EFFECT OF AN INTERNALLY VERSUS EXTERNALLY FOCUSED ACL INJURY PREVENTION PROGRAM ON INJURY RISK

PURPOSE: Anterior cruciate ligament (ACL) injuries are the most common in sports and have doubled in the past 20 years. This study aimed to analyze the latest trends and changes in training programs for ACL injury prevention.METHODS: In this study, literature was searched using academic search sites, such as ‘PubMed’, ‘Google Scholar’, and ‘Wiley Online Library’. The literature published between 2015 and 2021 was used.RESULTS: Eleven papers were selected based on the literature selection criteria. Five warm-up exercise papers and six ACL injury prevention training program papers emphasized neuromuscular training.CONCLUSIONS: The ACL injury prevention program can be applied in warm-up exercises and training programs. It consists of an exercise form that includes multidimensional components such as plyometrics, muscle strength, balance, and agility. The key to the ACL injury prevention program is to reflect multidimensional components in neuromuscular training and to obtain a significant effect, and it is recommended to participate in regular training for 12-18 sessions and at least 6 months. In addition, it is suggested to utilize the ACL injury prevention program presented in this study until an individual study for ACL injury prevention by sports type is conducted.

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ACL Injury Prevention Program-Recreational Softball

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000562370.14316.20 ◽

2019 ◽

Vol 51 (Supplement) ◽

pp. 625

Author(s):

Doug W. Dendy ◽

Roger C James ◽

Toby J. Brooks

Keyword(s):

Injury Prevention ◽

Prevention Program ◽

Acl Injury ◽

Injury Prevention Program ◽

Acl Injury Prevention

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Effect of Hip-Focused Injury Prevention Training for Anterior Cruciate Ligament Injury Reduction in Female Basketball Players: A 12-Year Prospective Intervention Study

The American Journal of Sports Medicine ◽

10.1177/0363546517749474 ◽

2018 ◽

Vol 46 (4) ◽

pp. 852-861 ◽

Cited By ~ 10

Author(s):

Yorikatsu Omi ◽

Dai Sugimoto ◽

Setsurou Kuriyama ◽

Tomohisa Kurihara ◽

Kenji Miyamoto ◽

...

Keyword(s):

Injury Prevention ◽

Prevention Program ◽

Acl Injury ◽

Injury Incidence ◽

Intervention Period ◽

Basketball Players ◽

Acl Injuries ◽

Injury Prevention Program ◽

Acl Injury Prevention ◽

Observation Period

Background: Programs to prevent anterior cruciate ligament (ACL) injuries in female basketball players are scarce. Also, ACL injury prevention training that focuses on hip joint function has not been reported. Purpose: To determine the effectiveness of a hip-focused ACL injury prevention program in female basketball players. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective intervention study was conducted for 12 years. Incidence rates of ACL injuries were collected in the first 4 years (observation period) from college female basketball players. After the observation period, a hip-focused ACL injury prevention program was implemented for 8 years (intervention period). A total of 309 players (mean ± SD age, 19.6 ± 1.2 years; height, 163.7 ± 5.6 cm; weight, 59.1 ± 5.1 kg; body mass index, 22.0 ± 1.4) were tracked in the observation period and compared with 448 players (age, 19.6 ± 1.1 years; height, 162.6 ± 5.8 cm; weight, 58.0 ± 5.7 kg; body mass index, 21.9 ± 1.5) who participated in the intervention period. Athlete-exposures (AEs), ACL numbers and mechanisms of injury (MOIs), relative risk (RR), absolute risk reduction (ARR), numbers needed to treat (NNT), and compliance were analyzed. Results: There were 16 ACL injuries (13 noncontact MOIs) in the 4-year observation period, whereas 9 ACL injuries (8 noncontact MOIs) were recorded in the 8-year intervention period. The overall ACL injury incidence was 0.25/1000 AEs in the 4-year observation period compared with 0.10/1000 AEs in the 8-year intervention period, respectively. Compared with the 4-year observation period, significant RR reduction was observed (0.38; 95% CI, 0.17-0.87; P = .017) with ARR and NNT of 0.032 (95% CI, 0.027-0.037) and 31.6 (95% CI, 27.1-37.7), respectively, in the 8-year intervention period. The noncontact ACL injury incidence was 0.21 per 1000 AEs during the 4-year observation period compared with 0.08/1000 AEs in the 8-year intervention period, which also showed significant RR reduction (0.37; 95% CI, 0.15-0.92; P = .026), with ARR and NNT of 0.024 (95% CI, 0.020-0.029) and 41.3 (95% CI, 34.6-51.3), respectively. The mean compliance rate during the intervention periods (8 years) was 89%. Conclusion: A hip-focused injury prevention program demonstrated significant reduction in the incidence of ACL injury in female collegiate basketball players.

