{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T22:50:20Z","timestamp":1790463020834,"version":"4.1.0"},"reference-count":44,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2016,12,28]]},"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Research on balance measures as potential risk factors for ACL injury is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether postural control was associated with an increased risk for ACL injuries in female elite handball and football players.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Premier league players were tested in the preseason and followed prospectively for ACL injury risk from 2007 through 2015. At baseline, we recorded player demographics, playing experience, ACL and ankle injury history. We measured centre of pressure velocity in single-leg stabilisation tests and reach distances in the Star Excursion Balance Test. To examine the stability of postural control measures over time, we examined their short-term and long-term reproducibility. We generated logistic regression models, 1 for each of the proposed risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 55 (6.6%) out of 838 players (age 21\u00b14\u2005years; height 170\u00b16\u2005cm; body mass 66\u00b18\u2005kg) sustained a non-contact ACL injury after baseline testing (1.8\u00b11.8\u2005years). When comparing normalised balance measures between injured and uninjured players in univariate analyses, none of the variables were statistically associated with ACL injury risk. Short-term and long-term reproducibility of the selected variables was poor. Players with a previous ACL injury had a 3-fold higher risk of sustaining a new ACL injury compared with previously uninjured players (OR 2.9, CI 1.4 to 5.7).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>None of postural control measures examined were associated with increased ACL injury risk among female elite handball and football players. Hence, as measured in the current investigation, the variables included cannot be used to predict ACL injury risk.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsports-2016-097068","type":"journal-article","created":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T22:23:01Z","timestamp":1500675781000},"page":"253-259","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":44,"title":["No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: a prospective study of 838 players"],"prefix":"10.1136","volume":"51","author":[{"given":"Kathrin","family":"Steffen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnethe","family":"Nilstad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tron","family":"Krosshaug","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0427-2877","authenticated-orcid":false,"given":"Kati","family":"Pasanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksander","family":"Killingmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roald","family":"Bahr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,2,1]]},"reference":[{"key":"2024051411460119000_51.4.253.1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516640515"},{"key":"2024051411460119000_51.4.253.2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-45.5.499"},{"key":"2024051411460119000_51.4.253.3","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31821899ec"},{"key":"2024051411460119000_51.4.253.4","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510373570"},{"key":"2024051411460119000_51.4.253.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1172-7"},{"key":"2024051411460119000_51.4.253.6","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261724"},{"key":"2024051411460119000_51.4.253.7","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506293899"},{"key":"2024051411460119000_51.4.253.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094573"},{"key":"2024051411460119000_51.4.253.9","doi-asserted-by":"crossref","unstructured":"Lepp\u00e4nen M , Pasanen K , Kujala UM , et al . Stiff landings are associated with increased ACL injury risk in young female basketball and floorball players. Am J Sports Med 2016: Published online first Sep 16.","DOI":"10.1177\/0363546516665810"},{"key":"2024051411460119000_51.4.253.10","doi-asserted-by":"crossref","first-page":"216","DOI":"10.21091\/mppa.2014.4043","article-title":"Postural stability does not differ among female sports with high risk of anterior cruciate ligament injury","volume":"29","author":"Cortes","year":"2014","journal-title":"Med Probl Perform Art"},{"key":"2024051411460119000_51.4.253.11","first-page":"253","article-title":"Balance index score as a predictive factor for lower sports results or anterior cruciate ligament knee injuries in Croatian female athletes\u2014preliminary study","volume":"31","author":"Vrbani\u0107","year":"2007","journal-title":"Coll Antropol"},{"key":"2024051411460119000_51.4.253.12","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.6.305"},{"key":"2024051411460119000_51.4.253.