Tibial acceleration profiles during the menstrual cycle in female athletes

Hohmann, Erik, Bryant, Adam L., Livingstone, Elisabeth, Reaburn, Peter, Tetsworth, Kevin and Imhoff, Andreas (2015) Tibial acceleration profiles during the menstrual cycle in female athletes. Archives of Orthopaedic and Trauma Surgery, 135 10: 1419-1427. doi:10.1007/s00402-015-2283-x

Author Hohmann, Erik
Bryant, Adam L.
Livingstone, Elisabeth
Reaburn, Peter
Tetsworth, Kevin
Imhoff, Andreas
Title Tibial acceleration profiles during the menstrual cycle in female athletes
Journal name Archives of Orthopaedic and Trauma Surgery   Check publisher's open access policy
ISSN 0936-8051
Publication date 2015-10-22
Year available 2015
Sub-type Article (original research)
DOI 10.1007/s00402-015-2283-x
Open Access Status Not Open Access
Volume 135
Issue 10
Start page 1419
End page 1427
Total pages 9
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2016
Language eng
Formatted abstract
Fluctuating levels of endogenous estrogen are thought to have an adverse effect on lower limb biomechanics, given the observed higher rate of ACL injury at certain phases of the menstrual cycle. The purpose of this study was to investigate the effects of fluctuating endogenous estrogen levels during the menstrual cycle on acceleration transients at the proximal tibia in young physically active females.


Eleven females aged 16–18 years participated in this study and were compared to a male control group. Female subjects were tested at each of the four phases of the menstrual cycle: menses, follicular, ovulation and luteal. On each test occasion, acceleration transients at the proximal tibia were measured while subjects performed an abrupt deceleration task (simulated netball landing).


No significant differences were found between the different phases of the menstrual cycle for peak tibial acceleration (PTA; P = 0.57), and time to zero tibial acceleration (TZTA; P = 0.59). However, there was a significant difference for time to peak tibial acceleration (TPTA) between menstruation and follicular (P = 0.04), menstruation and ovulation (P = 0.001), menstruation and luteal phase (P = 0.002), and follicular phase and ovulation (P = 0.007). In the male control group, no significant between-test session differences were observed for PTA (P = 0.48), TZTA (P = 0.08) and TPTA (P = 0.29). While there were no significant between-group differences for PTA (P = 0.21) and TZTA (P = 0.48), significant between-group differences were observed for TPTA (P = 0.001).


The results of this project strongly suggest that serum estrogen fluctuations have an effect on tibial acceleration profiles in young female athletes during different phases of the menstrual cycle.
Keyword Anterior cruciate ligament injuries
Female athletes
Menstrual cycle
Tibial acceleration profiles
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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