Is hamstrings-to-quadriceps torque ratio useful for predicting anterior cruciate ligament and hamstring injuries?A systematic and critical review  

作　　者：Eleftherios Kellis Chrysostomos Sahinis Vasilios Baltzopoulos 

机构地区：[1]Laboratory of Neuromechanics,Department of Physical Education and Sport Sciences at Serres,Aristotle University of Thessaloniki,Serres 62100,Greece [2]Research Institute for Sport and Exercise Sciences(RISES),Faculty of Science,Liverpool John Moores University,Liverpool L35UX,UK

出　　处：《Journal of Sport and Health Science》2023年第3期343-358,共16页运动与健康科学（英文）

摘　　要：Background:For the past 30 years,the hamstring(H)-to-quadriceps(Q)(H:Q)torque ratio has been considered an important index of muscle strength imbalance around the knee joint.The purpose of this systematic review was to examine the value of H:Q torque ratio as an independent risk factor for hamstring and anterior cruciate ligament(ACL)injuries.Methods:Database searches were performed to identify all relevant articles in PubMed,MEDLINE,Cochrane Library,and Scopus.Prospective studies evaluating the conventional(concentric H:Q),functional(eccentric H:concentric Q),and mixed(eccentric H at 300/s:concentric Q at2400/s)H:Q ratios as risk factors for occurrence of hamstring muscle strain or ACL injury were considered.Risk of bias was assessed using the Quality In Prognosis Studies tool.Results:Eighteen included studies reported 585 hamstrings injuries in 2945 participants,and 5 studies documented 128 ACL injuries in 2772participants.Best evidence synthesis analysis indicated that there is very limited evidence that H:Q strength ratio is an independent risk factor for hamstring and ACL injury,and this was not different between various ratio types.Methodological limitations and limited evidence for ACL injuries and some ratio types might have influenced these results.Conclusion:The H:Q ratio has limited value for the prediction of ACL and hamstring injuries.Monitoring strength imbalances along with other modifiable factors during the entire competitive season may provide a better understanding of the association between H:Q ratio and injury.

关 键 词：ACL ISOKINETIC PROSPECTIVE Strains Strength imbalance 

分 类 号：G804.2[文化科学—运动人体科学] R68[文化科学—体育学]