Sustained Improvements in Dynamic Balance and Landing Mechanics After a 6-Week Neuromuscular Training Program in College Women’s Basketball Players

2016 ◽  
Vol 25 (3) ◽  
pp. 233-240 ◽  
Author(s):  
Kate R. Pfile ◽  
Phillip A. Gribble ◽  
Gretchen E. Buskirk ◽  
Sara M. Meserth ◽  
Brian G. Pietrosimone
Keyword(s):  
Lower Extremity ◽  
Injury Prevention ◽  
Outcome Measures ◽  
Dynamic Balance ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Basketball Players ◽  
Landing Mechanics ◽  
Women's Basketball ◽  
Over Time

Context:Epidemiological data demonstrate the need for lower-extremity injury-prevention training. Neuromuscularcontrol (NMC) programs are immediately effective at minimizing lower-extremity injury risk and improving sport-related performance measures. Research investigating lasting effects after an injury-prevention program is limited.Objective:To determine whether dynamic balance, landing mechanics, and hamstring and quadriceps strength could be improved after a 6-wk NMC intervention and maintained for a season.Design:Prospective case series.Setting:Controlled laboratory.Participants:11 Division I women’s basketball players (age 19.40 ± 1.35 y, height 178.05 ± 7.52 cm, mass 72.86 ± 10.70 kg).Interventions:Subjects underwent testing 3 times, completing the Star Excursion Balance Test (SEBT), Landing Error Scoring System (LESS), and isometric strength testing for the hamstrings and quadriceps muscles. Pretest and posttest 1 occurred immediately before and after the intervention, respectively, and posttest 2 at the end of the competitive season, 9 mo after posttest 1. Subjects participated in eighteen 30-min plyometric and NMC-training sessions over a 6-wk period.Main Outcome Measures:The normalized SEBT composite score, normalized peak isometric hamstrings:quadriceps (H:Q) ratio, and the LESS total score.Results:The mean composite reach significantly improved over time (F2,10 = 6.96, P = .005) where both posttest scores were significantly higher than pretest (70.41% ± 4.08%) (posttest 1 73.48% ± 4.19%, t10 = –3.11, P = .011) and posttest 2 (74.2% ± 4.77%, t10 = –3.78, P = .004). LESS scores significantly improved over time (F2,10 = 6.29, P = .009). The pretest LESS score (7.30 ± 3.40) was higher than posttest 1 (4.9 ± 1.20, t10 = 2.71, P = .024) and posttest 2 (5.44 ± 1.83, t10 = 2.58, P = .030). There were no statistically significant differences (P > .05) over time for the H:Q ratio when averaging both legs (F2,10 = 0.83, P = .45).Conclusions:A 6-wk NMC program improved landing mechanics and dynamic balance over a 9-mo period in women’s basketball players. NMC adaptations can be retained without an in-season maintenance program.

scholarly journals Dynamic Balance Performance and Noncontact Lower Extremity Injury in College Football Players

2013 ◽  
Vol 5 (5) ◽  
pp. 417-422 ◽  
Author(s):  
Robert J. Butler ◽  
Michael E. Lehr ◽  
Michael L. Fink ◽  
Kyle B. Kiesel ◽  
Phillip J. Plisky
Keyword(s):  
Lower Extremity ◽  
Dynamic Balance ◽  
College Football ◽  
Lower Extremity Injury ◽  
Football Players ◽  
Extremity Injury ◽  
Balance Performance

scholarly journals The Effectiveness of Neuromuscular Warmups for Lower Extremity Injury Prevention in Basketball: A Systematic Review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Anna C. Davis ◽  
Nicholas P. Emptage ◽  
Dana Pounds ◽  
Donna Woo ◽  
Robert Sallis ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Lower Extremity Injury ◽  
Controlled Trials ◽  
Extremity Injury ◽  
Basketball Players ◽  
Lower Extremity Injuries ◽  
Randomized Controlled ◽  
Extremity Injuries ◽  
Study Designs ◽  
Multicomponent Interventions

