ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedures
3. Results
3.1. General Characteristics of the ACLI-CLD Model
3.2. Factors’ Interactions of Landing Mechanism
3.2.1. Effect of Neuromuscular Control on Quality of Landing Biomechanics
3.2.2. Effect of Neurocognitive, Institutional and Psychological Factors on Neuromuscular Control
3.2.3. Effect of Malalignment on Neuromuscular Control
3.2.4. Effect of Trauma History Characteristics, Sex, and Participation in Injury Prevention Programs on Neuromuscular Control
3.3. Effects of Anatomic and Environmental Factors on the Forces Transmitted to the ACL
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Steps | Task’s Purpose | Time | Script from Scriptapedia | Actions | Participants |
---|---|---|---|---|---|
A | To review the primary risk factors for anterior cruciate ligament injury (ACLI) through systematic reviews and pertinent literature | - | - | Create a list of ACLI risk factors for further discussion in the group modeling building workshops | Two members of the modeling Team |
B | Group Modeling Building Workshops | ||||
B1 | To discuss list of risk factors for ACLI | 120′ | Variable elicitation | Participants discuss the variables and remove or add variables. | Modeling Team and two members of the stakeholders’ team |
B1.1 | To develop a CLD for ACLI (ACLI-CLD) using literature as a reference and incorporating the insights gained from the previous GMB session’s discussion | - | - | Developing an initial understanding of the ACLI risk factors’ interplay | One member of the modeling team |
B2 | To engage in conversation and evaluate the ACLI-CLD with the modeling team | 120′ | 1. Causal Mapping with Seed Structure, 2. Model Review 3. Next steps and closing | Review the ACLI-CLD and propose corrections | Modeling Team |
B3 | To review ACLI-CLD with the modeling team | 60′ | 1. Model Review, 2. Next Steps and Closing | Review the ACLI-CLD after the corrections and prepare the following steps | Modeling team |
B4 | To present ACLI-CLD to stakeholders and integrate their perspectives | 120′ | 1. Modeling project community presentation, 2. Model Review | Presentation of the ACLI-CLD to stakeholders, accompanied by a discussion of the ACLI-CLD and its constituent variables | Modeling team and all members of the Stakeholders’ team |
B5 | To review the ACLI-CLD and incorporate stakeholders’ points of view | 90′ | Initiating and elaborating a “Causal Loop Diagram” or “Stock and Flow” Model, 2. Model Review | Summarizing the inputs from stakeholders | Modeling Team |
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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Tsarbou, C.; Liveris, N.I.; Xergia, S.A.; Papageorgiou, G.; Kvist, J.; Tsepis, E. ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach. J. Clin. Med. 2024, 13, 4928. https://doi.org/10.3390/jcm13164928
Tsarbou C, Liveris NI, Xergia SA, Papageorgiou G, Kvist J, Tsepis E. ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach. Journal of Clinical Medicine. 2024; 13(16):4928. https://doi.org/10.3390/jcm13164928
Chicago/Turabian StyleTsarbou, Charis, Nikolaos I. Liveris, Sofia A. Xergia, George Papageorgiou, Joanna Kvist, and Elias Tsepis. 2024. "ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach" Journal of Clinical Medicine 13, no. 16: 4928. https://doi.org/10.3390/jcm13164928