Neuromuscular Training for Sports Injury Prevention

Hübscher, Markus; Zech, Astrid; Pfeifer, Klaus; Hänsel, Frank; Vogt, Lutz; Banzer, Winfried

doi:10.1249/mss.0b013e3181b88d37

Cited by 318 publications

(270 citation statements)

References 53 publications

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“…Balance training has commonly been used to improve performance and prevent injury in an active population. 32 Training focuses on heightening the sensorimotor system for more efficient automatic muscular responses to maintain postural control.…”

Section: Discussionmentioning

confidence: 99%

Normative Data for the NeuroCom Sensory Organization Test in US Military Special Operations Forces

Pletcher

Williams

Abt

et al. 2017

Journal of Athletic Training

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Context: Postural stability is the ability to control the center of mass in relation to a person's base of support and can be affected by both musculoskeletal injury and traumatic brain injury. The NeuroCom Sensory Organization Test (SOT) can be used to objectively quantify impairments to postural stability. The ability of postural stability to predict injury and be used as an acute injury-evaluation tool makes it essential to the screening and rehabilitation process. To our knowledge, no published normative data for the SOT from a healthy, highly active population are available for use as a reference for clinical decision making. Objective: To present a normative database of SOT scores from a US Military Special Operations population that can be used for future comparison. Design: Cross-sectional study. Setting: Human performance research laboratory. Patients or Other Participants: A total of 542 active military operators from Naval Special Warfare Combatant-Craft Crewmen (n = 149), Naval Special Warfare Command, Sea, Air, and Land (n = 101), US Army Special Operations Command (n = 171), and Air Force Special Operations Command (n = 121). Main Outcome Measure(s): Participants performed each of the 6 SOT conditions 3 times. Scores for each condition, total equilibrium composite score, and ratio scores for the somatosensory, visual, and vestibular systems were recorded. Results: Differences were present across all groups for SOT conditions 1 (P < .001), 2 (P = .001), 4 (P > .001), 5 (P > .001), and 6 (P = .001) and total equilibrium composite (P = .000), visual (P > .001), vestibular (P = .002), and preference (P > .001) NeuroCom scores. Conclusions: Statistical differences were evident in the distribution of postural stability across US Special Operations Forces personnel. This normative database for postural stability, as assessed by the NeuroCom SOT, can provide context when clinicians assess a Special Operations Forces population or any other groups that maintain a high level of conditioning and training.

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Section: Discussionmentioning

confidence: 99%

Normative Data for the NeuroCom Sensory Organization Test in US Military Special Operations Forces

Pletcher

Williams

Abt

et al. 2017

Journal of Athletic Training

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“…54,63 The NNT analysis performed in these controlled trials revealed that 7 to 9 players needed to be treated with an injury-prevention program to prevent 1 ankle injury. A systematic review by Hubscher et al 167 suggested a similar reduction in risk (36%) of ankle sprains using comparable neuromuscular-control training regimens. The interventions in these studies included single-legged-stance balance training, balance training with additional perturbation, balance training with upper extremity movements or tasks, and dynamic jumping activities with a balance component.…”

Section: Prevention Of Lateral Ankle Sprains: Prophylactic Exercisementioning

confidence: 96%

National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

Kaminski

Hertel

Amendola

et al. 2013

Journal of Athletic Training

212

233

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Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes.Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short-and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented.Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available.

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“…Systematic reviews suggest that randomised trials of strength and balance exercise (proprioceptive or neuromuscular training) programmes can reduce rates of lower extremity injuries overall, acute knee injuries, and ankle sprain. 42 The academic specialty of sports injury epidemiology, prevention, and health economics is one that is emerging in this century.…”

Section: Injury Risk In Sportmentioning

confidence: 99%