Effect of Hip-Focused Injury Prevention Training for Anterior Cruciate Ligament Injury Reduction in Female Basketball Players: A 12-Year Prospective Intervention Study

Omi, Yorikatsu; Sugimoto, Dai; Kuriyama, Setsurou; Kurihara, Tomohisa; Miyamoto, Kenji; Yun, Songjo; Kawashima, Tatsuhiro; Hirose, Norikazu

doi:10.1177/0363546517749474

Cited by 56 publications

(45 citation statements)

References 66 publications

(102 reference statements)

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“…Eighteen studies were included in the analyses (Table 1 and Figure 1). ‡‡ Because 2 studies had program changes after the first year/phase 47,52 but reported injury outcomes for both years/phases, these studies were analyzed separately. Cumulative evidence gathered over time (from 1999 to the present) indicates that NMT has been an effective intervention to reduce ACL injury risk since approximately 2008 (Figure 2A).…”

Section: Resultsmentioning

confidence: 99%

Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis

et al. 2018

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“…Recent studies have focused on addressing extrinsic risk factors, such as physical conditioning and proprioceptive training, to mitigate the rate of primary ACLR failure. 16,26,27 However, it is also important to control and correct intrinsic risk factors when possible. It might be appropriate to correct the excessive slope to protect the graft and reduce ATT to restore the normal tibiofemoral relationship.…”

Section: Discussionmentioning

confidence: 99%

Steep Posterior Tibial Slope and Excessive Anterior Tibial Translation Are Predictive Risk Factors of Primary Anterior Cruciate Ligament Reconstruction Failure: A Case-Control Study With Prospectively Collected Data

Song

Zhang

et al. 2020

Am J Sports Med

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Background: Steep posterior tibial slope (PTS) and excessive anterior tibial translation (ATT) have been identified as important anatomic risk factors for anterior cruciate ligament (ACL) injury, which have raised concerns about clinical outcomes after primary ACL reconstruction (ACLR). Purpose: To investigate anatomic risk factors of primary ACLR failure and to determine the cutoff values of PTS and ATT for predicting primary ACLR failure. Study Design: Case-control study; Level of evidence, 3. Methods: Between November 2015 and May 2017, a total of 215 consecutive patients with clinically diagnosed noncontact ACL injuries who underwent primary anatomic ACLR were retrospectively analyzed. Among them, 25 patients who showed complete discontinuity of ACL fibers on final follow-up magnetic resonance imaging scans were allocated into the failure group (study group). They were matched 1:2 to 50 control participants who showed clear and continuous ACL fibers on magnetic resonance imaging scans (control group). PTS and ATT were measured on preoperative weightbearing whole leg lateral radiographs and compared between the groups. The cutoff values of PTS and ATT for predicting primary ACLR failure were determined by the receiver operating characteristic curve. Moreover, predictors of primary ACLR failure were assessed by multivariate logistic regression analysis, including sex, age, body mass index, concomitant meniscal tears, degree of pivot-shift test, and KT-1000 arthrometer side-to-side difference, PTS, and ATT. Results: PTS and ATT values in the study group were significantly higher than those in the control group (mean ± SD: PTS, 17.2°± 2.2° vs 14.4°± 2.8°; ATT, 8.3 ± 3.4 mm vs 4.1 ± 3.1 mm; P < .001). The cutoff values of PTS and ATT for predicting primary ACLR failure were 17° (sensitivity, 66.7%; specificity, 90.9%) and 6 mm (sensitivity, 87.5%; specificity, 79.5%), respectively. Additionally, PTS ≥17° (odds ratio, 15.6; 95% CI, 2.7-91.5; P = .002) and ATT ≥6 mm (odds ratio, 9.9; 95% CI, 1.9-51.4; P = .006) were determined to be risk factors of primary ACLR failure, whereas sex, age, body mass index, concomitant meniscal tears, degree of the pivot-shift test, and KT-1000 arthrometer side-to-side difference were not. Conclusion: In this study, PTS ≥17° and ATT ≥6 mm, as measured on weightbearing whole leg radiographs, were identified to be predictive risk factors of primary ACLR failure. This study adds to the existing knowledge about potential surgical indications of simultaneous slope-reducing high tibial osteotomy to mitigate the primary ACLR failure rate.

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“…Previous evidence suggests that hip focused exercise can prevent knee injuries in collegiate basketball players (Hewett, Ford, Myer, Wanstrath, & Scheper, 2006;Nessler, 2013). In a study by Omi et al(Omi et al, 2018) overall ACL injury incidence was reduced from 0.25/1000 to 0.1/1000 in an 8 year intervention by introducing a hip focused injury prevention training. This was a clinically and statistically significant reduction in injury rates (Nessler, 2013).…”

Section: Discussionmentioning

confidence: 94%

“…Ford et al, 2015). Patients who complain of patellofemoral pain have decreased hip abduction, external rotation, and knee extension strength when compared to controls (Ekstrom et al, 2007;Omi et al, 2018). Furthermore, the decreased ability to control eccentric hip internal rotation and adduction may lead to greater dynamic lower extremity valgus that is correlated with PFJ pain (Ekstrom et al, 2007;Omi et al, 2018).…”

mentioning

confidence: 99%

Using Motion Sensor Technology to Manage Risk of Injury in a Strength and Conditioning Program for Female Collegiate Athletes

Garner

Parrish

Shaw

et al. 2020

IJKSS

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Background of Study: Females generally have a 6-8 times higher risk for lower extremity injury compared to male counterparts due to biomechanical differences and/or poor landing strategies. In recent years, a great deal of focus has been placed on prevention and reduction of non-contact lower extremity injuries. This has spurred the development of assessment methods to determine how athletes move and tools with which those motions are measured. Efforts have been made to measure and quantify movement strategies, which have given rise to multiple movement tests and measurement devices. One approach is the use of wearable technologies used in conjunction with a movement screening. Objective: Demonstrate a practical approach of using wearable technologies to guide training regimens in a population of female athletes that would be considered at risk for lower extremity injuries. Methods: A cohort of Division I female volleyball athletes were screened using wearable technology then assigned an intervention based on screening results. Comparisons were made between injury rates during the season when the intervention was applied compared to previous seasons. Results: All lower extremity injury rates were reduced after the intervention was applied. Conclusions: The use of wearable technology aids in quantifying movement to then assign a strategic intervention to reduce injuries in an at risk athletic population.

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Effect of Hip-Focused Injury Prevention Training for Anterior Cruciate Ligament Injury Reduction in Female Basketball Players: A 12-Year Prospective Intervention Study

Abstract: A hip-focused injury prevention program demonstrated significant reduction in the incidence of ACL injury in female collegiate basketball players.

Cited by 56 publications

References 66 publications

Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis

Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis

Steep Posterior Tibial Slope and Excessive Anterior Tibial Translation Are Predictive Risk Factors of Primary Anterior Cruciate Ligament Reconstruction Failure: A Case-Control Study With Prospectively Collected Data

Using Motion Sensor Technology to Manage Risk of Injury in a Strength and Conditioning Program for Female Collegiate Athletes

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