{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:10:11Z","timestamp":1790176211082,"version":"4.1.0"},"reference-count":39,"publisher":"International Journal of Sports Physical Therapy","issue":"4","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"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>The two-dimensional (2D) video-analysis of the change of direction (COD) technique has never been used to attempt to predict the risk of ACL injury in female football players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"hypothesispurpose\">\n                    <jats:title>Hypothesis\/Purpose<\/jats:title>\n                    <jats:p>The purpose of the present pilot study was to prospectively investigate the biomechanical predictors of ACL injury during a COD task in female football players using both gold standard 3D motion capture and a qualitative scoring system based on 2D video-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"study-design\">\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective cohort study<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixteen competitive female football (soccer) players (age 21.4 \u00b1 4.3) performed a series of pre-planned 90\u00b0 COD tasks. 3D motion data was recorded through 10 stereophotogrammetric cameras and a force platform. 2D frontal and transverse plane joint kinematics were computed through video-analysis from three high-speed cameras. A scoring system based on five criteria was adopted: limb stability, pelvis stability, trunk stability, shock absorption, and movement strategy. The players were prospectively followed for the next two consecutive football seasons and the occurrence of severe knee injuries was registered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four players (25%) experienced an ACL injury. In 3D analysis, ACL-injured players showed greater knee valgus, knee internal rotation, and lower knee flexion (p= 0.017 \u2013 0.029). Lower hip flexion coupled with greater external rotation (p= 0.003 \u2013 0.042), ankle eversion, and contralateral pelvic drop (p&lt;0.001) were also noted. In 2D analysis, ACL-injured players showed greater internal foot rotation, contralateral pelvic drop, lower knee flexion, and contralateral trunk tilt (moderate-to-large effect size). Pelvis stability and trunk stability showed the highest predictive value towards ACL injury. Total score was significantly lower in ACL-injured players with a moderate effect size (d=0.45).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both 3D and 2D methodologies depicted biomechanical risk factors and offered predictive insights towards the ACL injury risk. Awareness should rise in women\u2019s football regarding the high risk of ACL injury and the strategies to assess and mitigate it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"level-of-evidence\">\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.26603\/001c.84308","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T07:23:03Z","timestamp":1690874583000},"source":"Crossref","is-referenced-by-count":17,"title":["Two-Dimensional and Three-Dimensional Biomechanical Factors During 90\u00b0 Change of Direction are Associated to Non-Contact ACL injury in Female Soccer Players"],"prefix":"10.26603","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1761-7352","authenticated-orcid":false,"given":"Stefano","family":"Di 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Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bragonzoni","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01111rn36","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Bologna","department":["Life Quality Studies"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Zaffagnini","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ycyys66","id-type":"ROR","asserted-by":"publisher"}],"name":"Istituto Ortopedico Rizzoli","department":["2nd Orthopaedic and Traumatologic Clinic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Della Villa","sequence":"additional","affiliation":[{"name":"Isokinetic Medical Group","department":["Education and Research 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Beck","year":"2017","journal-title":"Pediatrics","ISSN":"https:\/\/id.crossref.org\/issn\/0031-4005","issn-type":"print"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.gaitpost.2018.09.007","article-title":"Coordination and variability during anticipated and unanticipated sidestepping","volume":"67","author":"Gillian Weir","year":"2019","journal-title":"Gait &amp; Posture","ISSN":"https:\/\/id.crossref.org\/issn\/0966-6362","issn-type":"print"},{"issue":"4","key":"ref32","doi-asserted-by":"publisher","first-page":"971","DOI":"10.26603\/001c.25467","article-title":"Why do female athletes injure their ACLs more frequently? What can we do to mitigate their risk?","volume":"16","author":"Holly Silvers-Granelli","year":"2021","journal-title":"International Journal of Sports Physical Therapy","ISSN":"https:\/\/id.crossref.org\/issn\/2159-2896","issn-type":"print"},{"issue":"10","key":"ref33","doi-asserted-by":"publisher","first-page":"2492","DOI":"10.1177\/0363546516648439","article-title":"Are female soccer players at an increased risk of second anterior cruciate ligament injury compared with their athletic peers?","volume":"44","author":"Melissa M. 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