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High levels of coach intent to integrate a ACL injury prevention program into training does not translate to effective implementation

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2014.06.008 ◽

2015 ◽

Vol 18 (4) ◽

pp. 400-406 ◽

Cited By ~ 36

Author(s):

Barnett S. Frank ◽

Johna Register-Mihalik ◽

Darin A. Padua

Keyword(s):

Injury Prevention ◽

Prevention Program ◽

Acl Injury ◽

Effective Implementation ◽

Injury Prevention Program ◽

Acl Injury Prevention

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TWO YEAR ACL REINJURY RATE OF 2.5%: OUTCOMES REPORT OF THE MEN IN A SECONDARY ACL INJURY PREVENTION PROGRAM (ACL-SPORTS)

International Journal of Sports Physical Therapy ◽

10.26603/ijspt20180422 ◽

2018 ◽

Vol 13 (3) ◽

pp. 422-431 ◽

Cited By ~ 9

Author(s):

Amelia J.H. Arundale ◽

Jacob J. Capin ◽

Ryan Zarzycki ◽

Angela H. Smith ◽

Lynn Snyder-Mackler

Keyword(s):

Injury Prevention ◽

Prevention Program ◽

Acl Injury ◽

Injury Prevention Program ◽

Acl Injury Prevention

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Associations between player age and club soccer coaches’ perceptions of injury risk and lower extremity injury prevention program use

International Journal of Sports Science & Coaching ◽

10.1177/1747954117707480 ◽

2017 ◽

Vol 13 (1) ◽

pp. 122-128 ◽

Cited By ~ 3

Author(s):

Elle A Morgan ◽

Samuel T Johnson ◽

Viktor E Bovbjerg ◽

Marc F Norcross

Keyword(s):

Lower Extremity ◽

Injury Prevention ◽

Prevention Program ◽

Injury Risk ◽

Prevention Programs ◽

Soccer Players ◽

Lower Extremity Injury ◽

Injury Prevention Program ◽

Program Awareness

The use of a lower extremity injury prevention program by female soccer players before the completion of puberty may mitigate movement changes that develop during puberty and contribute to post-pubescent females’ greater anterior cruciate ligament-injury risk. It is unknown whether club soccer coaches are using injury prevention programs with younger athletes and if player age is associated with soccer coaches’ knowledge, attitudes, and behaviors surrounding injury prevention programs. Fifty-four coaches of female soccer teams from Oregon and Washington states (USA) completed a web-based survey. Associations between team age (U9–U14 teams = 57 and U15–U19 teams = 19 teams) and coaches’ (a) attitudes and perceptions; and (b) injury prevention program awareness, adoption, and implementation fidelity were assessed. Coaches of U15–U19 teams perceived injuries to be more of a problem and soccer to present a high risk of injury. Coaches of older teams more strongly agreed that preventive exercises should be performed by their players during training. Injury prevention program awareness among coaches of U15–U19 and U9–U14 age groups was 79% and 60%, respectively. Injury prevention program-aware coaches of U15–U19 teams were more likely to use an injury prevention program than injury prevention program-aware coaches of U9–U14 teams (67% vs. 38%), but they were not more likely to do so with high fidelity (60% vs. 54%). Team age is associated with coaches’ short-term perceptions of injury risk, but not perceptions about the long-term ramifications of injury. Educating coaches about the potential benefits of injury prevention programs for mitigating injury-related maturational changes and the long-term ramifications of lower extremity injuries may facilitate greater use of injury prevention programs by coaches of younger female soccer players.

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