From Cognitive Load to Biomechanical Breakdown: Why ACL Prevention in Female Athletes Is Failing: Multidimensional Risk Pathways for ACL Injury in Female Football Players
نویسندگان
1 دانشگاه صنعتی مالک اشتر
doi
https://doi.org/10.71951/epp.2025.202511251225889چکیده
An anterior cruciate ligament (ACL) injury is now seen as a key issue in women's soccer, with non-contact tears almost twice as common compared to men. Recent studies reject the idea of one simple cause labeled 'female weakness,' pointing instead to combined factors like game frequency, body motion patterns, and uneven access to care. Risk rises sharply in teenage years, when bone growth can exceed muscle coordination development. From a movement perspective, female athletes show clear flaws - like less knee bend or greater inward knee stress - notably during sudden directional shifts under mental pressure, not during rehearsed actions. Although warm-up routines work well, they don’t always help in practice because many coaches lack proper training or fail to stick with them. Also, decisions about returning to play usually depend on the Limb Symmetry Index (LSI) - a measure that’s unreliable since it may hide weaknesses on both sides and let risky players through. On top of that, women tend to feel less mentally prepared than men after surgery, even if physical tests say otherwise. In reality, frequent ACL injuries among female soccer players stem from poor movement control under unpredictable conditions, gaps in applying research, and weak assessment tools - not just fixed biology. Fixing this means adding brain-training exercises during drills, using strict performance benchmarks instead of ratios, along with consistent mental health support across recovery.