Download or read book Non contact ACL Injuries During Landing written by Ata Kiapour and published by . This book was released on 2013 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anterior cruciate ligament (ACL) is one of the most common sites of the injury in the knee joint. Over 120,000 ACL injuries occur annually in the United States, mainly affecting the young athletic population with females at a reported 2-8 fold greater risk than males. Non-contact injuries constitute the predominant mechanism of ACL injury (in over 70% of ACL injuries) occur mainly during landing following a jump and lateral cutting maneuvers. Due to long term disabilities associated with ACL injury (i.e. joint instability, pain and early development of osteoarthritis), potential loss of sports participation and high costs associated with surgical reconstruction, prevention is an appealing option to avoid the complications associated with ACL injury. While many advances have been made in terms of surgical and rehabilitation interventions, patients who have suffered ACL injury face long-term consequences that include lowered activity levels, 10-25 % incidence of re-injury 5 years after return to sport and 50-100 % incidence of osteoarthritis within 10-15 years of injury, regardless of the treatment. Despite the substantial effort conducted on investigation of the non-contact ACL injuries, the mechanism of these injuries is not well understood. Many proposed risk factors can be categorized as anatomic, neuromuscular or biomechanical. However, just biomechanical and neuromuscular risk factors can be defined as modifiable factors, which can be modified through targeted intervention strategies in an effort to reduce the risk of injury. Identification of modifiable risk factors for ACL injury represents a major step in the reduction of the incidence of injury. A better understanding of the mechanisms underlying non-contact ACL injuries and associated risk factors, might serve to improve current prevention strategies and decrease the risk of early-onset knee osteoarthritis. This proposal aims to employ a unique combination of established ex vivo and in silico methods in order to gain an in depth understanding of knee joint biomechanics during dynamic landing (as an identified high-risk task) with a specific focus on ACL injury. The objectives of this dissertation were to investigate the non-contact ACL injury during landing in an effort to identify the potential biomechanical and neuromuscular risk factors and determine the mechanisms that lead to these injuries. Cadaveric experiments were conducted on 20 normal, relatively young instrumented lower extremities. Following knee arthrometry, specimens were tested under a wide range of quasi-static single- and multi-axial loading conditions in order to quantify the global the biomechanical response of the tibiofemoral joint with regards to joint kinematics, ACL and MCL strains, and intra-articular cartilage pressure distribution. Subsequently, multiple bi-pedal and uni-pedal landing scenarios were simulated using a custom designed novel drop-stand. An extensive physiologic loading protocol was designed based on the identified high-risk loading factors from quasi-static characterization to simulated a wide range of landing scenarios. The findings of these cadaveric experiments were suggested the anterior tibial shear force, knee abduction moment and internal tibial rotation moment as the most critical biomechanical risk factors for the non-contact ACL injury during landing. Results further suggested the multi-planar loading condition consists of all three identified biomechanical risk factors as the most probable mechanism for non-contact ACL injuries. Findings finally highlighted the importance of dynamic knee valgus collapse as a primary factor contributing to these injuries (Specific Aim I). In addition to cadaveric experiments, a detailed anatomic non-linear finite element (FE) model of the lower extremity was developed from imaging data of a healthy, young female athlete. The developed model includes bony and soft tissue structures of the knee joint such as major ligaments, trans-knee muscles, articular cartilage and menisci. The model was then extensively validated against cadaveric measurements of joint kinematics, ligament strains and cartilage pressure distribution under a wide range of static, quasi-static and dynamic loading conditions. A comprehensive FE parametric study was conducted in order to investigate the effect of trans-knee muscle loads on knee joint biomechanics and risk of ACL injury. The findings in combination with ex vivo data resulted in identification of the anterior-posterior and medial-lateral muscle force imbalances as the potential neuromuscular risk factors lead to high ACL strains and high risk of ACL injury (Specific Aim II). The developed FE model was further used to help better interpret the experimental findings in an effort to identify ACL injury biomechanical risk factors and associated mechanism (Specific Aim I). Finally a novel framework was developed in order to customize the validated generalized FE model based on the structural properties of ACL and critical tibiofermoral anatomic factors. The customized models were then validated based subject-specific ACL strain data obtained ex vivo. It was shown that the customized models using the proposed approach lead to more realistic FE-predicted ACL strain compared to the generalized FE model. Findings suggested that this novel, validated framework can be used as a critical risk-screening tool in the large-scale clinical assessment of ACL injury risk among individuals (Specific Aim III).

