Mechanical Factors Can Influence the Gender Differences in the Incidence of Non-Contact Injuries

T. Andriacchi, David B. Camarillo, E. Alexander, C. Dyrby
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Abstract

The kinematics and kinetics of running to a stop and running and cutting were analyzed in the context of identifying mechanisms for non-contact injury to the anterior cruciate ligament of the knee. The study addressed the hypothesis that gender influences the mechanics of the way individuals perform running to a cut and running to a stop. The results demonstrate a difference during the early landing phase of the maneuver. Two patterns of limb loading were identified during the landing phase (foot strike to 200msec) of the run to cut maneuver. The results of this study suggest a potential injury mechanism associated with the biomechanics of landing in preparation for a run to stop or run to cut maneuver. Nine of ten male subjects in this population tended to land in a manner that produced a greater magnitude of the force component along the axis of the tibia. These findings provide new information that can be applied towards understanding gender difference patterns in non-contact ACL injuries.
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机械因素可影响非接触性损伤发生率的性别差异
在确定膝关节前交叉韧带非接触损伤机制的背景下,分析了跑步停止和跑步切割的运动学和动力学。该研究提出了一种假设,即性别会影响个体跑向终点和停向终点的行为机制。结果表明在机动的早期着陆阶段存在差异。在跑切机动的着陆阶段(脚击至200msec),确定了两种肢体加载模式。本研究的结果表明,在准备跑停或跑切动作时,与着地的生物力学有关的潜在损伤机制。在这个人群中,十分之九的男性受试者倾向于以一种沿着胫骨轴产生更大的力分量的方式着陆。这些发现为理解非接触性前交叉韧带损伤的性别差异模式提供了新的信息。
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