Repository logo
 

The Association Between Biological Maturity and Injury in Young Females Participating in Sport: A Systematic Review

Authors

Zoellner, Anja
Whatman, Chris

Supervisor

Item type

Journal Article

Degree name

Journal Title

Journal ISSN

Volume Title

Publisher

Elsevier BV

Abstract

Background: Injuries in youth sport remain a concern. Biological maturity has been linked to injury risk but there is limited female specific evidence. Aim: To evaluate the evidence for an association between biological maturity and injury in young females participating in sport. Methods: A systematic search was conducted using EBSCO Health database from inception until April 2025. Studies were included if they investigated females in any sport and reported an assessment of biological maturity status and either injury rate or potential factors associated with injury. Study quality and risk of bias and the strength of evidence for findings was determined based on the consistency and quality of studies. Finding: 31 studies (n=10 reporting injury; n=21 reporting risk factors) were included in the review. Evidence supporting an association between injury and maturation was limited. There is moderate evidence of an association between potential injury risk factors and maturation. Most evidence is in the context of lower limb biomechanics during jump/landing tasks and potential risk of knee injury. Conclusion: Current evidence for a link between maturity status and sport related injury in young females is limited, however there is moderate evidence that maturity status is associated with potential knee injury risk factors.

Description

Keywords

4206 Public Health, 42 Health Sciences, Physical Injury - Accidents and Adverse Effects, Pediatric, Injuries and accidents, 1103 Clinical Sciences, 1106 Human Movement and Sports Sciences, Sport Sciences, 4201 Allied health and rehabilitation science, 4207 Sports science and exercise

Source

Physical Therapy in Sport, ISSN: 1466-853X (Print), Elsevier BV. doi: 10.1016/j.ptsp.2025.08.007

Rights statement

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2025 Published by Elsevier Ltd.