Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention

Arundale, Amelia; Bizzini, Mario; Giordano, Airelle; Hewett, Timothy E.; Logerstedt, David; Mandelbaum, Bert R.; Scalzitti, David A.; Silvers-Granelli, Holly; Snyder‐Mackler, Lynn

doi:10.2519/jospt.2018.0303

Cited by 83 publications

(58 citation statements)

References 73 publications

(85 reference statements)

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“…35,56 By focusing on these factors and treating each individual with respect to their sporting demands and body's specific natural adaptations, 64 it may be possible to develop clinical guidelines for HAGI reduction similar to what has been done regarding ACL prevention. 65 As evidence-informed recommendations have been globally applied to comprehensive knee injury reduction, 65 with further development, the same could be done for HAGI. The nature of global training principles may result in significant similarities between these programs, which is to the benefit of their application.…”

Section: Intervention Over Identificationmentioning

confidence: 99%

Hip and Groin Injury Prevention in Elite Athletes and Team Sport – Current Challenges and Opportunities

Short

MacDonald

Strack

2021

International Journal of Sports Physical Therapy

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Section: Intervention Over Identificationmentioning

confidence: 99%

Hip and Groin Injury Prevention in Elite Athletes and Team Sport – Current Challenges and Opportunities

Short

MacDonald

Strack

2021

International Journal of Sports Physical Therapy

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“…This study has highlighted the need for prevention programmes in those at greater risk of ACL injuries including athletes with hypermobility and siblings of injured athletes. However, it is important to note that the current clinical practice guidelines recommend multicomponent prevention training programmes for all young athletes aged 12–25 years old involved in high‐risk sports (Arundale et al, ; Padua et al, ).…”

Section: Implications For Physiotherapy Practicementioning

confidence: 99%

Generalized joint hypermobility in siblings with anterior cruciate ligament injuries and matched unrelated healthy siblings

Keays

Newcombe

Keays

2020

Physiotherapy Res Intl

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Background and Purpose Anterior cruciate ligament (ACL) ruptures are common knee injuries, and siblings of individuals with an ACL injury may be at higher risk of ACL injury. Generalized hypermobility may be a familial factor predisposing siblings to ACL injury and may also relate to faulty lower limb alignment. There is a need to determine whether the interaction between hypermobility, family history, and faulty alignment makes siblings with hypermobility at higher risk for ACL injury so that appropriate preventative measures can be taken. This study therefore aimed to (a) compare the prevalence of generalized hypermobility and faulty limb alignment in siblings with and without injury and (b) assess the relationship between generalized hypermobility and lower limb alignment. Methods In this case‐controlled study, 24 siblings with ACL injuries from 10 families were matched with 24 healthy uninjured siblings from 10 unrelated families. Generalized hypermobility was assessed using Beighton's criteria. Chi‐square analyses compared generalized hypermobility and lower limb alignment between siblings and sibling pairs with and without injuries. Spearman's rho was used to assess correlations between generalized hypermobility and lower limb alignment. Results There were significant differences between the number of injured and uninjured siblings demonstrating generalized hypermobility when tallied individually (p = .003) and in same‐family sibling pairs (p = .019). Significant (or close) differences were found between siblings for knee hyperextension (p < .001), knee valgus (p = .01), and foot pronation (p = .002) and for sibling pairs sharing knee hyperextension (p < .001), knee valgus (p = .06), and foot pronation (p = .06). Generalized hypermobility correlated with knee hyperextension (rs = .722; p < .001), knee valgus (rs = .385; p = .007), and foot pronation (rs = .328; p = .023). Conclusions Generalized hypermobility and faulty limb alignment occur significantly more frequently in injured than uninjured families. Screening for both features would assist in identifying at‐risk siblings. Prevention programmes reduce ACL injuries by 50–70% and should target hypermobile siblings of the ACL injured.

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“…• hamstring pre-activation and strengthening 13 • quadriceps and gluteus strengthening 25 • promoting knee flexion upon landing 86 • avoiding stiff landings 86 • avoiding excessive valgus of the knees 60 The majority of IPEPs are multi-component 32,34 and cover balance, agility and strength training 32,65 . Some multi-component programmes also include stretching, plyometrics, running, training of cutting and landing technique 65 and proximal control exercises 8 . Usually, several aspects of neuromuscular control are covered in the exercises, such as muscle strength, balance, coordination and proprioception, but with different emphases in different exercises [1][2] .…”

Section: Injury Prevention Exercise Programme Contentsmentioning

confidence: 99%

Injury Prevention in Youth Football Players : Training Effects and Programme Implementation

Lindblom

2019

Linköping University Medical Dissertations

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Background With 17-35% of all 14-year-olds in Sweden being active in football, injuries do occur, most frequently during match play. Based on knowledge of injury mechanisms and risk factors, different injury prevention exercise programmes (IPEPs) have been developed. In this thesis, the Swedish IPEP Knee Control was used as a model for injury preventive training. Aim The overall aim of this thesis was to improve our understanding of the effects of the Knee Control injury prevention exercise programme on sports performance and jump-landing technique, as well as exploring programme implementation and coach experiences of using the programme in youth football. Methods Studies I and IV were cluster-randomised trials focusing on the performance effects of Knee Control. Study I included four teams with 41 female youth football players (mean age 14). The intervention group used Knee Control twice weekly for 11 weeks, whereas the control group teams did their usual training. Knee Control includes six different exercises at four levels of difficulty and with partner exercises and is meant to be used during warm-up at every training session. Performance was tested using a battery of balance, agility, jump and sprint tests at baseline and follow-up at an indoor venue. Study IV had a similar setup but included two different interventions: Knee Control and a new, further-developed version of the programme, Knee Control+, which were studied during an eight-week intervention involving eight youth football teams, four male, four female (mean age 14), with 77 players. Similar, but not identical, performance tests were used in Study IV, along with drop vertical jumps and tuck jump assessment to assess jump-landing technique.

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Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention

Cited by 83 publications

References 73 publications

Hip and Groin Injury Prevention in Elite Athletes and Team Sport – Current Challenges and Opportunities

Hip and Groin Injury Prevention in Elite Athletes and Team Sport – Current Challenges and Opportunities

Generalized joint hypermobility in siblings with anterior cruciate ligament injuries and matched unrelated healthy siblings

Injury Prevention in Youth Football Players : Training Effects and Programme Implementation

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