Consequences of Complete ACL Ruptures

Barber-Westin, Sue D.; Noyes, Frank R.

doi:10.1007/978-3-642-32592-2_2

Cited by 1 publication

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References 166 publications

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“…At least two-thirds of ACL tears are noncontact in nature and occur when an athlete is cutting, pivoting, accelerating, decelerating, or landing from a jump [4][5][6]. The short-and long-term consequences of ACL injuries in young athletes include high cost of medical treatment, a heightened risk of future reinjuries (to both knee joints), psychological morbidity, lost productivity in work or school, potential for lost scholarship funding, and premature osteoarthritis [7][8][9][10]. Over the past 20 years, many ACL injury prevention programs have been developed in an effort to decrease the injury rate in female athletes [11,12].…”

Section: Introductionmentioning

confidence: 99%

Neuromuscular Retraining in Female Adolescent Athletes: Effect on Athletic Performance Indices and Noncontact Anterior Cruciate Ligament Injury Rates

Noyes

Barber-Westin

2015

Sports

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While many anterior cruciate ligament (ACL) prevention programs have been published, few have achieved significant reductions in injury rates and improvements in athletic performance indices; both of which may increase compliance and motivation of athletes to participate. A supervised neuromuscular retraining program (18 sessions) was developed, aimed at achieving both of these objectives. The changes in neuromuscular indices were measured after training in 1000 female athletes aged 13-18 years, and the noncontact ACL injury rate in 700 of these trained athletes was compared with that of 1120 control athletes. There were significant improvements in the drop-jump test, (p < 0.0001, effect size [ES] 0.97), the single-leg triple crossover hop (p < 0.0001, ES 0.47), the t-test (p < 0.0001, ES 0.64), the multi-stage fitness test (p < 0.0001, ES 0.57), hamstring strength (p < 0.0001), and quadriceps strength (p < 0.01). The trained athletes had a significant reduction in the noncontact ACL injury incidence rate compared with the controls (1 ACL injury in 36,724 athlete-exposures [0.03] and 13 ACL injuries in 61,244 exposures [0.21], respectively, p = 0.03). The neuromuscular retraining program was effective in reducing noncontact ACL injury rate and improving athletic performance indicators. OPEN ACCESSSports 2015, 3 57

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