Abstract Background Neuromuscular warmups have gained increasing attention as a means of preventing sports-related injuries, but data on effectiveness in basketball are sparse. The objective of this systematic review was to evaluate evidence of the effectiveness of neuromuscular warmup-based strategies for preventing lower extremity injuries among basketball athletes. Methods PubMed and Cochrane Library databases were searched in February 2019. Studies were included if they were English-language randomized controlled, non-randomized comparative, or prospective cohort trials, tested neuromuscular and/or balance-focused warmup interventions among basketball players, and assessed at least one type of lower extremity injury as a primary outcome. Criteria developed by the USPSTF were used to appraise study quality, and GRADE was used to appraise the body of evidence for each outcome. Due to heterogeneity in the included studies, meta-analyses could not be performed. Results In total, 825 titles and abstracts were identified. Of the 13 studies which met inclusion criteria for this review, five were balance interventions (3 randomized controlled trials) and eight were multicomponent interventions involving multiple categories of dynamic neuromuscular warmup (5 randomized controlled trials). Authors of four of the studies were contacted to obtain outcome data specific to basketball athletes. Basketball specific results from the studies suggest significant protective effects for the following lower extremity injuries: ankle injuries (significant in 4 out of the 9 studies that assessed this outcome); ACL injuries (2 of 4 studies); knee injuries generally (1 of 5 studies); and overall lower extremity injuries (5 of 7 studies). All but one of the non-significant results were directionally favorable. Evidence was moderate for the effect of multicomponent interventions on lower extremity injuries generally. For all other outcomes, and for balance-based interventions, the quality of evidence was rated as low. Conclusion Overall, the evidence is supportive of neuromuscular warmups for lower extremity injury prevention among basketball players. However, most studies are underpowered, some used lower-quality research study designs, and outcome and exposure definitions varied. Due to the nature of the study designs, effects could not be attributed to specific intervention components. More research is needed to identify the most effective bundle of warmup activities.

Preliminary Findings of Lower Extremity Injury Risk Categorization Through Lumbopelvic-Hip Endurance Screening of High School Basketball Players

2019 ◽  
Vol 12 (3) ◽  
pp. 127-134
Author(s):  
Hillary A. Plummer ◽  
Gary B. Wilkerson ◽  
Jeremy R. Bruce ◽  
Richard J. Lamour ◽  
Roger V. Ostrander
Keyword(s):  
High School ◽  
Lower Extremity ◽  
Injury Risk ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Basketball Players ◽  
Risk Categorization

scholarly journals Effectiveness of multicomponent lower extremity injury prevention programmes in team-sport athletes: an umbrella review

2018 ◽  
Vol 53 (5) ◽  
pp. 282-288 ◽  
Author(s):  
Romana Brunner ◽  
Bernd Friesenbichler ◽  
Nicola C Casartelli ◽  
Mario Bizzini ◽  
Nicola A Maffiuletti ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Injury Prevention ◽  
Systematic Reviews ◽  
Team Sport ◽  
Ankle Injuries ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Umbrella Review ◽  
Prevention Programmes

ObjectiveTo identify which exercise combinations are most effective as part of a lower extremity injury prevention programme for team-sport athletes.DesignUmbrella review.Data sourcesA comprehensive literature search was performed in PubMed, Scopus, Cochrane Library and PEDro databases. Studies published between January 2000 and March 2017 were included in this umbrella review.Study eligibility criteriaModerate to high-quality systematic reviews that investigated the effectiveness of a combination of two or more exercise components, that is, strength, agility, plyometrics, balance, stretching, technique, warm-up and functional activity, regarding injury incidence/rate of lower extremity injuries in team-sport athletes. The methodological quality of the included systematic reviews was independently assessed by two reviewers using the Assessing the Methodological Quality of Systematic Reviews measurement tool and the Grading of Recommendations Assessment, Development and Evaluation guidelines were used to assess the overall quality of evidence for particular outcomes.ResultsTwenty-four systematic reviews met the inclusion criteria. Multicomponent exercise interventions were effective in reducing the injury incidence/rate of lower extremity, knee, ACL and ankle injuries, but not groin injuries. Strength and balance exercise components were included in 10 of 11 effective injury prevention programmes for the lower extremity, knee, ACL and ankle injuries.Summary/conclusionLower extremity injury prevention programmes in team sports are effective in preventing lower extremity, knee, ACL and ankle injuries. Lower extremity muscle strength and balance exercises should be prioritised in lower extremity injury prevention programmes for team-sport athletes.

