Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame

Haas, Michelle; Martin-Niedecken, Anna L.; Wild, Larissa; Schneeberger, Leander; Graf, Eveline

doi:10.36950/2024.2ciss044

Publication type:	Conference other
Type of review:	Peer review (abstract)
Title:	Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame
Authors:	Haas, Michelle Martin-Niedecken, Anna L. Wild, Larissa Schneeberger, Leander Graf, Eveline
et. al:	No
DOI:	10.36950/2024.2ciss044
Published in:	Current Issues in Sport Science
Proceedings:	15th Annual Conference of the Swiss Society of Sports Sciences, February 7 and 8, 2024, at ETH Zurich: Approaches in Sports Sciences: Today and Tomorrow. Book of Abstracts
Volume(Issue):	9
Issue:	2
Conference details:	15th Annual Conference of the Swiss Society of Sports Sciences, Zurich, Switzerland, 7 - 8 February 2024
Issue Date:	7-Feb-2024
Publisher / Ed. Institution:	Bern Open Publishing
ISSN:	2414-6641
Language:	English
Subjects:	Exergaming; Sex differences; Athlete; ACL injury; Biomechanics; Risk factors
Subject (DDC):	615.82: Physical therapy 617.5: Orthopaedic surgery
Abstract:	Introduction: Incidence rates in anterior cruciate ligament (ACL) injuries, which are linked to multiple factors, are higher in females than males (Sutton & Bullock, 2013). However, the main contributors to the difference in risk are biomechanical factors such as increased knee valgus (KV), knee internal rotation (KIR), or decreased hip flexion (HF; Seyedahmadi et al., 2022). Returning back to sports after an injury requires extensive rehabilitation as well as training of dual-task situations in order to be physically and cognitively prepared. Exergaming represents a dual task including a cognitive and a motor component and may be used as training modality during rehabilitation. It is known that performing a dual-task leads to altered landing movement patterns in healthy athletes (Dai et al., 2018). Before an exergame for rehabilitation after ACL injury can be implemented and tailored to the specific needs of female and male athletes, the movement patterns of males and females need to be understood. Therefore, the aim of this study was to identify biomechanical differences between males and females when performing a high-intensive exergame. Methods: Using 3D-motion capture (Vicon) kinematics were measured in 18 healthy athletes (9 male, 9 female) during a 25-min exergame (Sphery Racer, ExerCube). The exergame included nine different exercises of which 8 were used for analysis. The exercises were separated into neutral (squat, jump, burpee) and side-specific exercises (low-touch, mid-touch, high-touch, punch, lunge). For analysis, the maximal KV, maximal KIR, and the minimal HF were extracted during 10-30° knee flexion. These maximal values were then compared between the sexes, the exercises, and both legs with a linear mixed model, for each the neutral and the side-specific exercises. Results: A main effect of sex was only found for side-specific exercises in KIR (F(1, 16) = 6.1, p = .02) with females exhibiting higher values. For KV and HF in side-specific exercises as well as all variables in neutral exercises, no significant main effect for sex was found. However, there was a main effect of exercise in KV; KIR, and HF in neutral (p < .001) as well as in side-specific exercises (p < .001). Discussion/Conclusion: Differences in KIR between males and females primarily exist during touches and punches. Therefore, exergames should incorporate this fact to counteract increased risk for knee injuries in females.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29886
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Published as part of the ZHAW project:	ExerUp!
Appears in collections:	Publikationen Gesundheit

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Haas, M., Martin-Niedecken, A. L., Wild, L., Schneeberger, L., & Graf, E. (2024). Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame [Conference presentation]. Current Issues in Sport Science, 9(2). https://doi.org/10.36950/2024.2ciss044

Haas, M. et al. (2024) ‘Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame’, in Current Issues in Sport Science. Bern Open Publishing. Available at: https://doi.org/10.36950/2024.2ciss044.

M. Haas, A. L. Martin-Niedecken, L. Wild, L. Schneeberger, and E. Graf, “Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame,” in Current Issues in Sport Science, Feb. 2024, vol. 9, no. 2. doi: 10.36950/2024.2ciss044.

HAAS, Michelle, Anna L. MARTIN-NIEDECKEN, Larissa WILD, Leander SCHNEEBERGER und Eveline GRAF, 2024. Biomechanical risk factors for ACL injury differ between the sexes when performing a high-intensive exergame. In: Current Issues in Sport Science. Conference presentation. Bern Open Publishing. 7 Februar 2024

Haas, Michelle, Anna L. Martin-Niedecken, Larissa Wild, Leander Schneeberger, and Eveline Graf. 2024. “Biomechanical Risk Factors for ACL Injury Differ between the Sexes When Performing a High-Intensive Exergame.” Conference presentation. In Current Issues in Sport Science. Vol. 9. Bern Open Publishing. https://doi.org/10.36950/2024.2ciss044.

Haas, Michelle, et al. “Biomechanical Risk Factors for ACL Injury Differ between the Sexes When Performing a High-Intensive Exergame.” Current Issues in Sport Science, vol. 9, no. 2, Bern Open Publishing, 2024, https://doi.org/10.36950/2024.2ciss044.