Effects of evidence-based prevention training on neuromuscular and biomechanical risk factors for ACL injury in adolescent female athletes: a randomised controlled trial

Zebis, Mette Kreutzfeldt; Andersen, Lars L.; Brandt, Mikkel; Myklebust, Grethe; Bencke, Jesper; Lauridsen, Hanne Block; Bandholm, Thomas; Thorborg, Kristian; Hölmich, Per; Aagaard, Per

doi:10.1136/bjsports-2015-094776

Cited by 99 publications

(95 citation statements)

References 29 publications

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“…In other sports with a high risk for ACL injury, injury prevention training programs have proved effective for reducing ACL injuries by improving neuromuscular risk factors associated with ACL injury 14,17–19,61,78,79. Interestingly, implementing an educational approach caused a 62% reduction in knee injuries in ski patrols who were shown videos of injury occurrences to increase awareness of technical and tactical contributors to the injury event 38.…”

Section: Resultsmentioning

confidence: 99%

“…Functional asymmetries including increased knee abduction moments and valgus loading have also been associated with elevated ACL injury risk in female athletes 13. In other sports with a high risk for ACL injury, prevention programs have proved effective for reducing the incidence of ACL injury and to remove or reduce neuromuscular risk factors associated with ACL injury 14,17–19,61,78,79. Notably, neuromuscular injury prevention programs appear successful for reducing the relative risk of noncontact ACL injuries by more than 70% in high-risk athlete populations 78.…”

Section: Discussionmentioning

confidence: 99%

“…Specific neuromuscular training programs focused on reducing high-risk lower limb biomechanics and improving lower limb motor control have been implemented as an adjunct to normal training,14 and as a warm-up prior to training and competition 18,19. Additionally, injury prevention programs may improve postural balance19 and diminish/remove the presence of specific neuromuscular and biomechanical risk factors related to ACL injury 79. The effectiveness of such programs appears to be heavily dependent on athlete compliance and consistency in performing the injury prevention training program 14,61…”

Section: Discussionmentioning

confidence: 99%

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Anterior cruciate ligament injury/reinjury in alpine ski racing: a narrative review

Jordan¹,

Aagaard²

2017

OAJSM

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The purpose of the present review was to: 1) provide an overview of the current understanding on the epidemiology, etiology, risk factors, and prevention methods for anterior cruciate ligament (ACL) injury in alpine ski racing; and 2) provide an overview of what is known pertaining to ACL reinjury and return to sport after ACL injury in alpine ski racing. Given that most of the scientific studies on ACL injuries in alpine ski racing have been descriptive, and that very few studies contributed higher level scientific evidence, a nonsystematic narrative review was employed. Three scholarly databases were searched for articles on ACL injury or knee injury in alpine ski racing. Studies were classified according to their relevance in relation to epidemiology, etiology, risk factors, and return to sport/reinjury prevention. Alpine ski racers (skiers) were found to be at high risk for knee injuries, and ACL tears were the most frequent diagnosis. Three primary ACL injury mechanism were identified that involved tibial internal rotation and anteriorly directed shear forces from ski equipment and the environment. While trunk muscle strength imbalance and genetics were found to be predictive of ACL injuries in development-level skiers, there was limited scientific data on ACL injury risk factors among elite skiers. Based on expert opinion, research on injury risk factors should focus on equipment design, course settings/speed, and athlete factors (eg, fitness). While skiers seem to make a successful recovery following ACL injury, there may be persistent neuromuscular deficits. Future research efforts should be directed toward prospective studies on ACL injury/reinjury prevention in both male and female skiers and toward the effects of knee injury on long-term health outcomes, such as the early development of osteoarthritis. International collaborations may be necessary to generate sufficient statistical power for ACL injury/reinjury prevention research in alpine ski racing.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Anterior cruciate ligament injury/reinjury in alpine ski racing: a narrative review

Jordan¹,

Aagaard²

2017

OAJSM

Self Cite

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“…11,16 The popular upper-extremity injury prevention strategies are in stark contrast to the current lower-extremity injury strategies such as that for anterior cruciate ligament (ACL) injury prevention, where neuromuscular training is utilized to optimize knee kinematics to minimize at-risk body movement patterns and positioning for an ACL injury. 6,13,24,29 These programs have demonstrated a significant effect on ACL injury prevention in at-risk populations. In comparison, “at-risk” movements about the upper extremity during throwing likely involve increased shoulder and elbow stress.…”

Section: Discussionmentioning

confidence: 99%

Changing Body Movement Patterns in 9-Year-Old Baseball Pitchers: A Pilot Study

Fehringer

Dilisio

Greco

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Arm injuries in throwing athletes continue to increase. Injuries may be due to multiple variables, including inefficient body movement patterns, especially in young baseball throwers. It is unclear whether these patterns can be efficiently altered in this population.Purpose/Hypothesis:To investigate the effect of a novel 21-day throwing program on body movement patterns in youth baseball players using common practical tools. Our hypothesis was that this program would change body movement patterns over a relatively short period.Study Design:Descriptive laboratory study.Methods:Ten 9-year-old baseball athletes were asked to participate in a 21–consecutive day throwing program focused on decreasing inefficiencies. All participants underwent video evaluation from 2 vantage points as well as radar evaluation before and after the programs. Throwing arm humerothoracic and antecubital angles as well as pelvic angles in the frontal view were measured at the time of front (directional) leg heel/toe down (late cocking) for each of 3 pitches. Glove-side humerothoracic angles and back leg minimum popliteal angles were measured from behind for each of 3 additional pitches. Velocity was measured using a radar gun. All angular measurements were performed by a physical therapist blinded to the purposes of the program and study as well as to video chronology.Results:Throwing arm antecubital angle (P = .01) and humerothoracic angle (P = .03) as well as back leg minimum popliteal angle (P = .03) all decreased, with mean decreases of 35°, 10°, and 8°, respectively. Velocity increased with decreased back leg popliteal angles (P = .019); mean velocity increased 2.6 mph (P = .016).Conclusion:Young baseball throwers can quickly retrain their bodies to accomplish different movement patterns.Clinical Relevance:This novel throwing program may have implications for injury prevention and treatment as we identify better baseball-throwing movement patterns.

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“…Seit das Problem der hohen Präva-lenz von schweren Knieverletzungen im Handball gegen Ende der 1990er Jahre international bekannt wurde [49,68], haben sich viele Studien mit der Analyse extrinsischer und intrinischer Risikofaktoren beschäf-tigt [4,5,13,23,28,[46][47][48]51,53,54,58,59,71,[84][85][86][87][88] (Tab. 1; Abb.…”

Section: Risikofaktorenunclassified

Knieverletzungen im Handball

Seil

Nührenbörger

Lion

et al. 2016

Sports Orthopaedics and Traumatology Sport-Orthopädie - Sport-T

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Effects of evidence-based prevention training on neuromuscular and biomechanical risk factors for ACL injury in adolescent female athletes: a randomised controlled trial

Abstract: A 12-week injury prevention programme in addition to training and match play in adolescent females altered the pattern of agonist-antagonist muscle preactivity during side cutting. This may represent a more ACL-protective motor strategy.

Cited by 99 publications

References 29 publications

Anterior cruciate ligament injury/reinjury in alpine ski racing: a narrative review

Anterior cruciate ligament injury/reinjury in alpine ski racing: a narrative review

Changing Body Movement Patterns in 9-Year-Old Baseball Pitchers: A Pilot Study

Knieverletzungen im Handball

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