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

Petushek, Erich J.; Sugimoto, Dai; Stoolmiller, Mike; Smith, Grace L.; Myer, Gregory D.

doi:10.1177/0363546518782460

Cited by 132 publications

(127 citation statements)

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“…(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, ). Clinicians could potentially leverage motor learning principles (Gokeler et al, ; Lewthwaite & Wulf, ; Wulf & Lewthwaite, ) to engage the appropriate neural networks distinct to various musculoskeletal ailments (Diekfuss, Grooms, Nissen, et al, in press; Diekfuss, Grooms, Yuan, et al, ; Grooms et al, ; Silfies, Vendemia, Beattie, Stewart, & Jordon, ).…”

Section: Discussionsupporting

confidence: 67%

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: Discussionsupporting

confidence: 67%

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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“…Several high-quality meta-analyses [89][90][91][92][93][94] indicated that the ACL injury incidence was reduced with neuromusculartraining programs. In female athletes, these programs resulted in a decrease of half of all ACL injuries and twothirds of noncontact ACL injuries.…”

Section: Primary Preventionmentioning

confidence: 99%

Anterior Cruciate Ligament Research Retreat VIII Summary Statement: An Update on Injury Risk Identification and Prevention Across the Anterior Cruciate Ligament Injury Continuum, March 14–16, 2019, Greensboro, NC

Shultz

Schmitz

Cameron

et al. 2019

Journal of Athletic Training

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Carolina at Chapel Hill T he Anterior Cruciate Ligament (ACL) Research Retreat VIII was held March 14-16, 2019, in Greensboro, North Carolina. The retreat brought together clinicians and researchers to present and discuss research advances in ACL injury risk, outcomes, and prevention. Prior retreats (2001-2012) 1-6 largely focused on advances in primary injury risk-factor identification and prevention (ie, preventing the initial trauma). Despite our improved understanding of ACL injury risk and the success of primary prevention efforts, ACL injuries continue to occur and lead to short-term and long-term consequences that have substantial effects on joint health and quality of life for years to come. To address these additional challenges, the ACL Research Retreat expanded in scope to include secondary ACL injury risk and prevention in 2015 7 and the short-term and long-term sequelae of early-onset osteoarthritis that results from the initial trauma (herein, posttraumatic osteoarthritis or PTOA) in 2019. The ACL Research Retreat VIII therefore considered ACL injury risk and prevention along a continuum that includes primary, secondary, and tertiary risk identification and prevention strategies as described by Palmieri-Smith et al (Table 1). 8 To illustrate this continuum, consider a soccer team comprising 13-year-old girls. We know the ACL injury risk increases dramatically from ages 13 to 16, 9-11 such that girls have a 2 to 4 times greater risk than similarly trained males. 12,13 Thus, our first goal for this age group, especially 970 Volume 54 Number

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“…Der geschätzte Effekt des neuromuskulären Trainings war eine Reduktion von ca. 50 % der Verletzungen [42,43]. Von diesen klinischen Studien wurden 4 Interventionsstudien im Handball durchgeführt und werden nun im Detail vorgestellt.…”

Section: Prävention Von Knieverletzungenunclassified

Epidemiologie und Verletzungsprävention im Handball

Achenbach

Luig²

2020

Sportverletz Sportschaden

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ZusammenfassungHandball ist durch eine hohe Verletzungsrate gekennzeichnet. Aktuelle epidemiologische Studien, die die Charakteristik des Handballs besser berücksichtigen, zeichnen hierbei ein deutliches Bild des Verletzungsmusters und -risikos für Handballspielerinnen und -spieler. Während die Hälfte der Spieler nach einer akuten Verletzung mit einer medizinischen Behandlung weiterspielen und trainieren können, so geht die andere Hälfte der Verletzungen mit Verlust an Trainings- und Spielzeit einher. Zwar zeigen sich die erlittenen Verletzungen im Ligabetrieb häufig mit einem Kontaktmechanismus assoziiert, jedoch sind diese nur wenig mit Foulspiel verbunden, sodass im Handball ein hohes Präventionspotenzial vorhanden ist. Die Handballmedizin zeigt dabei große Bemühungen, das Verletzungsrisiko ihres Sports primär reduzieren zu wollen. Die bereits vorhandene Evidenz für Reduktionsmöglichkeiten von Knieverletzungen muss nun in den Trainingsalltag implementiert werden. Aufgrund der hohen Prävalenz von Überlastungsverletzungen der Wurfschulter wurden auch hier die ersten Erkenntnisse in ein Präventionsprogramm umgesetzt. Dieser Artikel wird dies im Detail beschreiben.

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

Abstract: Clinicians, coaches, athletes, parents, and practitioners can use the developed checklist to gain insight into the quality of their current ACL NMT practices and can use the tool to optimize programming for future ACL NMT to reduce ACL injury risk.

Cited by 132 publications

References 82 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

Anterior Cruciate Ligament Research Retreat VIII Summary Statement: An Update on Injury Risk Identification and Prevention Across the Anterior Cruciate Ligament Injury Continuum, March 14–16, 2019, Greensboro, NC

Epidemiologie und Verletzungsprävention im Handball

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