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Influence of Neuromuscular Training Interventions on Jump-Landing Biomechanics and Implications for ACL Injuries in Youth Females: A Systematic Review and Meta-analysis.

作者信息

Ramachandran Akhilesh Kumar, Pedley Jason S, Moeskops Sylvia, Oliver Jon L, Myer Gregory D, Hsiao Hung-I, Lloyd Rhodri S

机构信息

Youth Physical Development Centre, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cyncoed Campus, Cyncoed Road, Cardiff, CF23 6XD, UK.

Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand.

出版信息

Sports Med. 2025 Apr 17. doi: 10.1007/s40279-025-02190-w.


DOI:10.1007/s40279-025-02190-w
PMID:40246764
Abstract

BACKGROUND: Various exercise interventions are recommended to reduce the risk of anterior cruciate ligament (ACL) injury in females. However, the extent to which these training interventions influence lower-limb landing biomechanics in youth female remains unclear. OBJECTIVE: This systematic review and meta-analysis aimed to quantitatively summarise the effectiveness of various training interventions on jump-landing biomechanics in youth females. METHODS: We systematically searched PubMed, SPORTDiscus, EMBASE and Scopus. Articles were included if they: (1) conducted research on uninjured youth females (reported mean age < 18 years) with no restriction on playing level/experience or physical activity level; (2) performed any form of training intervention for ≥ 4 weeks; (3) reported any lower-limb kinematic (flexion/extension, adduction/abduction or internal/external rotation angles) or kinetic (joint moments or vertical ground reaction forces) data during the landing phase of jump-landing tasks, pre- and post-training intervention for both experimental and control groups, using a two- or three-dimensional motion capture system; (4) were randomised- or non-randomised controlled trials. The quality of the randomised controlled trials was assessed using the Risk of Bias tool 2, whereas the Downs and Black checklist was used for assessing the quality of non-randomised controlled trials. A multi-level meta-analytical model was used for conducting the quantitative analysis. RESULTS: Thirteen studies (7 randomised controlled, 6 non-randomised controlled studies) involving 648 female participants were included in the final analyses. With regards to the overall quality of the included studies, three studies had high risk of bias while ten studies had some concerns. As part of the meta-analysis, we were able to analyse seven kinematic variables and two kinetic variables in aggregate. Compared with controls, the experimental group had significantly increased peak knee flexion angle (g = 0.58, p = 0.05) and reduced knee valgus motion (g =  - 0.86, p = 0.05) post-intervention. The effects on other kinematic and kinetic variables ranged from trivial to moderate and were not significantly altered as a result of various training interventions. CONCLUSION: The findings from the synthesised literature indicate that training interventions have small to moderate effects on peak knee flexion angle and knee valgus motion during jumping tasks. However, further research employing more consistent study designs and methodologies is required to better understand the changes in jump-landing biomechanics in the youth female population following training interventions.

摘要

相似文献

[1]
Influence of Neuromuscular Training Interventions on Jump-Landing Biomechanics and Implications for ACL Injuries in Youth Females: A Systematic Review and Meta-analysis.

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本文引用的文献

[1]
Return to sports in female athletes after anterior cruciate ligament reconstruction: A systematic review and metanalysis.

J ISAKOS. 2024-6

[2]
Injury Prevention Programmes Fail to Change Most Lower Limb Kinematics and Kinetics in Female Team Field and Court Sports: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.

Sports Med. 2024-4

[3]
The Effects of FIFA 11+ Kids Prevention Program on Kinematic Risk Factors for ACL Injury in Preadolescent Female Soccer Players: A Randomized Controlled Trial.

Children (Basel). 2023-7-12

[4]
Training interventions to reduce the risk of injury to the lower extremity joints during landing movements in adult athletes: a systematic review and meta-analysis.

BMJ Open Sport Exerc Med. 2023-6-2

[5]
The Effects of the 11+ Dance Neuromuscular Program on Jump Height and Lower Extremity Biomechanics in Female Adolescent Dancers: A Non-Randomized Controlled Pilot Trial.

J Dance Med Sci. 2023-9

[6]
Predicting ACL Injury Using Machine Learning on Data From an Extensive Screening Test Battery of 880 Female Elite Athletes.

Am J Sports Med. 2022-9

[7]
Effects of the FIFA 11+ program on performance, biomechanical measures, and physiological responses: A systematic review.

J Sport Health Sci. 2023-3

[8]
Muscle Force Contributions to Anterior Cruciate Ligament Loading.

Sports Med. 2022-8

[9]
Strength and Biomechanical Risk Factors for Noncontact ACL Injury in Elite Female Footballers: A Prospective Study.

Med Sci Sports Exerc. 2022-8-1

[10]
Raising the bar in sports performance research.

J Sports Sci. 2022-1

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