Training for Prevention of ACL Injury

Herrington, Lee; Comfort, Paul

doi:10.1519/ssc.0000000000000013

Cited by 13 publications

(4 citation statements)

References 25 publications

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“…Holding weighted implements such as a dumbbell or medicine ball while performing the hop movements will create a greater proprioceptive test and will require greater core activation to stabilize the trunk (Figure 5C). Additional use of resistance bands or a pully system may also be used to add perturbation (Figure 5A and 5B) to the movement and has been recommended for ACL intervention programs (55). Further proprioceptive challenge might be achieved through providing distraction during the hopping movement by catching objects in flight and may create larger variability when landing which can enhance learning (101).…”

Section: Developing An Interventionmentioning

confidence: 99%

Deconstructing Cutting: An Evidence-Based Coaching Framework to Reduce Anterior Cruciate Ligament Injury Risk

Davies¹,

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2022

Strength &Amp; Conditioning Journal

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Few evidence-based guides exist to support coaches in delivering technical elements of cutting that may reduce the risk of anterior cruciate ligament (ACL) rupture. In isolation, balance exercises, jump landing, cutting movements, as well as modifying the penultimate step, may alter biomechanics favorably during this maneuver. By breaking this serial skill into its constituent parts, the coach is afforded an opportunity to observe trainable deficits, and allows the player more opportunity for practice. In addition, factors such as specificity to the direction of load during landings, alongside building capacity, and using externally focused cues may be crucial for adaptation and transference into open sporting scenarios.

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Section: Developing An Interventionmentioning

confidence: 99%

Deconstructing Cutting: An Evidence-Based Coaching Framework to Reduce Anterior Cruciate Ligament Injury Risk

Davies¹,

Read

2022

Strength &Amp; Conditioning Journal

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“…This can be used to inform and help develop individualised training programmes to modify the specific deficits and mitigate potential ACL injury risk [59,60,140]. Readers are encouraged to read specific reviews regarding training strategies to mitigate non-contact ACL injury [45,46,48,141,142]; thus, a brief overview is presented in the CMAS training recommendations decision tree (Figure 9).…”

Section: Practical Applications: Interpreting Cmas Score and The Cmas Training Recommendations Decision Treementioning

confidence: 99%

“…Figure 9. CMAS training recommendations decision tree adapted from previous research[45,46,48,141,142].…”

mentioning

confidence: 99%

The Cutting Movement Assessment Score (CMAS) Qualitative Screening Tool: Application to Mitigate Anterior Cruciate Ligament Injury Risk during Cutting

et al. 2021

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Side-step cutting is an action associated with non-contact anterior cruciate ligament (ACL) injury with a plethora of negative economical, health, and psychological implications. Although ACL injury risk factors are multifactorial, biomechanical and neuromuscular deficits which contribute to “high-risk” and aberrant movement patterns are linked to ACL injury risk due to increasing knee joint loads and potential ACL loading. Importantly, biomechanical and neuromuscular deficits are modifiable; thus, being able to profile and classify athletes as potentially “high-risk” of injury is a crucial process in ACL injury mitigation. The Cutting Movement Assessment Score (CMAS) is a recently validated field-based qualitative screening tool to identify athletes that display high-risk postures associated with increased non-contact ACL injury risk during side-step cutting. This article provides practitioners with a comprehensive and detailed overview regarding the rationale and implementation of the CMAS. Additionally, this review provides guidance on CMAS methodological procedures, CMAS operational definitions, and training recommendations to assist in the development of more effective non-contact ACL injury risk mitigation programmes.

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“…Additionally, compensatory strategies have been demonstrated in jump landings following injury [25,26]. The neuromuscular control associated with this form of dysfunctional, maladaptive movement pattern has been suggested as a potentially modifiable risk factor [27]. The utilization of unilateral tasks further enhances the assessment through the identification of limb asymmetry when compared to bilateral assessments [15,16,18].…”

Section: Introductionmentioning

confidence: 99%

Inter-Segmental Coordination during a Unilateral 180° Jump in Elite Rugby Players: Implications for Prospective Identification of Injuries

et al. 2020

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Musculoskeletal injuries often occur during the execution of dynamic sporting tasks that involve rotation. The prescription of appropriate prevention strategies of musculoskeletal injury relies on assessments to identify risk, but current assessment tools focus on uniplanar movements. The purpose of this paper is to demonstrate the utility of the unilateral 180° jump as a potential assessment tool for injury risk in the lower body by (1) providing descriptive kinematics of the knee, thigh, and pelvis (2) conducting inter-segmental coordination analysis, and (3) comparing the knee kinematics between the dominant and non-dominant limb (NDL) during the loading (LOP) and landing phase (LAP). Elite rugby players completed one session, performing five 180° unilateral jumps on each limb while collecting kinematic data. Independent t-tests were used to compare peak angles of DL and NDL. Continuous Relative Phase (CRP) plots were constructed for thorax and pelvis in the transverse plane. At the loading phase, the non-dominant limb had greater peak knee abduction (ABD) (p = 0.01). At the landing phase, the dominant limb had greater peak knee adduction (ADD) (p = 0.05). At the landing phase, the non-dominant limb had greater peak knee ABD (p = 0.01). CRP plots indicate participants can utilize a thorax-led, pelvis-led, or synchronized rotational method. Bilateral asymmetries were observed, indicated by significant differences in the bilateral landing phase peak ADD/ABD, which is of particular interest considering all participants were healthy. Therefore, additional research is needed to determine thresholds for injury risk during rotational tasks.

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Training for Prevention of ACL Injury

Cited by 13 publications

References 25 publications

Deconstructing Cutting: An Evidence-Based Coaching Framework to Reduce Anterior Cruciate Ligament Injury Risk

Deconstructing Cutting: An Evidence-Based Coaching Framework to Reduce Anterior Cruciate Ligament Injury Risk

The Cutting Movement Assessment Score (CMAS) Qualitative Screening Tool: Application to Mitigate Anterior Cruciate Ligament Injury Risk during Cutting

Inter-Segmental Coordination during a Unilateral 180° Jump in Elite Rugby Players: Implications for Prospective Identification of Injuries

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