Prevention of Knee and Anterior Cruciate Ligament Injuries Through the Use of Neuromuscular and Proprioceptive Training: An Evidence-Based Review

Dargo, Lucas; Robinson, Kelsey; Games, Kenneth E.

doi:10.4085/1062-6050-52.12.21

Cited by 45 publications

(33 citation statements)

References 8 publications

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“…Although sound experimental evaluations in military populations are lacking, our findings are in alignment with the previously described beneficial relationship between proprioceptive—and tissue strengthening resistance exercises and lowering the risk of MSIs . Because etiological factors of MSIs in military populations suggested in the literature include low body mass, low fitness, and previous injuries, we hypothesize that the beneficial effects of resistance—and neuromuscular training programs on MSIs are mediated by an increase in physical fitness, load capacity, coordination, power endurance, and proprioception . In sports science, there is evidence that neuromuscular training programs (ie, proprioceptive, agility, plyometrics) are effective for reducing the risk of (sports) MSIs in general …”

Section: Discussionsupporting

confidence: 87%

“…52 Because etiological factors of MSIs in military populations suggested in the literature include low body mass, low fitness, and previous injuries, 4,11 we hypothesize that the beneficial effects of resistance-and neuromuscular training programs on MSIs are mediated by an increase in physical fitness, load capacity, coordination, power endurance, and proprioception. 52,53 In sports science, there is evidence that neuromuscular training programs (ie, proprioceptive, agility, plyometrics) are effective for reducing the risk of (sports) MSIs in general. 23,54 It is worth mentioning that exercise programs designed to reduce the risk of particular MSIs-MTSS, 37 AKP 55 -seem promising in reducing injury risk in military personnel.…”

Section: Discussionmentioning

confidence: 99%

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Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Dijksma

Arslan

Etten-Jamaludin

et al. 2020

PM&R

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Objective: To evaluate the effect of exercise programs on reduction of musculoskeletal injury (MSI) risk in military populations. Design: Systematic review and meta-analysis. Literature Survey: A database search was conducted in PubMed/MEDLINE, EMBASE, Cochrane Library, CINAHL, SPORTdiscus, WHO International Clinical Trials Registry Platform Search Portal, Open Gray, National Technical Reports Library, and reference lists of included articles up to July 2019. Randomized and cluster-randomized controlled trials evaluating exercise programs as preventive interventions for MSIs in armed forces compared to other exercise programs or to usual practice were eligible for inclusion. Methodology: Two authors independently assessed risk of bias and extracted data. Data were adjusted for clustering if necessary and pooled using the random-effects model when appropriate. Synthesis: We included 15 trials in this review, with a total number of 14 370 participants. None of the included trials appeared to be free of any risk of bias. Meta-analysis and Grading of Recommendations, Assessment, Development and Evaluations (GRADE) assessment could be performed for static stretching compared to no stretching (3532 participants), showing low quality of evidence indicating no favorable effect of stretching. Gait retraining, an anterior knee-pain targeted program, and resistance exercises showed cautious favorable effects on reducing injury risk in military personnel. Conclusion: The current evidence base for exercise-based MSI prevention strategies in the military is of low quality. Areas worthy of further exploration include the effects of gait retraining, anterior knee-pain targeted programs, agility training, and resistance training programs, on medial tibial stress syndrome incidence, anterior knee pain incidence, attrition due to injuries and any type of MSI, respectively.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Dijksma

Arslan

Etten-Jamaludin

et al. 2020

PM&R

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“…Instead, strategies focused on neuromuscular exercise, proprioception and strength training, could be more effective. These strategies have been shown to be successful in lower limb injury prevention 40,41 . However, to our knowledge, injury prevention strategies for the hand have not yet been developed or evaluated.…”

Section: Discussionmentioning

confidence: 99%

Cricket related hand injury is associated with increased odds of hand pain and osteoarthritis

Shah

Furniss

Collins

et al. 2020

Sci Rep

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Radiographic osteoarthritis (OA) is most prevalent in the hand. The association of hand injury with pain or OA is unclear. The objective was to describe the relationship between hand injury and ipsilateral pain and OA in cricketers. Data from former and current cricketers aged ≥ 30 years was used. Data included history of cricket-related hand/finger injury leading to > 4 weeks of reduced exercise, hand/finger joint pain on most days of the last month, self-reported history of physician-diagnosed hand/finger OA. Logistic regression assessed the relationship between injury with hand pain (in former cricketers) and with OA (in all cricketers), adjusted for age, seasons played, playing standard. Of 1893 participants (844 former cricketers), 16.9% reported hand pain, 4.3% reported OA. A history of hand injury increased the odds of hand pain (OR (95% CI) 2.2, 1.4 to 3.6). A history of hand injury also had increased odds of hand OA (3.1, 2.1 to 4.7). Cricket-related hand injury was related to an increased odds of hand pain and OA. This highlights the importance of hand injury prevention strategies within cricket. The high prevalence of hand pain is concerning, and further research is needed to determine the impacts of hand pain.

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“…Certain dance figures seem to be related to specific types of injuries. It is known that neuromuscular exercise programs are applied to prevent knee injuries in professional athletes [30][31][32][33]. Likewise, it is important to inform the…”

Section: Discussionmentioning

confidence: 99%

Traumatic knee injury patterns in Anatolian folk dancers: a case series and literature review

Aksu¹,

Akgonul²,

Aksu³

et al. 2019

Int J Occup Med Environ Health

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Lower extremities, especially the knee region, are susceptible to traumatic injuries because of long-lasting hard landings and impacts. Most of the injuries described in the literature are associated with ballet. In this review study, the authors tried to present the traumatic knee injury patterns of the Anatolian folk dance. The Fire of Anatolia dance group consists of 82 dancers (37 males [45.1%] and 45 females [54.9%]) with the mean age of 27.96 (SD = 5.05) years (range: 18-38 years). The major folk dances of the region are Zeybek, Halay, Horon, Teke, Roman, Karsilama, Bar and Lezginka ("the Caucasian"). The dancers suffered from 9 orthopedic injuries requiring surgical treatment (3 meniscus tears, 4 anterior cruciate ligament tears, 1 posterior cruciate ligament tear, 1 patellar dislocation) during a 10-year period. The authors investigated solely the traumatic injuries of these folk dance styles and aimed at revealing the traumatic knee injury patterns in this case series and literature review. On the one hand, the Anatolian folk dancers experienced meniscus tears following frequent squats and twists on single leg stances, typical of Horon and Zeybek. On the other hand, anterior cruciate tears happened after jumps and landings in the Caucasian (Lezginka jump) dance. A posterior cruciate ligament tear was also seen after the Caucasian dance landing. The split figure in the Karsilama dance ended up with patellar dislocation. Certain dance figures seem to be related to specific types of injuries.

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Prevention of Knee and Anterior Cruciate Ligament Injuries Through the Use of Neuromuscular and Proprioceptive Training: An Evidence-Based Review

Abstract: Neuromuscular and proprioceptive training appeared to decrease the incidence of injury to the knee and specifically the ACL. However, no evidence suggested that a specific group of exercises was better than others.

Cited by 45 publications

References 8 publications

Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Cricket related hand injury is associated with increased odds of hand pain and osteoarthritis

Traumatic knee injury patterns in Anatolian folk dancers: a case series and literature review

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