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3042"},{"key":"2024051411460119000_51.4.253.14","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504272261"},{"key":"2024051411460119000_51.4.253.15","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200303000-00002"},{"key":"2024051411460119000_51.4.253.16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38330.632801.8F"},{"key":"2024051411460119000_51.4.253.17","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040805"},{"key":"2024051411460119000_51.4.253.18","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/j.1600-0838.1997.tb00135.x","article-title":"A twofold reduction in the incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study","volume":"7","author":"Bahr","year":"1997","journal-title":"Scand J Med Sci Sports"},{"key":"2024051411460119000_51.4.253.19","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262177"},{"key":"2024051411460119000_51.4.253.20","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-48.3.03"},{"key":"2024051411460119000_51.4.253.21","doi-asserted-by":"crossref","first-page":"772","DOI":"10.2519\/jospt.2015.5777","article-title":"Star Excursion Balance Test performance varies by sport in healthy division I collegiate athletes","volume":"45","author":"Stiffler","year":"2015","journal-title":"J Orthop Sports Phys Ther"},{"key":"2024051411460119000_51.4.253.22","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.27.5.356"},{"key":"2024051411460119000_51.4.253.23","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2006.2244"},{"key":"2024051411460119000_51.4.253.24","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515614585"},{"key":"2024051411460119000_51.4.253.25","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113498703"},{"key":"2024051411460119000_51.4.253.26","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629635"},{"key":"2024051411460119000_51.4.253.27","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515625048"},{"key":"2024051411460119000_51.4.253.28","doi-asserted-by":"crossref","first-page":"M53","DOI":"10.1093\/gerona\/51A.2.M53","article-title":"Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study","volume":"51","author":"Era","year":"1996","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"2024051411460119000_51.4.253.29","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2006.36.3.131"},{"key":"2024051411460119000_51.4.253.30","doi-asserted-by":"crossref","first-page":"339","DOI":"10.4085\/1062-6050-47.3.08","article-title":"Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review","volume":"47","author":"Gribble","year":"2012","journal-title":"J Athl Train"},{"key":"2024051411460119000_51.4.253.31","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200010000-00003"},{"key":"2024051411460119000_51.4.253.32","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512472043"},{"key":"2024051411460119000_51.4.253.33","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514530088"},{"key":"2024051411460119000_51.4.253.34","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318246ef9e"},{"key":"2024051411460119000_51.4.253.35","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.027540"},{"key":"2024051411460119000_51.4.253.36","doi-asserted-by":"crossref","first-page":"650","DOI":"10.2519\/jospt.2016.6278","article-title":"Postural stability during single-leg stance: a prospective evaluation of non-contact lower extremity injury risk","volume":"46","author":"Dingenen","year":"2016","journal-title":"J Orthop Sports Phys Ther"},{"key":"2024051411460119000_51.4.253.37","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.5.384"},{"key":"2024051411460119000_51.4.253.38","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.01.005"},{"key":"2024051411460119000_51.4.253.39","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.11.205"},{"key":"2024051411460119000_51.4.253.40","doi-asserted-by":"publisher","DOI":"10.1097\/01.NPT.0000282314.40230.40"},{"key":"2024051411460119000_51.4.253.41","doi-asserted-by":"crossref","first-page":"2082","DOI":"10.1249\/MSS.0000000000001014","article-title":"Association between lower extremity muscle strength and noncontact ACL injuries","volume":"48","author":"Steffen","year":"2016","journal-title":"Med Sci Sports Exerc"},{"key":"2024051411460119000_51.4.253.42","doi-asserted-by":"crossref","first-page":"e0144063","DOI":"10.1371\/journal.pone.0144063","article-title":"Effectiveness of knee injury and anterior cruciate ligament tear prevention programs: a meta-analysis","volume":"10","author":"Donnell-Fink","year":"2015","journal-title":"PLoS ONE"},{"key":"2024051411460119000_51.4.253.43","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092358"},{"key":"2024051411460119000_51.4.253.44","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31817f3e35"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsports-2016-097068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T19:09:39Z","timestamp":1715713779000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsports-2016-097068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":44,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,2,1]]},"published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1136\/bjsports-2016-097068"],"URL":"https:\/\/doi.org\/10.1136\/bjsports-2016-097068","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}