ABCs of Evidence-Based Anterior Cruciate Ligament Injury Prevention Strategies in Female Athletes

Sugimoto, Dai; Myer, Gregory D.; Micheli, Lyle J.; Hewett, Timothy E.

doi:10.1007/s40141-014-0076-8

Cited by 29 publications

(17 citation statements)

References 69 publications

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“…26 Compared to soccer, the number of studies focused on handball, basketball, volleyball and floorball were very limited. 51 In fact, only six studies examined the effect of a preventive NMT on ACL reduction for handball 202230 and basketball. 232831 Unlike soccer, these other sports involve more upper body movements so that neuromuscular demands may be different than soccer.…”

Section: Discussionmentioning

confidence: 99%

Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis

et al. 2016

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Objective The aim of this study was to determine key components in neuromuscular training that optimise ACL injury reduction in female athletes using meta-regression analyses. Design Systematic review and meta-regression. Data sources The literature search was performed in PubMed and EBSCO. Eligibility criteria Inclusion criteria for the current analysis were: (1) documented the number of ACL injuries, (2) employed a neuromuscular training intervention that aimed to reduce ACL injuries, (3) had a comparison group, (4) used a prospective control study design and (5) recruited female athletes as participants. Two independent reviewers extracted studies which met the inclusion criteria. Methodological quality of included study and strength of recommendation were evaluated. Number of ACL injuries and participants in control and intervention groups, age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and status of verbal feedback were extracted. Results The meta-regression analyses identified age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback as significant predictors of ACL injury reduction (p=0.01 in fixed-effects model, p=0.03 in random-effects model). Inclusion of 1 of the 4 components in neuromuscular training could reduce ACL injury risk by 17.2–17.7% in female athletes. No significant heterogeneity and publication bias effects were detected. Strength of recommendation was rated as A (recommendation based on consistent and good-quality patient-oriented study evidence). Conclusions Age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback are predictors that influence the optimisation of prophylactic effects of neuromuscular training and the resultant ACL injury reduction in female athletes.

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Section: Discussionmentioning

confidence: 99%

Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis

et al. 2016

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“…Although a similar proportion of boys' and girls' injuries resulted in surgical repair (5.4% vs 6.6%), knee sprains represented a much higher proportion of those injuries requiring surgery in girls (63.6%) than boys (38.2%). This indicates a need for targeted preventive programmes for girls' knee ligament sprains to reduce the need for surgical intervention, as well as further research into potential reasons for this observed difference between sexes 33 34…”

Section: Discussionmentioning

confidence: 99%

Nine-year study of US high school soccer injuries: data from a national sports injury surveillance programme

et al. 2016

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ABSTRACT. Boys' non-concussion injury rates decreased significantly ( p=0.001) during the study period while reported concussion rates increased significantly ( p=0.002). Girls' non-concussion rates were relatively stable and reported concussion rates increased significantly ( p=0.004). Player-player contact was the injury mechanism that led to the most competition injuries (injury proportion ratio (IPR)=2.87; 95% CI 2.57 to 3.21), while non-contact injuries were the most common mechanisms among practice injuries (IPR=2.10; 95% CI 1.86 to 2.38). Recovery from concussion was >7 days in a third of the cases. Injury patterns were similar between sexes with respect to position played and location on the field at the time of injury. Conclusions High school soccer injury rates vary by sex and type of exposure, while injury patterns are more similar across sexes. Reported concussion rates increased significantly over the study period in male and female athletes.

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“…When looking into the narratives and detail of these injuries, where available, many were reported to be ligamentous injuries of the knee. The prevention of knee injuries in females is a well-known priority for all sports where jumping, landing, cutting and rapid change of direction is required 22. Because of the relatively serious outcomes associated with ACL injury, which often requires surgery and time off sport, these injuries have been extensively researched in team ball sports particularly in relation to gender-based risk factors including anatomical and biomechanical differences 23.…”

Section: Discussionmentioning

confidence: 99%

Priorities for injury prevention in women's Australian football: a compilation of national data from different sources

Fortington

Finch

2016

BMJ Open Sport Exerc Med

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Background/aimParticipation in Australian football (AF) has traditionally been male dominated and current understanding of injury and priorities for prevention are based solely on reports of injuries in male players. There is evidence in other sports that indicates that injury types differ between males and females. With increasing participation in AF by females, it is important to consider their specific injury and prevention needs. This study aimed to provide a first injury profile from existing sources for female AF.MethodsCompilation of injury data from four prospectively recorded data sets relating to female AF: (1) hospital admissions in Victoria, 2008/09–13/14, n=500 injuries; (2) emergency department (ED) presentations in Victoria, 2008/09–2012/13, n=1,879 injuries; (3) insurance claims across Australia 2004–2013, n=522 injuries; (4) West Australian Women's Football League (WAWFL), 2014 season club data, n=49 injuries. Descriptive results are presented as injury frequencies, injury types and injury to body parts.ResultsHospital admissions and ED presentations were dominated by upper limb injuries, representing 47% and 51% of all injuries, respectively, primarily to the wrist/hand at 32% and 40%. Most (65%) insurance claim injuries involved the lower limb, 27% of which were for knee ligament damage. A high proportion of concussions (33%) were reported in the club-collected data.ConclusionsThe results provide the first compilation of existing data sets of women's AF injuries and highlight the need for a rigorous and systematic injury surveillance system to be instituted.

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ABCs of Evidence-Based Anterior Cruciate Ligament Injury Prevention Strategies in Female Athletes

Cited by 29 publications

References 69 publications

Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis

Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis

Nine-year study of US high school soccer injuries: data from a national sports injury surveillance programme

Priorities for injury prevention in women's Australian football: a compilation of national data from different sources

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