Exercise based prevention program for ACL injuries (FULL STRATEGY)
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- เผยแพร่เมื่อ 2 ส.ค. 2024
- Exercise-based Prevention Program for ACL Injuries
We’ve all seen this scene in pro soccer, only to see the player get up and resume playing just as soon as he sees he didn’t manage to get the ref to pull out a yellow card. Cue eyes rolling.
But jokes aside, players are not always crying wolf. ACL injuries really are quite common in soccer and many other sports that involve cutting and changing direction.
ACL injuries are quite burdensome et pretty much universally dreaded by athletes and individuals involved in sports. These injuries mat require a long lay-off from sport and at times, may be career-ending.
The idea of ACL injury prevention, then, becomes quite interesting for athletes, therapist, trainers and coaches alike.
Injury prevention is a term that not everyone likes. It is a term that is meant to refer to implementing structure and strategies that reduce injury risk, occurrence and severity.
But what actually goes into an injury prevention program?
An exercise-based prevention program for ACL injuries must address risk factors and include neuromuscular training strategies.
Since most ACL injuries occur via non-contact mechanisms, such as during landing and deceleration, there is a coordination component of the lower limb that needs to be included in an effective injury prevention program.
An ACL injury is not simply the result of an isolated joint or muscle strength issue. Nor should we treat it so.
Let’s discuss the elements that need to be included in an exercise-based prevention program for ACL injuries.
ACL INJURIES - RISK FACTORS
Let’s start by identifying what it is exactly that we can work on to build a prevention program for ACL injuries.
Numerous risk factors for ACL injury have been established in the literature, so much so that a consensus statement was put forth by the International Olympic Committee (1). This consensus statement highlights that ACL risk factors are multifactorial and identifies 4 distinct areas of risk factors: external, internal, hormonal, and biomechanical.
The objective of injury prevention is identifying and intervening on ACL injury risk factors that are trainable and modifiable.
External risk factors such as footwear, equipment, playing surface, may or may not directly influence the risk of non-contact ACL injury and are not really modifiable.
For example, when working with a skier, we cannot change the fact that they wear a ski boot. That said, there is research out there regarding “ACL-friendly” ski bindings. If you are working with this type of athlete, I suggest you check out Howell Ski Bindings.
Internal risk factors refer to anatomical factors related to individual structure or gender differences. For example, the Q-angle, femoral notch and ACL size have long been studied to understand the higher incidence of ACL injuries in females vs males (2). There is no real consensus on how they influence ACL injury risk, and again, these factors are not modifiable.
Hormonal risk factors are related to increased knee laxity during the ovulatory phase, which again are non-modifiable.
On the other hand, biomechanical risk factors are certainly modifiable and trainable, as these include not only technique, such as that for landing and cutting, but also neuromuscular factors.
Neuromuscular factors include elements like motor control, strength, and muscle activation and recruitment patterns
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Want to pick my brain? Drop your questions in a comment
Interesting to realize how the source of a problem in a joint usually is outside that joint... Thanks!!!!
Glad you enjoyed it! Thanks!
Where are your hundreds of thousands of subscribers?) You definitely deserve !
Thank you so much! Haha working on it ;) Spread the word! Appreciate you!
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