Anterior Cruciate Ligament and Knee Injury Prevention Programs for Soccer Players

Context: A comprehensive systematic review of the literature on the use of augmented information in anterior cruciate ligament (ACL) injury-prevention programs to improve jump-landing technique was conducted. The use of motor-learning concepts could provide more robust means of preventing ACL injuries. Objective: To systematically summarize the effectiveness of augmented information in improving the biomechanical factors associated with an increased risk for ACL injury. Data Sources: Articles were retrieved using the electronic databases of PubMed, MEDLINE, CINAHL, and Google Scholar and 3 lines of truncated search words: (a) lower extremity, knee, ACL, and anterior cruciate ligament; (b) prevention, injury prevention, and prehab; and (c) augmented information, augmented feedback, feedback, cue, and instruction. We also performed a hand search of the reference lists of the screened articles. Data Extraction: We independently assessed the methodologic quality using the Cochrane Group on Screening and Diagnostic Test Methods list. Articles were placed in 1 of 3 augmented-information categories: prescriptive, feedback, or transition. Articles were also categorized based on whether the information likely encouraged an internal or external focus of attention. Data Synthesis: The searches identified a total of 353 studies, of which 18 were included. Most researchers found that augmented information could lead to technique changes to reduce the biomechanical risk factors associated with ACL injury. The average methodologic quality of the studies was 11.8 out of 17, with a range from 8 to 15. The authors of only 7 studies examined retention of the improved techniques. Conclusions: The evidence suggests that augmented information can be used to significantly improve the biomechanical indicators associated with ACL injury and to enhance current ACL injury-prevention programs. Combined prescriptive and feedback information that encouraged both internal and external foci led to the largest retention effect sizes.

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Effects of an anterior cruciate ligament injury prevention program on performance in adolescent female soccer players

Scandinavian Journal of Medicine and Science in Sports ◽

10.1111/j.1600-0838.2009.00963.x ◽

2009 ◽

Vol 20 (3) ◽

pp. 394-402 ◽

Cited By ~ 36

Author(s):

J. D. Vescovi ◽

J. L. VanHeest

Keyword(s):

Anterior Cruciate Ligament ◽

Injury Prevention ◽

Anterior Cruciate Ligament Injury ◽

Prevention Program ◽

Cruciate Ligament ◽

Soccer Players ◽

Ligament Injury ◽

Adolescent Female ◽

Injury Prevention Program ◽

Anterior Cruciate

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The Effectiveness of Injury Prevention Programs to Modify Risk Factors for Non-Contact Anterior Cruciate Ligament and Hamstring Injuries in Uninjured Team Sports Athletes: A Systematic Review

PLoS ONE ◽

10.1371/journal.pone.0155272 ◽

2016 ◽

Vol 11 (5) ◽

pp. e0155272 ◽

Cited By ~ 21

Author(s):

Alireza Monajati ◽

Eneko Larumbe-Zabala ◽

Mark Goss-Sampson ◽

Fernando Naclerio

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Anterior Cruciate Ligament ◽

Injury Prevention ◽

Cruciate Ligament ◽

Team Sports ◽

Prevention Programs ◽

Hamstring Injuries ◽

Anterior Cruciate

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

World Journal of Orthopedics ◽

10.5312/wjo.v8.i9.726 ◽

2017 ◽

Vol 8 (9) ◽

pp. 726 ◽

Cited By ~ 1

Author(s):

Thomas Trojian ◽

Jeffrey Driban ◽

Rathna Nuti ◽

Lindsay Distefano ◽

Hayley Root ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Injury Prevention ◽

Lower Limb ◽

Best Practice ◽

Cruciate Ligament ◽

Prevention Programs ◽

Lower Limb Injury ◽

Limb Injury ◽

Consensus Opinion ◽

Anterior Cruciate

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High Risk of New Knee Injuries in Female Soccer Players After Primary Anterior Cruciate Ligament Reconstruction at 5- to 10-Year Follow-up

The American Journal of Sports Medicine ◽

10.1177/03635465211044458 ◽

2021 ◽

pp. 036354652110444

Author(s):

Anne Fältström ◽

Joanna Kvist ◽

Martin Hägglund

Keyword(s):

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Risk Ratio ◽

Knee Injury ◽

Cruciate Ligament ◽

Knee Injuries ◽

Acl Injury ◽

Soccer Players ◽

Healthy Controls ◽

Anterior Cruciate

Background: A new anterior cruciate ligament (ACL) injury after ACL reconstruction is a feared outcome. Purpose: To study the risk of new knee injuries in female soccer players 5 to 10 years after primary unilateral ACL reconstruction and to compare players who returned to soccer with (1) players who did not return and (2) knee-healthy soccer players (controls). Study Design: Cohort study; Level of evidence, 2. Methods: Demographic, soccer-specific, and surgical data were recorded at baseline for 317 female soccer players (mean ± SD age, 20.1 ± 2.7 years) 1.6 ± 0.7 years after ACL reconstruction and for 119 matched controls (mean age, 19.5 ± 2.5 years). Data on new knee injuries and soccer-playing status were collected 5 to 10 years after ACL reconstruction via a questionnaire. Results: Among players with ACL reconstruction, 222 (70%) responded at a mean 6.5 ± 1.0 years after primary ACL reconstruction. We compared 3 cohorts: (1) among 163 players with ACL reconstruction who returned to soccer, 68 (42%) sustained 44 reruptures and 29 contralateral ruptures; (2) among 59 players with ACL reconstruction who did not return to soccer, 11 (19%) sustained 9 reruptures and 2 contralateral ruptures; and (3) among 113 knee-healthy controls, 12 (11%) sustained 13 ACL injuries. Players who returned had a >2-fold higher risk of a new ACL injury than players who did not return (risk ratio, 2.24; 95% CI, 1.27-3.93; P = .005) and a 4-fold higher risk than controls (risk ratio, 3.93; 95% CI, 2.23-6.91; P <.001). A new ACL, meniscal, or cartilage injury was the most frequent new knee injury. Among players who returned to soccer, 68% reported a new knee injury, and they had a 2- to 5-times higher risk of any new knee injury and knee surgery than players who did not return and controls. Conclusion: Two-thirds of female soccer players with ACL reconstruction who returned to soccer sustained a new knee injury within 5 to 10 years; 42% had a new ACL injury. Their risk of a new knee injury and knee surgery was 2 to 5 times greater than that for players who did not return and for knee-healthy controls. New injury may have negative consequences for long-term knee health and should be a critical consideration in the decision to return to play.

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