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Master Thesis

L'influence du cycle menstruel sur l'apparition des lésions non contact du LCA chez les sportives

Abstract : Introduction: Anterior cruciate ligament (ACL) injuries are the most common injuries encountered in sports. The incidence rate of ACL injury is higher in women than in men. Many risk factors are involved in the injury mechanism such as: anatomical, neuromuscular, biomechanical and hormonal factors. The menstrual cycle with its complex hormonal fluctuations seems to have an impact on the risk of injury. Objective: The objective is to determine from the current literature whether the hormonal factor represented by the menstrual cycle plays a role in the occurrence of non-contact injuries in women in sport that could explain the gender disparity. Research methodology: To answer this etiological question, searches were conducted on Pubmed, Cochrane Library, and Science Direct. Included studies must be published after the 2000s, and must include case-control, cohort, or cross-sectional studies. The study population included physically active premenopausal women with a non-contact ACL injury. Each article was evaluated using the NOS grid. Results and analysis: 6 retrospective studies were included in this review. The studies show a correlation between the first phase of the cycle and non-contact ACL injury. The ovulatory phase between the 9th and 14th day presents a higher frequency of injury. In addition, low testosterone and progesterone levels could also be a risk factor for ACL injury. Discussion: Female clockwork seems to play a role in the increased rate of injury in women. The ovulatory phase with its hormonal peaks in particular. However, many factors are involved in the mechanism of injury. Further studies with a higher level of scientific evidence and consideration of other risk factors seem necessary to clarify this causal relationship.
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Master Thesis
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Submitted on : Tuesday, September 28, 2021 - 2:19:13 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM
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Moréa Hassler. L'influence du cycle menstruel sur l'apparition des lésions non contact du LCA chez les sportives. Médecine humaine et pathologie. 2021. ⟨dumas-03356814⟩



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