2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries

Ardern, Clare L; Ekås, Guri Ranum; Grindem, Hege; Moksnes, Håvard; Anderson, Allen F.; Chotel, Franck; Cohen, Moisés; Forssblad, Magnus; Ganley, Theodore J.; Feller, Julian A.; Karlsson, Jón; Kocher, Mininder S.; LaPrade, Robert F.; McNamee, Mike; Mandelbaum, Bert R.; Micheli, Lyle J.; Mohtadi, Nicholas G.; Reider, Bruce; Roe, Justin; Seil, Romain; Siebold, Rainer; Silvers-Granelli, Holly; Soligard, Torbjørn; Witvrouw, Erik; Engebretsen, Lars

doi:10.1136/jisakos-2018-000200

Cited by 44 publications

(104 citation statements)

References 133 publications

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“…Many musculoskeletal prevention and rehabilitation efforts focus on motor progression using strength training, proprioceptive exercises, range of motion activities, etc. (Ardern et al, ; Cavanaugh & Powers, ). Motor progression success is often assessed through biomechanical assessment (Hopper, Haff, Joyce, Lloyd, & Haff, ; Myer et al, ), and while current NMT practices are often beneficial in reducing risk of ACL injury (Petushek, Sugimoto, Stoolmiller, Smith, & Myer, ), our data support that neural progression should also be considered as part of current standards of care (Gokeler, Neuhaus, Benjaminse, Grooms, & Baumeister, ).…”

Section: Discussionmentioning

confidence: 99%

Real‐time biofeedback integrated into neuromuscular training reduces high‐risk knee biomechanics and increases functional brain connectivity: A preliminary longitudinal investigation

et al. 2020

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Prospective evidence indicates that functional biomechanics and brain connectivity may predispose an athlete to an anterior cruciate ligament injury, revealing novel neural linkages for targeted neuromuscular training interventions. The purpose of this study was to determine the efficacy of a real-time biofeedback system for altering knee biomechanics and brain functional connectivity. Seventeen healthy, young, physically active female athletes completed 6 weeks of augmented neuromuscular training (aNMT) utilizing real-time, interactive visual biofeedback and 13 served as untrained controls. A drop vertical jump and resting state functional magnetic resonance imaging were separately completed at pre-and posttest time points to assess sensorimotor adaptation. The aNMT group had a significant reduction in peak knee abduction moment (pKAM) compared to controls (p = .03, d = 0.71). The aNMT group also exhibited a significant increase in functional connectivity between the right supplementary motor area and the left thalamus (p = .0473 after false discovery rate correction). Greater percent change in pKAM was also related to increased connectivity between the right cerebellum and right thalamus for the aNMT group (p = .0292 after false discovery rate correction, r 2 = .62). No significant changes were observed for the controls (ps > .05). Our data provide preliminary evidence of potential neural 2 of 15 | DIEKFUSS Et al. ORCID Jed A. Diekfusshttps://orcid.org/0000-0003-3835-363X Dustin R. Grooms https://orcid.org/0000-0001-6102-8224

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Section: Discussionmentioning

confidence: 99%

Real‐time biofeedback integrated into neuromuscular training reduces high‐risk knee biomechanics and increases functional brain connectivity: A preliminary longitudinal investigation

et al. 2020

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“…3 Besides, the wish to return to pretrauma level and type of sport might be important considerations for operative treatment. 1,20 In case of nonoperative treatment, the majority of the respondents advocated adjusting the type of sports to avoid pivoting sports. Recent literature suggests that rehabilitation after ACL injury in children is mainly focused on neuromuscular stimulation and multijoint functional stability and less on muscular strength and hypertrophy.…”

Section: Discussionmentioning

confidence: 99%

“…22 Although there are no solid studies on bracing children after ACL injury, a small majority advises to use a brace during sports participation. 1,22 In this survey, the recommendations of the respondents adhere to the current limited scientific evidence for nonoperative treatment.…”

Section: Discussionmentioning

confidence: 99%

Current State of Care for Pediatric ACL Ruptures in the Netherlands: A Survey

et al. 2019

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The management of anterior cruciate ligament (ACL) injuries in the skeletally immature patient is an area of controversy. The purpose of this survey is to inventory the current state of care for pediatric ACL injuries in the Netherlands. This survey was conveyed by e-mail among all members of the Dutch Arthroscopy Society (Nederlandse Vereniging van Arthroscopie [NVA]) and promoted on the Web site of the NVA. It was developed by the scientific committee of the NVA by a consensus meeting discussing relevant topics in pediatric ACL injuries. All members of the NVA received the survey (n = 540). A total of 158 (29%) members responded to the survey, of which 143 were completed. A total of 126 responses were analyzed after exclusion. The main finding of this survey is that 78% of the respondents tend to treat children with open physes nonoperatively, while 65% tend to treat children with closed physes operatively. The most frequently performed procedure is the transphyseal reconstruction. Many considerations were involved in choosing operative treatment. The postoperative follow-up period varies from less than 1 year (24%) until fully grown (27%). In conclusion, this survey shows that the current state of care for pediatric ACL injuries is variable and a matter of debate in the Netherlands. Although the response rate seems low, this survey provides an overview of the opinions of specialized orthopaedic surgeons in the Netherlands. The results of this survey led to the development of the national registry for pediatric ACL in the Netherlands. The level of evidence for this study is V.

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“…If Australia can join the list of countries with an ACL surgical registry, factors can be assessed that might explain the high re‐injury rate for young patients after ACL reconstruction and the rapidly increasing rate of revision ACL reconstruction 1 , 14 . These factors are also relevant to Australia's high rate of total knee replacement, as patients with a history of ACL injury have a sevenfold greater risk of total knee replacement 15 .…”

mentioning

confidence: 99%

“…Ultimately, however, we want to prevent ACL injuries. It is known, for example, that certain movement patterns 14 , 16 and ground surfaces 17 are modifiable risk factors for ACL injury. There is some evidence that prevention programs can be effective, and they should therefore be encouraged and appropriately monitored 16 .…”

mentioning

confidence: 99%

The rate of anterior cruciate ligament reconstruction in Australia is high: a national registry is needed

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Engebretsen

Feller

2018

Medical Journal of Australia

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2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries

Cited by 44 publications

References 133 publications

Real‐time biofeedback integrated into neuromuscular training reduces high‐risk knee biomechanics and increases functional brain connectivity: A preliminary longitudinal investigation

Real‐time biofeedback integrated into neuromuscular training reduces high‐risk knee biomechanics and increases functional brain connectivity: A preliminary longitudinal investigation

Current State of Care for Pediatric ACL Ruptures in the Netherlands: A Survey

The rate of anterior cruciate ligament reconstruction in Australia is high: a national registry is needed

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