Download or read book Predicting Risk Factors of Non Contact Anterior Cruciate Ligament Injuries During Single Leg Landing written by Ali Nicholas and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The literature suggests that body kinematics and musculoskeletal differences are major factors contributing to the high disparity in non-contact Anterior Cruciate Ligament (ACL) injury rate between genders. The literature also indicates that the incidence of non-contact ACL injury predominates during single-leg landing sports such as basketball, soccer, and handball. Despite this, there are few studies investigating kinematics or musculoskeletal differences between genders during single-leg landing from increasing vertical heights and horizontal distances. The objectives of this study are threefold: first, conduct a gap study identifying the barriers to predicting mechanisms and risk factors for non-contact ACL injury. Second, propose a new approach that can address some of the challenges encountered in some existing non-contact ACL injury study approaches. Finally, whilst determining whether or not gender differences explain the higher rate of ACL injuries among females, identify and correlate the biomechanical and musculoskeletal variables significantly impacted by gender, vertical landing height, and/or horizontal landing distance and their interactions to various ACL injury risk predictor variables during single-leg landing. Experiments using male and female subjects, inverse dynamics analysis using Visual3D, and musculoskeletal modeling simulation using AnyBody Modeling System were approaches used to explore these objectives. Salient findings from this dissertation includes but are not limited to, non-contact ACL injury that occurs during single-leg landing is mutifaceted entailing many factors that cannot be captured in any one existing ACL injury study approach. Non-contact ACL injury during single-leg landing may not be gender specific. Both vertical height and horizontal distance of landing increase the risk of non-contact ACL injury during single-leg landing. Body kinematics during single-leg landing may not be the sole determinant in attenuating ground reaction forces and consequently risk of ACL injury. The hamstring and gastrocnemius muscles were determined to strain shield the ACL while the quadriceps were found to have no significant effect on risk of ACL injury during single-leg landing. Within the findings and limitations of this study the knowledge garnered from this research may aid in tailoring future studies so as to enable more robust non-contact ACL injury prevention protocols.

Download or read book ACL Injuries in Female Athletes written by Robin West and published by Elsevier Health Sciences. This book was released on 2018-12-07 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: This easy-to-read reference presents a succinct overview of clinically-focused topics covering the prevention, treatment, and rehabilitation of ACL injuries in the female athlete. Written by two professional team physicians, it provides practical, focused information for orthopaedic and sports medicine surgeons and physicians. Covers ACL injury risk factors and prevention, including biomechanics, biology, and anatomy of the female athlete. Discusses graft choices, the biology of healing, rehabilitation and return to play, future options for treatment, and more. Addresses special considerations such as pediatric ACL and revision ACL. Consolidates today’s available information and experience in this timely area into one convenient resource.

Download or read book Prevention of Noncontact ACL Injuries written by Letha Y. Griffin and published by Academy. This book was released on 2001 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important work will help you understand: the epidemiology of noncontact ACL injuries; risk factors for injuries; the "at-risk" athlete; neuromuscular prevention programs; their influence on injury rates. Supported by the American Orthopaedic Society for Sports Medicine, the National Athletic Trainers Association Research and Education Foundation, the National Collegiate Athletic Association, and the Orthopaedic Research and Education Foundation.

Download or read book Understanding and Preventing Noncontact ACL Injuries written by American Orthopaedic Society for Sports Medicine and published by Human Kinetics Publishers. This book was released on 2007 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: Grade level: 11, 12, i, s, t.

Download or read book Understanding and Preventing Noncontact ACL Injuries written by and published by Human Kinetics. This book was released on with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Grade level: 11, 12, i, s, t.

