What is the true evidence for gender-related differences during plant and cut maneuvers? A systematic review.

Journal Article (Journal Article;Review;Systematic Review)

PURPOSE: Female athletes have a significantly higher risk of sustaining an anterior cruciate ligament (ACL) injury than male athletes. Biomechanical and neuromuscular factors have been reported as the main cause. The purpose of this review was to critically review results of the published literature on gender differences regarding biomechanical and neuromuscular movement patterns during plant and cutting maneuvers. METHODS: MEDLINE (1966 to December 2008), EMBASE (1947 to December 2008) and CINAHL (1981 to December 2008) searches were performed. The seven studies meeting the inclusion criteria were analyzed. RESULTS: Biomechanical gender differences were of questionable clinical relevance. Quadriceps dominance was not found in women. CONCLUSION: The question raises whether ACL injuries during plant and cutting maneuvers are purely gender related and whether women do have to move like men in order to reduce injury risk? Caution is warranted in making inferences as studies were heterogeneous in terms of subject and study characteristics and had low statistical power as a result of insufficient number of subjects. It is advised that future research moves beyond the isolated gender comparison and that larger sample sizes will be included. This review may aid in improving experiments to draw valid conclusions, in order to direct future ACL injury prevention programs, which might need to be more individualized.

Full Text

Duke Authors

Cited Authors

  • Benjaminse, A; Gokeler, A; Fleisig, GS; Sell, TC; Otten, B

Published Date

  • January 2011

Published In

Volume / Issue

  • 19 / 1

Start / End Page

  • 42 - 54

PubMed ID

  • 20734027

Pubmed Central ID

  • PMC3016229

Electronic International Standard Serial Number (EISSN)

  • 1433-7347

Digital Object Identifier (DOI)

  • 10.1007/s00167-010-1233-y


  • eng

Conference Location

  • Germany