improves both performance and lower extremity biomechanics in female athletes. J Strength Cond Res. 2005 ; 19: 51-60.
28. Myklebust G., Engebretsen L., Braekken IH, Skjolberg A., Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003 ; 13: 71-78.
29. National Collegiate Athletic Association. NCAA Injury Surveillance System Summary. Indianapolis, In: National Collegiate Athletic Association; 2002. Available at: http://www.ncaa.org.
30. Paterno MV, Myer GD, Ford KR, Hewett TE Neuromuscular training improves single-limb stability in young female athletes. J Orthop Sports Phys Ther. 2004 ; 34: 305-317.
31. Radebold A., Cholewicki J., Panjabi MM, Patel TC Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine. 2000 ; 25: 947-954.
32. Radebold A., Cholewicki J., Polzhofer GK, Greene HS Impaired postural control of the lumbar spine is associated with delayed muscle response times in patients with chronic idiopathic low back pain. Spine. 2001 ; 26: 724-730.
33. Reeves NP, Cholewicki J., Milner TE Muscle reflex classification of low-back pain. J Electromyogr Kinesiol. 2005 ; 15: 53-60.
34. Reeves NP, Cholewicki J., Silfies SP Muscle activation imbalance and low-back injury in varsity athletes. J Electromyogr Kinesiol. 2006 ; 16: 264-272.
35. van Dieen JH, Selen LP, Cholewicki J. Trunk muscle activation in low-back pain patients: an analysis of the literature. J Electromyogr Kinesiol. 2003 ; 13: 333-351.
36. Wilder DG, Aleksiev AR, Magnusson ML, Pope MH, Spratt KF, Goel VK Muscular response to sudden load: a tool to evaluate fatigue and rehabilitation. Spine. 1996 ; 21: 2628-2639.
37. Wojtys EM, Huston LJ, Taylor PD, Bastian SD Neuromuscular adaptations in isokinetic, isotonic, and agility training programs. Am J Sports Med. 1996 ; 24: 187-192.
38. Zazulak BT, Hewett TE, Reeves NP, Goldberg B., Cholewicki J. The effects of core proprioception on knee injury: a prospective biomechanical- epidemiological study. Am J Sports Med. 2007 ; 35: 368-373.
39. Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian LA, Hewett TE The effect of gender on hip muscle activity during landing. J Orthop Sports Phys Ther. 2005 ; 35: 292-299.