Article (Scientific journals)
The risk factors for the rupture of the anterior cruciate ligament of the knee: the neuromuscular state
Kaux, Jean-François; Delvaux, François; Forthomme, Bénédicte et al.
2013In OA Sports Medicine, 1 (1), p. 9 (5
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Keywords :
Neuromuscular risk factors; ACL rupture
Abstract :
[en] Multiple factors act conjointly to influence the risk of injury of the anterior cruciate ligament of the knee. An understanding of neuromuscular factors remains necessary, although this does not guarantee a complete analysis of the risks of injury to the anterior cruciate ligament. Women have a greater risk of injury to the anterior cruciate ligament in comparison to men. This can be explained by an increase in the internal rotation of the hip, coupled with an increase in the external rotation of the tibia and increased muscular activation of the quadriceps (with a concomitant decrease in hamstring activity) during landing or pivotal movements. In addition, muscular fatigue of the hamstrings and a weak hamstring/quadriceps ratio could contribute to the risk of injury to the anterior cruciate ligament. Finally, a lack of relative joint laxity can also constitute a risk factor of injury to the anterior cruciate ligament in women. Other potential neuromuscular risk factors could also be highlighted. Screening for these risk factors, for example, by means of a functional jump-landing test, together with an isokinetic test, could help to recommend new prevention protocols. The aim of this review was to discuss the risk factors for the rupture of the anterior cruciate ligament of the knee. In conclusion, thanks to an overall knowledge of all the possible risk factors (intrinsic and extrinsic, modifiable or not), sports people who are predisposed to a recurrence of rupture of the anterior cruciate ligament could be identified. However, the hypothetical neuromuscular factors reported till date (Table 1) do not offer a complete understanding of this risk.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Kaux, Jean-François  ;  Université de Liège - ULiège > Département des sciences de la motricité > Département des sciences de la motricité
Delvaux, François  ;  Université de Liège - ULiège > Département des sciences de la motricité > Médecine physique et réadaptation fonctionnelle
Forthomme, Bénédicte ;  Université de Liège - ULiège > Département des sciences de la motricité > Rééducation du membre supérieur
Crielaard, Jean-Michel ;  Université de Liège - ULiège > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques
Croisier, Jean-Louis ;  Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Language :
English
Title :
The risk factors for the rupture of the anterior cruciate ligament of the knee: the neuromuscular state
Publication date :
June 2013
Journal title :
OA Sports Medicine
ISSN :
2053-2040
Publisher :
Open Access Publishing London, London, United Kingdom
Volume :
1
Issue :
1
Pages :
9 (5 pages)
Peer reviewed :
Peer reviewed
Available on ORBi :
since 11 November 2013

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