Sex differences in proximal control of the knee joint

Jurdan Mendiguchia, Kevin R. Ford, Carmen E. Quatman, Eduard Alentorn-Geli, Timothy E. Hewett

Research output: Contribution to journalReview article

52 Scopus citations

Abstract

Following the onset of maturation, female athletes have a significantly higher risk for anterior cruciate ligament (ACL) injury compared with male athletes. While multiple sex differences in lower-extremity neuromuscular control and biomechanics have been identified as potential risk factors for ACL injury in females, the majority of these studies have focused specifically on the knee joint. However, increasing evidence in the literature indicates that lumbo-pelvic (core) control may have a large effect on knee-joint control and injury risk. This review examines the published evidence on the contributions of the trunk and hip to knee-joint control. Specifically, the sex differences in potential proximal controllers of the knee as risk factors for ACL injury are identified and discussed. Sex differences in trunk and hip biomechanics have been identified in all planes of motion (sagittal, coronal and transverse). Essentially, female athletes show greater lateral trunk displacement, altered trunk and hip flexion angles, greater ranges of trunk motion, and increased hip adduction and internal rotation during sport manoeuvres, compared with their male counterparts. These differences may increase the risk of ACL injury among female athletes. Prevention programmes targeted towards trunk and hip neuromuscular control may decrease the risk for ACL injuries.

Original languageEnglish (US)
Pages (from-to)541-557
Number of pages17
JournalSports Medicine
Volume41
Issue number7
DOIs
StatePublished - Jun 27 2011

Keywords

  • Knee-injuries
  • Sex-differences
  • Sports-medicine

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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    Mendiguchia, J., Ford, K. R., Quatman, C. E., Alentorn-Geli, E., & Hewett, T. E. (2011). Sex differences in proximal control of the knee joint. Sports Medicine, 41(7), 541-557. https://doi.org/10.2165/11589140-000000000-00000