Download or read book Sports Injuries written by Mahmut Nedim Doral and published by Springer Nature. This book was released on 2015-06-29 with total page 3295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Download or read book ACL Injuries in the Female Athlete written by Frank R. Noyes and published by Springer. This book was released on 2018-09-07 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: This successful book, now in a revised and updated second edition, reviews all aspects of anterior cruciate ligament (ACL) injuries in female athletes, with the focus on complete, noncontact ACL injuries. The opening section discusses anatomy and biomechanics and explains the short- and long-term impacts of complete ACL ruptures, including long-term muscle dysfunction and joint arthritis. Risk factors and possible causes of the higher noncontact ACL injury rates in female athletes compared with male athletes are then discussed in depth. Detailed attention is devoted to neuromuscular training programs and their effectiveness in reducing noncontact ACL injury rates in female athletes, as well as to sports-specific ACL injury prevention and conditioning programs of proven value. Rehabilitation programs after ACL injury and reconstruction that reduce the risk of a future injury are explored, and the concluding section looks at worldwide implementation of neuromuscular ACL injury prevention training and future research directions. The book will be of value to orthopedic surgeons, physical therapists, athletic trainers, sports medicine primary care physicians, and strength and conditioning specialists.

Download or read book The Multiple Ligament Injured Knee written by Gregory C. Fanelli and published by Springer Science & Business Media. This book was released on 2012-08-16 with total page 469 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.

Download or read book ACL Injuries in the Female Athlete written by Frank R. Noyes and published by Springer Science & Business Media. This book was released on 2013-01-04 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly a million anterior cruciate ligament (ACL) injuries occur each year worldwide, causing long-term problems in the knee joint. This textbook examines the short- and long-term impacts of ACL injuries on the basis of hundreds of published studies. Risk factors for such injuries are explored using data from hypothesis-driven investigations, and possible causes of the higher risk of noncontact ACL injuries in female athletes are analyzed. Neuromuscular training programs shown to reduce the rate of these injuries in female athletes are described in step-by-step detail with the aid of numerous color photographs and video demonstrations. In addition, detailed descriptions are provided for rehabilitation programs to be used after ACL reconstruction in order to reduce the risk of a future injury. The book will be of value to orthopedic surgeons, physical therapists, athletic trainers, sports medicine primary care physicians, and strength and conditioning specialists.

Download or read book The Anterior Cruciate Ligament Reconstruction and Basic Science E Book written by Chadwick Prodromos and published by Elsevier Health Sciences. This book was released on 2007-12-27 with total page 671 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master the very latest clinical and technical information on the full range of anterior cruciate ligament reconstruction techniques. Both inside the remarkably user-friendly printed version of this Expert Consult title and on its fully searchable web site, you'll find detailed coverage of hamstring, allograft and bone-tendon-bone (BTB) ACL reconstruction (including single versus double bundle techniques), and hamstring graft harvesting; plus fixation devices, rehabilitation, revision ACLR surgery, and much more! A "dream team" of ACL surgeons provides the advanced guidance you need to overcome the toughest challenges in this area. A comparison of the full range of graft options for ACL reconstruction makes it easier to choose the best approach for each patient. State-of-the-art information on the latest principles and technical considerations helps you avoid complications. ‘How to' principles of post-op rehabilitation and revision ACL surgery optimize patient outcome. Access to the full contents of the book online enables you to consult it from any computer and perform rapid searches. Also available in an upgradeable premium online version including fully searchable text PLUS timely updates.

Download or read book Understanding Mechanism of Non contact Anterior Cruciate Ligament ACL Injuries written by Matthew J. Kivell and published by . This book was released on 2016 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Understanding and Preventing Noncontact ACL Injuries written by Timothy E. Hewett and published by . This book was released on 2014-07-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: With more than 200,000 athletes each year suffering injury to the anterior cruciate ligament (ACL) of the knee, "Understanding and Preventing Noncontact ACL Injuries" provides an authoritative description of the biomechanical, clinical, and injury factors pertinent to the athletes--primarily girls and young women--who experience this problem.

