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Clinical Risk Assessment of ACL Injury in Athletes using Biomechanical Factors: a Systematic Review.

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Detalhes bibliográficos
Resumo:Objective: This Systematic Review aims is to gather the available evidence for Anterior Cruciate Ligament (ACL) injury risk assessment using only biomechanical factors in a clinician-friendly way. Design: Systematic literature review. Data sources: The search was conducted on Pubmed and SCOPUS from January 1, 2008, to October 24, 2022, using the following string query "anterior cruciate ligament injur*" AND ("risk" OR "assessment") on October 24, 2022. Eligibility criteria for selecting studies: Studies that used only biomechanical factors to assess ACL injury risk in a clinically feasible way or studies that tested the reliability and validity of alternative methods based on biomechanical factors that can predict ACL injury risk as described in the literature and applicable in the clinical field. Only studies with a population of athletes or physically active people were included. Results: The Landing Error Scoring System (LESS) predictive value for ACL injury cannot be confirmed considering today's evidence. The alternative methods included in this review like 2D motion analysis, Microsoft Xbox One Kinect, and Inertial Measurement Units (IMUs), show good validity and reliability compared to the gold-standard 3D movement analysis. Conclusion: Some studies confirm the effectiveness of low-cost cameras and sensors, some try to validate the LESS score an indicator of ACL injury. The evaluation of Joint Laxity has also been shown to be an excellent way to evaluate the risk of ACL injury on women athletes. However, we still lack a quick and affordable tool for assessing ACL injury risk.
Autores principais:Luís Pedro de Sousa Barros Pereira
Assunto:Ciências médicas e da saúde Medical and Health sciences
Ano:2023
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Porto
Idioma:inglês
Origem:Repositório Aberto da Universidade do Porto
Descrição
Resumo:Objective: This Systematic Review aims is to gather the available evidence for Anterior Cruciate Ligament (ACL) injury risk assessment using only biomechanical factors in a clinician-friendly way. Design: Systematic literature review. Data sources: The search was conducted on Pubmed and SCOPUS from January 1, 2008, to October 24, 2022, using the following string query "anterior cruciate ligament injur*" AND ("risk" OR "assessment") on October 24, 2022. Eligibility criteria for selecting studies: Studies that used only biomechanical factors to assess ACL injury risk in a clinically feasible way or studies that tested the reliability and validity of alternative methods based on biomechanical factors that can predict ACL injury risk as described in the literature and applicable in the clinical field. Only studies with a population of athletes or physically active people were included. Results: The Landing Error Scoring System (LESS) predictive value for ACL injury cannot be confirmed considering today's evidence. The alternative methods included in this review like 2D motion analysis, Microsoft Xbox One Kinect, and Inertial Measurement Units (IMUs), show good validity and reliability compared to the gold-standard 3D movement analysis. Conclusion: Some studies confirm the effectiveness of low-cost cameras and sensors, some try to validate the LESS score an indicator of ACL injury. The evaluation of Joint Laxity has also been shown to be an excellent way to evaluate the risk of ACL injury on women athletes. However, we still lack a quick and affordable tool for assessing ACL injury risk.

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