Osteoarthritis action alliance consensus opinion - best practice features of anterior cruciate ligament and lower limb injury prevention programs

Trojian, Thomas H.; Driban, Jeffrey B.; Nuti, Rathna; DiStefano, Lindsay J.; Root, Hayley J.; Nistler, Cristina; LaBella, Cynthia R.

doi:10.5312/wjo.v8.i9.726

Cited by 9 publications

(5 citation statements)

References 61 publications

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“…However, they do not need to be overly time-intensive and can be integrated into a pre-existing warm-up or conditioning routine 4. Several injury and athletic organisations, including the National Athletic Trainers’ Association, the Academy of Orthopaedic Physical Therapy, the American Academy of Sports Physical Therapy, the Osteoarthritis Action Alliance, the American College of Sports Medicine and the International Olympic Committee, support and offer guidance on the use of injury prevention programmes to prevent knee injuries 4 19–22…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to the adoption and implementation of evidence-based injury prevention training programmes: a narrative review

Minnig

Hawkinson

Root

et al. 2022

BMJ Open Sport Exerc Med

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While there is a multitude of evidence supporting the efficacy of injury prevention training programmes, the literature investigating the implementation of these programmes is, in contrast, rather limited. This narrative review sought to describe the commonly reported barriers and facilitators of the implementation of injury prevention training programmes among athletes in organised sport. We also aimed to identify necessary steps to promote the uptake and sustainable use of these programmes in non-elite athletic communities. We identified 24 publications that discussed implementing evidence-based injury prevention training programmes. Frequently reported barriers to implementation include the perceived time and financial cost of the programme, coaches lacking confidence in their ability to implement it, and the programme including exercises that were difficult or confusing to follow. Frequently reported facilitators to implementation include the coach being aware of programme efficacy, shared motivation to complete the programme from both coaches and athletes, and the ability to easily integrate the programme into practice schedules. The current literature is focused on high-income, high-resource settings. We recommend that future studies focus on understanding the best practices of programme dissemination in culturally and economically diverse regions. Programmes ought to be of no financial burden to the user, be simply adaptable to different sports and individual athletes and be available for use in easily accessible forms, such as in a mobile smartphone application.

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Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to the adoption and implementation of evidence-based injury prevention training programmes: a narrative review

Minnig

Hawkinson

Root

et al. 2022

BMJ Open Sport Exerc Med

Self Cite

View full text Add to dashboard Cite

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“…Although these improvements were not different than those from a warmup of the coaches' choosing, PTP use at this young age may be critical for building buy-in and acceptance of these types of warmup strategies given that the benefits of PTPs in adolescence for reducing injury risk are clearly established. [27][28][29] Coaches represent the best option for consistent, longterm use of PTPs, particularly at the youth level; however, high program complexity can be a barrier to implementation, 30 and coaches have reported that knowing how to give adequate feedback to athletes on injury-prevention techniques is a challenge. 31 Motor learning can be affected by the type of feedback provided, which can differ based on the focus of attention (eg, internal or external) and complexity.…”

Section: Discussionmentioning

confidence: 99%

Preventive Training Program Feedback Complexity, Movement Control, and Performance in Youth Athletes

Root

Beltz

Burland

et al. 2022

Journal of Athletic Training

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Context Preventive training programs (PTPs) reduce injury risk by improving movement control. Corrective feedback is important; however, many cues at once may be too complicated for athletes. Objective To compare movement control and long-jump (LJ) changes in youth athletes participating in a season-long PTP, with simplified feedback, traditional feedback, or a warmup of the coaches' choosing. Design Cluster-randomized controlled trial. Setting Soccer fields. Patients or Other Participants A total of 420 athletes (simplified feedback = 173, traditional feedback = 118, and control = 129; age = 11 ± 3 years). Intervention(s) Teams were randomized into the simplified PTP, traditional PTP, or control group. Simplified and traditional PTPs lasted 10 to 12 minutes and used the same exercises. The simplified PTP provided only sagittal-plane feedback (eg, “get low”), and the traditional PTP provided feedback targeting all motion planes (eg, “don't let your knees cave inward”). Research assistants administered the PTP warmups 2 to 3 times/week for the season. Control team coaches chose and ran their own warmup strategies. Main Outcome Measure(s) Participants completed 4 sessions (preseason [PRE], postseason [POST] at approximately 8 weeks after PRE, retention 1 [R1] at 6 weeks postseason, and retention 2 [R2] at 12 weeks postseason). They performed 3 trials of a jump-landing task, which was evaluated using the Landing Error Scoring System (LESS) and 2 recorded standing LJ trials at each test session. A time series panel was used to evaluate group differences across time points for the LESS and LJ. Results Change score analyses revealed improvements in the LESS score from PRE to POST for all groups. Improvements from PRE were retained at R1 and R2 for the intervention groups (simplified and traditional). The traditional group demonstrated better LJ performance at POST (P < .001) and R1 (P = .049) than the simplified or control group. Conclusions Simplified cues were as effective as traditional cues in improving LESS scores from PRE to POST season. Participating in PTPs, regardless of their complexity, likely provides movement benefits.

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“…From a public health perspective, there is a need to identify strategies to help mitigate the increased risk for radiographic knee OA in individuals engaged in heavy manual work. These may include strengthening exercises, injury prevention programmes, controlling ergonomic hazards, knee braces or weight loss 27–31. Future large prospective studies of people in high occupational work-related physical activity levels to evaluate for specific work-related tasks could be used to develop and refine preventative measures.…”

Section: Discussionmentioning

confidence: 99%

Increased risk of incident knee osteoarthritis in those with greater work-related physical activity

Richard

McAlindon

et al. 2022

Occup Environ Med

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ObjectiveOccupations involving greater physical activity may increase risk for knee osteoarthritis (OA). Existing studies have not evaluated work-related physical activity before OA onset. Hence, we aimed to evaluate the association between work-related physical activity and knee OA incidence.MethodsWe performed a person-based longitudinal study using Osteoarthritis Initiative (OAI) data among people who volunteered or worked for pay without baseline radiographic knee OA or knee pain. Bilateral knee radiographs were obtained at baseline and annual follow-ups. We defined radiographic OA as Kellgren-Lawrence grade ≥2. Questions from the Physical Activity Scale for the Elderly at baseline and annual OAI visits provided information about work-related physical activity level and hours. We performed logistic regression with work-related physical activity level (mainly sitting, standing and some walking, walking while handling some materials) and hours as predictors. The outcome was incident person-based radiographic OA within the ensuing 12 months, over 48 months.ResultsAmong 951 participants (2819 observations), higher work-related physical activity levels had greater adjusted ORs for incident radiographic OA (people with jobs with standing and some walking: 1.11 (0.60–2.08), and walking while handling some materials: 1.90 (1.03–3.52), when compared with those with mainly sitting work-related activity). There was no association between number of hours worked and incident radiographic OA.ConclusionsPeople performing work that require walking while handling some materials have greater odds of incident knee OA than those with jobs mostly involving sitting. Strategies are needed to mitigate risk factors predisposing them to radiographic OA.

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Osteoarthritis action alliance consensus opinion - best practice features of anterior cruciate ligament and lower limb injury prevention programs

Cited by 9 publications

References 61 publications

Barriers and facilitators to the adoption and implementation of evidence-based injury prevention training programmes: a narrative review

Barriers and facilitators to the adoption and implementation of evidence-based injury prevention training programmes: a narrative review

Preventive Training Program Feedback Complexity, Movement Control, and Performance in Youth Athletes

Increased risk of incident knee osteoarthritis in those with greater work-related physical activity

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