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Poor static balance is a risk factor for non-contact anterior cruciate ligament injury

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

This prospective study aimed to investigate the relationship between static balance and the incidence of non-contact anterior cruciate ligament (ACL) injury in female high school athletes.

Methods

This study included 276 female high school handball or basketball players. At the time of admission, each subject’s static balance was measured with a gravicorder, and the incidence of non-contact ACL injury was investigated in the 3 years until the student graduated. The measured parameters of postural sway were locus length per time (the distance that a center of gravity of the foot pressure moves per second) and environmental area (AR: the area surrounded by the integumentary covering of the trace of the center of gravity). Twenty-seven players (9.8%) experienced an ACL injury during the 3-year observation period. Twenty-four injured players sustained a non-contact injury and three injured players sustained a contact injury. In this study, the three contact injury players were excluded. We compared the differences in the static balance between injured and uninjured players.

Results

The locus length per time was significantly longer in injured than in uninjured players (p = 0.046). Though there was no statistically significant difference between the two groups in AR (p = 0.190), AR tended to be larger in the ACL injured group.

Conclusions

This result shows that poor static balance is a risk factor for non-contact ACL injury.

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Acknowledgements

The authors wish to acknowledge all the high school female athletes for their participation in this study. We also thank the members of the project group who significantly contributed to the data collection and study discussion.

Funding

There is no funding source.

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Author notes

  1. All the authors contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, 920-8641, Japan

    Takeshi Oshima, Junsuke Nakase, Hitoaki Numata, Yasushi Takata & Hiroyuki Tsuchiya

  2. Department of Orthopaedic Surgery, Kijima Hospital, 41-1 Matsudera-machi, Kanazawa, 920-0011, Japan

    Katsuhiko Kitaoka

  3. Department of Orthopaedic Surgery, Hokuriku Hospital, 2-13-43 Izumigaoka, Kanazawa, 921-8035, Japan

    Yosuke Shima

Authors
  1. Takeshi Oshima
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  4. Yosuke Shima
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Contributions

Conceptualization: Katsuhiko Kitaoka, Yosuke Shima. Project administration and Supervision: Hiroyuki Tsuchiya. Investigation, Formal analysis and Validation: Takeshi Oshima, Junsuke Nakase, Hitoaki Numata, Yasushi Takata. Writing-original draft: Takeshi Oshima. Writing-review and editing: Hiroyuki Tsuchiya, Junsuke Nakase.

Corresponding author

Correspondence to Junsuke Nakase.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the ethics committee of Kanazawa University (approval number: 1050).

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Oshima, T., Nakase, J., Kitaoka, K. et al. Poor static balance is a risk factor for non-contact anterior cruciate ligament injury. Arch Orthop Trauma Surg 138, 1713–1718 (2018). https://doi.org/10.1007/s00402-018-2984-z

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  • DOI: https://doi.org/10.1007/s00402-018-2984-z

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