{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:00:54Z","timestamp":1785427254160,"version":"3.56.0"},"reference-count":73,"publisher":"International Journal of Sports Physical Therapy","issue":"2","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hip and trunk (\u201ccore\u201d) muscle dysfunction has emerged as a modifiable contributor to lower-limb biomechanics linked with non-contact anterior cruciate ligament (ACL) injuries. Clinicians increasingly target core stability and control during injury-prevention screening and post-operative rehabilitation programs; however, the literature lacks a focused synthesis of core-directed strategies for ACL injury mitigation. The purpose of this current concepts review is to synthesize current evidence on hip- and core-focused assessment and rehabilitation strategies that may mitigate ACL injury risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"design\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Current Concepts Review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative search of PubMed and Google Scholar (January 2000 \u2013 April 2025) identified biomechanical, prospective, interventional, and return-to-sport studies examining relationships between hip and\/or trunk muscle function and ACL injury risk or recovery. Key findings were organized into (1) injury mechanisms, (2) screening and return-to-play (RTP) tests, and (3) preventive and rehabilitative interventions, with special attention to sex-specific evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prospective and biomechanical studies consistently show that reduced hip abduction\/extension strength and diminished trunk neuromuscular control predict dynamic knee valgus and elevated ACL strain. Functional assessments such as the single-leg step-down, Y-Balance, modified Star Excursion test, hop symmetry, and muscular assessment via belt-stabilized hand-held dynamometry\u2014reliably identify high-risk athletes and persistently impaired post-ACLR patients. Multi-component neuromuscular programs emphasizing hip and core strengthening lower overall knee-ligament injury rates by 20\u201360 % in youth cohorts, with larger effects in females. Early incorporation of hip\/trunk exercises during rehabilitation post ACLR contributes to improved kinematics, hop performance, and patient-reported outcomes, although standardized parameters remain undefined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Evidence supports routine integration of hip and trunk assessment and strengthening into ACL injury-mitigation, rehabilitation, and RTP decision-making protocols. Future research should refine trunk-specific evaluation tools and establish optimal exercise dosing across sexes and competition levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"level-of-evidence\">\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>5<\/jats:p>\n                  <\/jats:sec>","DOI":"10.26603\/001c.155471","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T18:05:19Z","timestamp":1769882719000},"source":"Crossref","is-referenced-by-count":4,"title":["Current Concepts in Hip and Core Assessment to Reduce the Risk of ACL Injury"],"prefix":"10.26603","volume":"21","author":[{"given":"Jeremy M.","family":"Burnham","sequence":"first","affiliation":[{"name":"Ochsner-Andrews Sports Medicine Institute","department":["Orthopaedic Surgery & Sports Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9019-726X","authenticated-orcid":true,"given":"Anthony T.","family":"Drazick","sequence":"additional","affiliation":[{"name":"Ochsner-Andrews Sports Medicine Institute","department":["Orthopaedic Surgery & Sports Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghislain","family":"Aminake","sequence":"additional","affiliation":[{"name":"Ochsner-Andrews Sports Medicine Institute","department":["Orthopaedic Surgery & Sports Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren L.","family":"Johnson","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02k3smh20","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Kentucky","department":["Orthopaedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Ireland","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02k3smh20","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Kentucky","department":["Orthopaedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian W.","family":"Noehren","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02k3smh20","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Kentucky","department":["Orthopaedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11140","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.pmr.2005.03.001","article-title":"Muscular balance, core stability, and injury prevention for middle- and long-distance runners","volume":"16","author":"M. 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