scholarly journals Using the Star Excursion Balance Test to Assess Dynamic Postural-Control Deficits and Outcomes in Lower Extremity Injury: A Literature and Systematic Review

2012 ◽  
Vol 47 (3) ◽  
pp. 339-357 ◽  
Author(s):  
Phillip A. Gribble ◽  
Jay Hertel ◽  
Phil Plisky
Keyword(s):  
Lower Extremity ◽  
Postural Control ◽  
Exercise Intervention ◽  
Dynamic Balance ◽  
Lower Extremity Injury ◽  
Measurement Tool ◽  
Original Research ◽  
Extremity Injury ◽  
Balance Test ◽  
Star Excursion Balance Test

Context: A dynamic postural-control task that has gained notoriety in the clinical and research settings is the Star Excursion Balance Test (SEBT). Researchers have suggested that, with appropriate instruction and practice by the individual and normalization of the reaching distances, the SEBT can be used to provide objective measures to differentiate deficits and improvements in dynamic postural-control related to lower extremity injury and induced fatigue, and it has the potential to predict lower extremity injury. However, no one has reviewed this body of literature to determine the usefulness of the SEBT in clinical applications. Objective: To provide a narrative review of the SEBT and its implementation and the known contributions to task performance and to systematically review the associated literature to address the SEBT's usefulness as a clinical tool for the quantification of dynamic postural-control deficits from lower extremity impairment. Data Sources: Databases used to locate peer-reviewed articles published from 1980 and 2010 included Derwent Innovations Index, BIOSIS Previews, Journal Citation Reports, and MEDLINE. Study Selection: The criteria for article selection were (1) The study was original research. (2) The study was written in English. (3) The SEBT was used as a measurement tool. Data Extraction: Specific data extracted from the articles included the ability of the SEBT to differentiate pathologic conditions of the lower extremity, the effects of external influences and interventions, and outcomes from exercise intervention and to predict lower extremity injury. Data Synthesis: More than a decade of research findings has established a comprehensive portfolio of validity for the SEBT, and it should be considered a highly representative, noninstrumented dynamic balance test for physically active individuals. The SEBT has been shown to be a reliable measure and has validity as a dynamic test to predict risk of lower extremity injury, to identify dynamic balance deficits in patients with a variety of lower extremity conditions, and to be responsive to training programs in both healthy people and people with injuries to the lower extremity. Clinicians and researchers should be confident in employing the SEBT as a lower extremity functional test.

Retention of Movement Pattern Changes After a Lower Extremity Injury Prevention Program Is Affected by Program Duration

2011 ◽  
Vol 40 (2) ◽  
pp. 300-306 ◽  
Author(s):  
Darin A. Padua ◽  
Lindsay J. DiStefano ◽  
Stephen W. Marshall ◽  
Anthony I. Beutler ◽  
Sarah J. de la Motte ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Injury Prevention ◽  
Prevention Program ◽  
Movement Pattern ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Injury Prevention Program

scholarly journals The Effectiveness Of Warmup Programs For Lower Extremity Injury Prevention In Basketball: A Systematic Review

2020 ◽  
Vol 52 (7S) ◽  
pp. 977-977
Author(s):  
Anna C. Davis ◽  
Nicholas Emptage ◽  
Robert Sallis ◽  
Manuel G. Romero ◽  
Donna Woo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Injury Prevention ◽  
Lower Extremity Injury ◽  
Extremity Injury
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