There is existing research which shows that females are more likely to suffer non-contact ACL injuries than males, however no direct cause for this has been established.
The study was carried out at Washington University School of Medicine, and was lead by Dr H Brophy, a former professional footballer.
The study involved 13 male and 12 female college football players. These athletes performed 5 in-step kicks, and 5 side foot kicks each, with their movements being recorded using 10 video cameras, 21 retroflective markers and 16 electrodes. The activation of 7 muscles (iliacus, gluteus maximus, gluteus medius, vastus lateralis, vastus medialis, hamstrings and gastrocnemius) were recorded in both legs, and the activation of 2 muscles (hip adductors and tibialis anterior) were recorded in the kicking leg. Muscle activation was measured as a percentage of maximum voluntary isometric contraction.
The Results
- In the kicking leg, males generated about 4 times as much hip flexor activation as females (123% in males compared to 34% in females).
- In the supporting leg, males generated more than twice as much gluteus medius activation (124% in males compared with 55% in females) and vasteus medialis activation (139% in males compared with 69% in females).
- An interesting observation made during the analysis was that, due to females having less activation of the hip adductors, their hips tend to "collapse" into adduction during the kicking motion, increasing the risk of injury.
There are a number of positive and negative points to consider with this study. The main criticism i have of this study is the lack of information we are given concerning the way in which each kick was carried out (ie. was it carried out with maximal effort to replicate a shot, or an effort level to replicate a pass?). I also feel that the amount of information given concerning the athletes participating in the test is too vague. More knowledge of experience and skill level could affect the way these results are viewed.
There are positives as well though. The size of the study group (13+12) is impressive for a study working in such detail, which suggests reliability in the results. The study was also carried out at a reputable university, which lends to it's credibility.
Overall, i feel that this is a very interesting and important study. Although the results don't confirm a cause and effect relationship, i'm sure this study will act as a stepping-stone to more specific research being carried out in the future. In the mean time, i feel that Dr Brophy's suggesting to place a higher focus on strengthening muscles surrounding the hip should be taken very seriously, especially by females.
Ben Brown