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Ensayo controlado aleatorizado2016

Risk factors for acute knee injury in female youth football

Hägglund M, Waldén M

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 62 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Centrum för idrottsforskning
Universidad u hospital
Centrum for Idrottsforskning
Subvenciones
Centrum för idrottsforskning (27/10)

Según 2 financiadores declarados.

Publicación

Publicado
2015-12-24 · Knee Surg Sports Traumatol Arthrosc · vol. 24 · número 3 · págs. 737–746
Editorial
Springer Science+Business Media
Citado
123 citas · más que el 97% de estudios similares · 6.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
43 trabajos
Acceso
Acceso abierto (copia en repositorio) · OTHER-OA
Áreas de investigación
Knee injuries and reconstruction techniques · Sports injuries and prevention · Lower Extremity Biomechanics and Pathologies
Palabras clave
Medicine, ACL injury, Hazard ratio, Physical therapy, Proportional hazards model, Confidence interval, Injury prevention, Poison control, Anterior cruciate ligament, Internal medicine, Surgery, Emergency medicine
MeSH
humans, knee injuries, genetic predisposition to disease, risk factors, prospective studies, age factors, soccer, adolescent, child, female

2 autores

  • Martin Hägglund🇸🇪 · autor de correspondenciaLinköping University
  • Markus Waldén🇸🇪Linköping University; Hässleholms Sjukhus

Resumen

El texto original del estudio, en el idioma en que se publicó.

Purpose

To prospectively evaluate risk factors for acute time-loss knee injury, in particular ACL injury, in female youth football players.

Methods

Risk factors were studied in 4556 players aged 12-17 years from a randomised controlled trial during the 2009 season. Covariates were both intrinsic (body mass index, age, relative age effect, onset of menarche, previous acute knee injury or ACL injury, current knee complaints, and familial disposition of ACL injury) and extrinsic (no. of training sessions/week, no. of matches/week, match exposure ratio, match play with other teams, and artificial turf exposure). Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated from individual variable and multiple Cox regression analyses.

Results

Ninety-six acute knee injuries were recorded, 21 of them ACL injuries. Multiple Cox regression showed a fourfold higher ACL injury rate for players with familial disposition of ACL injury (HR 3.57; 95% CI 1.48-8.62). Significant predictor variables for acute knee injury were age >14 years (HR 1.97; 95% CI 1.30-2.97), knee complaints at the start of the season (HR 1.98; 95% CI 1.30-3.02), and familial disposition of ACL injury (HR 1.96; 95% CI 1.22-3.16). No differences in injury rates were seen when playing on artificial turf compared with natural grass.

Conclusion

Female youth football players with a familial disposition of ACL injury had an increased risk of ACL injury and acute knee injury. Older players and those with knee complaints at pre-season were more at risk of acute knee injury. Although the predictive values were low, these factors could be used in athlete screening to target preventive interventions.

Level of evidence

II.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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