Download or read book Dynamic Simulations and Data Mining of Single leg Jump Landing written by Kristin Denise Morgan and published by . This book was released on 2014 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is estimated that 400,000 anterior cruciate ligament (ACL) injuries occur in the United States each year with the cost of ACL reconstruction surgery and rehabilitation exceeding $1 billion annually. The majority of ACL injuries are non-contact injuries occurring during cutting and jump landing movements. Because the majority of the injuries are non-contact injuries there is the potential to develop programs to reduce the risk of injury. Given our understanding of the joint kinematics and kinetics that place an individual at high risk for ACL, researchers have developed neuromuscular training programs that focus on improving muscle function in order to help the muscles support and stabilize the knee during the dynamic movements that increase the strain on the ACL. Yet, despite the implementation of these neuromuscular-based ACL injury training intervention programs ACL rates continue to rise. Thus the objective of this dissertation is to determine the cause and effect relationship between joint biomechanics and muscle function with respect ACL injury. There are four studies in this dissertation. The first two studies rely heavily on the development of subject-specific musculoskeletal models to analyze muscle contribution during single-leg jump landing. These studies will generate forward dynamic simulations to estimate muscle force production and contribution to movement. The results of these studies will aid in the development of muscle-targeted ACL injury training intervention programs. The last two studies will employ data mining techniques; such as, principal component analysis (PCA) and wavelet analysis along with stability methods from control theory, to evaluate an individual’s risk of ACL injury and determine how muscle function differs for individuals at varying levels of injury risk. The goal will be to use this information to develop a more robust ACL injury prescreening tool. The use of both dynamic simulations and data mining techniques provides a unique approach to investigating the relationship between joint biomechanics and muscle function with respect to ACL injury. And this approach has the potential to gain much needed insight about the underlying mechanism of ACL injury and help progress ACL research forward.

Download or read book The Effect of Sagittal Plane Mechanics on Anterior Cruciate Ligament Strain During Jump Landing written by Ryan Bakker and published by . This book was released on 2014 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Anterior cruciate ligament (ACL) is an important ligament in the knee. Non-contact ACL injuries are a common occurrence among athletes, leading to large financial burdens and long term physical concerns. The underlying biomechanics leading to these non-contact ACL injuries are unknown, in part due to limited experimental studies investigating the mechanics of dynamic activities. Understanding these mechanics is critical for injury prevention and risk analysis. The primary objective of this study was to investigate the underlying sagittal plane mechanics leading to increasing ACL strain during jump landing. A hybrid in-vivo/computational/in-vitro approach was used to measure ACL strain in relation to these mechanics. Motion capture was performed on ten subjects performing a single leg jump landing and both whole-body kinematics and ground reaction forces were collected. Musculoskeletal models were driven using this data to estimate the lower limb muscle forces from the jump landing. Five cadaver knee specimens were instrumented to measure ACL strain and mounted on a dynamic knee simulator. Muscle forces and sagittal plane kinematics were then applied on the cadaver specimens, dynamically recreating the activity. Strain in the anterior cruciate ligament was measured for each simulation. Bivariate correlation and multivariate linear regression analyses were performed with both maximum ACL strain and time to maximum ACL strain with the sagittal plane mechanics measured during the motion capture. Correlation analysis found increasing ACL strain was correlated with increasing ground reaction forces, increasing body weight, decreasing hip flexion angles, increasing hip extension moments, and increasing trunk extension moments, among others. Time to max ACL strain was correlated with increasing knee flexion angles and increasing knee angle velocities. The multivariate linear regression revealed anatomical factors account for most of the variance in maximum ACL strain, but suggests landing softly by increasing joint angles and absorbing impact, are important strategies for reducing ACL strain. Time to max ACL strain regression was influenced by anatomic factors and knee velocities. An athlete may have little or no control over the anatomic factors contributing to ACL strain, but altering their landing strategy to reduce the chance of injury. The empirical relationship developed between increasing joint angles, energy absorption and ACL strain in this study could be used to estimate the relative strain between jumps and to develop training programs designed to reduce an athlete's risk of injury.

Download or read book Skiing Trauma and Safety written by C. Daniel Mote and published by ASTM International. This book was released on 1996 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Anticipatory and Reactionary EMG and Knee Joint Kinematics Between Male and Female Athletes During Single Leg Landing Tasks written by Hui Min Carolynn Tan and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Females are more likely to suffer anterior cruciate ligament (ACL) injuries. Muscle activity may be responsible in preventing ACL tears during jump-landings. Purpose: To determine a) whether sex differences exist in knee joint motion and muscle activity during preparatory and landing phases of single leg drop-jumps (SLJ) and b) whether an association between preparatory muscle activity and sex and landing knee joint motion exist. Methods: 33 male and 21 female athletes were recruited. Standardized biomechanical and electromyography procedures were used to record joint motion and muscle activity during the SLJ. Results: No sex differences in knee motion and muscle activity were found in preparatory and landing phases (p>0.05). Sex was not associated with knee motion in landing phases (p>0.05). Preparatory rectus femoris and medial hamstring muscle activity was associated with knee motion during landing phases (p