Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes

# Background/Purpose Recent work has identified non-significant correlations of established limb dominance to the lower extremity (LE) at greater risk for Anterior Cruciate Ligament (ACL) injury in an active, non-athletic sample. The most common LE dominance definition is preferred leg to kick a b...

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Main Authors: Paul A. Cacolice, Brianna E. Starkey, Christopher R. Carcia, Paul E. Higgins
Format: Article
Language:English
Published: North American Sports Medicine Institute 2022-06-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.35593
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author Paul A. Cacolice
Brianna E. Starkey
Christopher R. Carcia
Paul E. Higgins
author_facet Paul A. Cacolice
Brianna E. Starkey
Christopher R. Carcia
Paul E. Higgins
author_sort Paul A. Cacolice
collection DOAJ
description # Background/Purpose Recent work has identified non-significant correlations of established limb dominance to the lower extremity (LE) at greater risk for Anterior Cruciate Ligament (ACL) injury in an active, non-athletic sample. The most common LE dominance definition is preferred leg to kick a ball. Athletes develop a unilaterality pattern different from their active, non-athlete peers. Therefore, the purpose of this study was to explore the correlation between the LE used to kick a ball with and the limb identified at greater risk of ACL injury in National Collegiate Athletic Association (NCAA) Division III athletes. # Design An Observational Descriptive study design # Methods Forty-six student-athletes that were active on their NCAA Division III football, field hockey, volleyball, and soccer team rosters were recruited. Upon completing consent, participants performed two tasks (kicking a ball; unilateral land) in a counterbalanced order. Data were entered into and analyzed with a commercial statistical software package where a phi coefficient and Chi-squared analysis were performed. # Results Of the 46 student athletes who participated (Female=32, Male=14, 19.48±1.26years, 171.75±10.47cm, 77.26±18.74kg), 25 participants kicked and landed with the same limb. Twenty participants chose kicking and landing with different limbs. The Phi Coefficient (Φ= 0.001; P= 0.97) indicated little to no relationship between the LE a participant kicked and landed with. Likewise, the Chi-square statistic revealed no statistical differences between observed and expected frequencies (χ2= 0.001; p= 0.97). # Discussion/Conclusion NCAA Division III athletes display a statistical absence of preferred limb predictability utilizing the most common dominance definition (kicking a ball) as it relates to identifying LE at risk of ACL injury. The results suggest that the prevalent LE dominance definition is problematic when exploring ACL injury risk in this population.
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spelling doaj-art-bfd90ba31c7e430db53b77c3592589ff2025-02-11T20:28:00ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-06-01174Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-AthletesPaul A. CacoliceBrianna E. StarkeyChristopher R. CarciaPaul E. Higgins# Background/Purpose Recent work has identified non-significant correlations of established limb dominance to the lower extremity (LE) at greater risk for Anterior Cruciate Ligament (ACL) injury in an active, non-athletic sample. The most common LE dominance definition is preferred leg to kick a ball. Athletes develop a unilaterality pattern different from their active, non-athlete peers. Therefore, the purpose of this study was to explore the correlation between the LE used to kick a ball with and the limb identified at greater risk of ACL injury in National Collegiate Athletic Association (NCAA) Division III athletes. # Design An Observational Descriptive study design # Methods Forty-six student-athletes that were active on their NCAA Division III football, field hockey, volleyball, and soccer team rosters were recruited. Upon completing consent, participants performed two tasks (kicking a ball; unilateral land) in a counterbalanced order. Data were entered into and analyzed with a commercial statistical software package where a phi coefficient and Chi-squared analysis were performed. # Results Of the 46 student athletes who participated (Female=32, Male=14, 19.48±1.26years, 171.75±10.47cm, 77.26±18.74kg), 25 participants kicked and landed with the same limb. Twenty participants chose kicking and landing with different limbs. The Phi Coefficient (Φ= 0.001; P= 0.97) indicated little to no relationship between the LE a participant kicked and landed with. Likewise, the Chi-square statistic revealed no statistical differences between observed and expected frequencies (χ2= 0.001; p= 0.97). # Discussion/Conclusion NCAA Division III athletes display a statistical absence of preferred limb predictability utilizing the most common dominance definition (kicking a ball) as it relates to identifying LE at risk of ACL injury. The results suggest that the prevalent LE dominance definition is problematic when exploring ACL injury risk in this population.https://doi.org/10.26603/001c.35593
spellingShingle Paul A. Cacolice
Brianna E. Starkey
Christopher R. Carcia
Paul E. Higgins
Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
International Journal of Sports Physical Therapy
title Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
title_full Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
title_fullStr Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
title_full_unstemmed Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
title_short Research Dominance Definitions May Not Identify Higher Risk Limb for Anterior Cruciate Ligament Injury in NCAA D3 Student-Athletes
title_sort research dominance definitions may not identify higher risk limb for anterior cruciate ligament injury in ncaa d3 student athletes
url https://doi.org/10.26603/001c.35593
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AT christopherrcarcia researchdominancedefinitionsmaynotidentifyhigherrisklimbforanteriorcruciateligamentinjuryinncaad3studentathletes
AT paulehiggins researchdominancedefinitionsmaynotidentifyhigherrisklimbforanteriorcruciateligamentinjuryinncaad3studentathletes