Effectiveness of Anterior Cruciate Ligament Injury Prevention Training Programs

Sadoghi, Patrick; Keudell, Arvind von; Vavken, Patrick

doi:10.2106/jbjs.k.00467

Cited by 161 publications

(149 citation statements)

References 44 publications

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“…They are easy to perform, are inexpensive, and take approximately 15 to 20 minutes to complete per session, and the evidence supporting their benefits is growing. 20,23 However, fewer than half of the participants in our study reported performing specific exercises to reduce this risk. When considering the results of DiStefano et al 20 that athletes who displayed the greatest LESS scores improved the most after an ACL injuryprevention program and considering that our study revealed most female adolescent athletes demonstrated poor mechanics, we recommend that all female adolescent athletes within youth sport participation receive injury-prevention training, regardless of whether they are SSS or M-S athletes.…”

Section: Discussionmentioning

confidence: 74%

“…This finding highlights the need for greater implementation of programs, such as the Prevent Injury and Enhance Performance (PEP) and Sportsmetrics ACL injury-prevention programs, that have been shown to reduce the risk of knee injury in soccer players. 23 To address this public health concern, these programs should be conducted in local community soccer clubs and through regional and national youth soccer organizations as a valuable way to reduce time missed from competition because of injury. At the time of this writing, the US Youth Soccer Web site 12 discusses knee injuries and highlights the 11þ program from Fédération International de Football Association under the link ''Health and Safety Resources Center.''…”

Section: Discussionmentioning

confidence: 99%

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Landing Error Scoring System Differences Between Single-Sport and Multi-Sport Female High School–Aged Athletes

Beese

Joy

Switzler

et al. 2015

Journal of Athletic Training

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Context Single-sport specialization (SSS) is becoming more prevalent in youth athletes. Deficits in functional movement have been shown to predispose athletes to injury. It is unclear whether a link exists between SSS and the development of functional movement deficits that predispose SSS athletes to an increased risk of knee injury. Objective To determine whether functional movement deficits exist in SSS athletes compared with multi-sport (M-S) athletes. Design Cross-sectional study. Setting Soccer practice fields. Patients or Other Participants A total of 40 (21 SSS [age = 15.05 ± 1.2 years], 19 M-S [age = 15.32 ± 1.2 years]) female high school athlete volunteers were recruited through local soccer clubs. All SSS athletes played soccer. Intervention(s) Participants were grouped into 2 categories: SSS and M-S. All participants completed 3 trials of the standard Landing Error Scoring System (LESS) jump-landing task. They performed a double-legged jump from a 30-cm platform, landing on a rubber mat at a distance of half their body height. Upon landing, participants immediately performed a maximal vertical jump. Main Outcome Measure(s) Values were assigned to each trial using the LESS scoring criteria. We averaged the 3 scored trials and then used a Mann-Whitney U test to test for differences between groups. Participant scores from the jump-landing assessment for each group were also placed into the 4 defined LESS categories for group comparison using a Pearson χ2 test. The α level was set a priori at .05. Results Mean scores were 6.84 ± 1.81 for the SSS group and 6.07 ± 1.93 for the M-S group. We observed no differences between groups (z = −1.44, P = .15). A Pearson χ2 analysis revealed that the proportions of athletes classified as having excellent, good, moderate, or poor LESS scores were not different between the SSS and M-S groups ( = 1.999, P = .57). Conclusions Participation in soccer alone compared with multiple sports did not affect LESS scores in adolescent female soccer players. However, the LESS scores indicated that most female adolescent athletes may be at an increased risk for knee injury, regardless of the number of sports played.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Landing Error Scoring System Differences Between Single-Sport and Multi-Sport Female High School–Aged Athletes

Beese

Joy

Switzler

et al. 2015

Journal of Athletic Training

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“…41 The efficacy of prevention programs in decreasing the incidence of ACL tearing was sustained by the results of meta-analyses published by Hewett in 2010 20 , Yoo in 2010 36 , and Sadoghi in 2012. 42 There are several biomechanical and clinical studies and meta-analyses supporting the possibility of preventing ACL injury by using validated prevention training programs, but we need future research to determine the importance of neuromuscular imbalances and generate solutions to prevent non-contact ACL injuries. One significant difficulty in the implementation of prevention programs is compliance.…”

Section: Prevention Programsmentioning

confidence: 99%

Prevention of Primary ACL Injuries: A Novel, Innovative Approach

Fleacă

Roman

Bățagă

et al. 2017

Journal of Interdisciplinary Medicine

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Anterior cruciate ligament (ACL) injuries are increasing amongst professional and recreational athletes, and creating prevention programs to reduce the occurrence of ACL damages is becoming a necessity. To prevent an ACL tear, it is necessary to comprehend the mechanisms and the risk factors of injury. Biomechanical and clinical studies try to understand these complex mechanisms in order to identify factors that can be improved and to develop training programs to prevent at least non-contact ACL injuries. There are several promising programs, but there are still many questions to answer. This paper analyzes the risk factors for ACL injuries and some aspects of the modern programs developed to decrease the rate of ACL tears.

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“…Improved understanding of these biomechanical, anatomic, and kinematic risk factors of ACL injuries has led to the development of ACL injury prevention programs. These programs have components of neuromuscular, proprioceptive, and plyometric training targeted at minimizing impairments that may lead to injury and re-injury and have been shown to be effective in decreasing the rate of ACL injuries in high school, college, and professional players [77][78][79][80][81][82][83]. Over the last 3 years, several studies have investigated the utility of these prevention programs in young athletes.…”

Section: Risk Factors and Preventionmentioning

confidence: 99%

Anterior cruciate ligament reconstruction in skeletally immature patients

Pennock

Murphy

2016

Curr Rev Musculoskelet Med

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The management of pediatric patients with an anterior cruciate ligament (ACL) tear can be a challenging endeavor for physicians, athletic trainers, coaches, and parents alike. In particular, the significant longitudinal growth that arises from the physes about the knee creates a unique set of circumstances that must be considered in this patient population. The purpose of this review is to provide a summary of the most recent current literature for the management of skeletally immature patients with an ACL tear.

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Effectiveness of Anterior Cruciate Ligament Injury Prevention Training Programs

Abstract: Our study indicated strong evidence in support of a significant effect of ACL injury prevention programs. Our pooled estimates suggest a substantial beneficial effect of ACL injury prevention programs, with a risk reduction of 52% in the female athletes and 85% in the male athletes.

Cited by 161 publications

References 44 publications

Landing Error Scoring System Differences Between Single-Sport and Multi-Sport Female High School–Aged Athletes

Landing Error Scoring System Differences Between Single-Sport and Multi-Sport Female High School–Aged Athletes

Prevention of Primary ACL Injuries: A Novel, Innovative Approach

Anterior cruciate ligament reconstruction in skeletally immature patients

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