ACL Injury Clinical Trial
Official title:
The Role of Muscle Function as a Potential Risk and/or Protective Factor for Traumatic Knee Injury in Youth Female Athletes
The aims of the project are to 1) evaluate different aspects of muscle function and its role
as a potential risk and/or protective factor for traumatic knee injury in youth female
athletes; 2) develop and evaluate a battery of muscle function tests, easily used and
requiring minimal equipment, to be applied as an on-the-field screening tool to detect muscle
function deficiencies and monitoring youth female athletes at high risk of traumatic knee
injury.
A prospective cohort design will be used, including approximately 100 female athletes (age
15-19) from Swedish senior sports high schools who are involved in high risk sports (soccer,
handball, floorball and basket). A test battery for muscle function has been developed
consisting of 11 tests that previously have been used for the assessment of muscle function.
The tests will be instructed and supervised by educated test leaders. Measurements will take
place at the athletes' school and carried out during the first semester (autumn 2017 and
2018). Data on injury surveillance and exposure (hours of match and training participation)
will be collected prospectively over two years using a web-designed registration form. All
athletes will on a weekly basis report their hours of training, minutes of match play and all
time-loss injuries occurring during sport activity. Details on injury mechanism and diagnosis
will be collected by each school's medical staff. The present study will contribute new
knowledge on the role of muscle function and develop and evaluate a battery of muscle
function tests to be used as an on-the-field screening tool for monitoring youth female
athletes at high risk of traumatic knee injury.
A prospective cohort design will be used for the present study comprising approximately 100
(determined by power analysis) female athletes (age 15-19) from Swedish senior high schools
who are involved in high risk sports (soccer, handball, floorball and basket). The study
started autumn 2017 with assessment of muscle function at baseline, instructed and supervised
by two test leaders. Before the test session the athlete will be informed and tutored about
the injury and exposure registration procedure. Measurements takes place in a secluded room
at the athletes' school and will be carried out during the first semester (autumn 2017, 2018,
2019 and 2020). Data relating to sport affiliation, number of years of specific sport
training, the number of training hours per week and her/his training routines, level of
competition and participation in other sports, age, body weight and height will also be
conducted using a questionnaire. After the baseline assessment, the athletes will participate
in a continuous web based prospective injury registration protocol and be followed for two
years.
Outcome measures Data on injury surveillance and exposure (hours of match and training
participation) will be collected prospectively over two years using a web-designed (REDCap
Software) registration form. All athletes will on a weekly basis report their hours of
training, minutes of match play and all time-loss injuries occurring during sport activity.
Details on injury mechanism, nature, and diagnosis will be collected by each school's medical
staff. The outcome of interest is a traumatic knee injury, i.e., ACL or other ligament
injury, meniscal, cartilage damage or fracture, diagnosed by physical examination and/or MRI,
arthroscopy.
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