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Isokinetic Magazine > Blog > Scientific Papers > Kinematics of 90° change of direction in young football players: Insights for ACL injury prevention from the CUTtheACL study on 6008 trials
Scientific Papers

Kinematics of 90° change of direction in young football players: Insights for ACL injury prevention from the CUTtheACL study on 6008 trials

May 2024; KSSTA Francesco Della Villa, Stefano Di Paolo, Matteo Crepaldi, Piefrancesco Santin, Ilaria Menditto, Luca Pirli Capitani, Lorenzo Boldrini, Luca Ciampone, Gabriele Vassura, Antonio Bortolami, Andrea Nicolò Bosi, Alberto Grassi, Stefano Zaffagnini

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Abstract

Purpose: To investigate the 90° change of direction (COD) task in an extensive cohort of competitive healthy football players within the CUTtheACL study and to provide normative values and differences between males and females for full‐body kinematics based on two‐dimensional (2D) video analysis and scoring system. Methods: One‐thousand‐and‐two competitive football (soccer) players(age 16.3 ± 2.8 years, 264 females) were prospectively enroled. Each player performed three preplanned 90° COD tasks per limb. The 2Devaluation was performed through objective measures (collected through three high‐speed cameras) of frontal and sagittal plane joint kinematics at the cut initial foot contact (IC) and maximum knee flexion angle. A previously published scoring system was adopted to measure the movement quality of the COD task. The scoring system included five criteria (limb stability [LS], pelvis stability [PS], trunk stability [TS], shock absorption [SA], movement strategy [MS]) ranked from 0/2 (nonadequate)to 2/2 (adequate) with a maximum score of 10/10. Normative data were provided for all the variables; statistical differences between male and female players were investigated (p < 0.05).Results: A total of 6008 valid attempts were included. Frontal plane knee projection angle (FPKPA) at initial contact was 24.4 ± 9.8° (95th percentile: FPKPA > 40°). The total score was ≤4/10 in 71.2% of the trials, the lowest subscores were LS and PS. Female players showed different movement patterns with lower hip and trunk flexion both at IC and maximum knee

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