Journal Article10.1177/0363546517749474
Effect of Hip-Focused Injury Prevention Training for Anterior Cruciate Ligament Injury Reduction in Female Basketball Players: A 12-Year Prospective Intervention Study:
Yorikatsu Omi,Dai Sugimoto,Dai Sugimoto,Setsurou Kuriyama,Tomohisa Kurihara,Kenji Miyamoto,Songjo Yun,Tatsuhiro Kawashima,Norikazu Hirose +8 more
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TL;DR: A hip-focused injury prevention program demonstrated significant reduction in the incidence of ACL injury in female collegiate basketball players.
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Abstract: 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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Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis
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Anterior Cruciate Ligament Loading Increases With Pivot-Shift Mechanism During Asymmetrical Drop Vertical Jump in Female Athletes.
Ryo Ueno,Ryo Ueno,Alessandro Navacchia,Alessandro Navacchia,Nathan D. Schilaty,Gregory D. Myer,Gregory D. Myer,Timothy E. Hewett,Nathaniel A. Bates +8 more
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Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention.
Amelia J.H. Arundale,Mario Bizzini,Celeste Dix,Airelle Giordano,Ryan F Kelly,David Logerstedt,Bert R. Mandelbaum,David A. Scalzitti,Holly J. Silvers-Granelli,Lynn Snyder-Mackler +9 more
TL;DR: In this article , the authors present evidence-based clinical practice guidelines for orthopaedic and sports physical therapy management and prevention of musculoskeletal impairments described in the International Classification of Functioning, Disability and Health (ICF).
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Biomechanical Measures of Neuromuscular Control and Valgus Loading of the Knee Predict Anterior Cruciate Ligament Injury Risk in Female Athletes A Prospective Study
Timothy E. Hewett,Timothy E. Hewett,Gregory D. Myer,Kevin R. Ford,Robert S. Heidt,Angelo J. Colosimo,Scott G. McLean,Antonie J. van den Bogert,Mark V. Paterno,Paul Succop +9 more
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TL;DR: Modifiable factors that, if addressed through injury prevention initiatives, may contribute to lower injury rates in collegiate sports are indicated.
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TL;DR: The objectives of this study are to review the long-term consequences of injuries to the anterior cruciate ligament and menisci, the pathogenic mechanisms, and the causes of the considerable variability in outcome, and to strive toward a comparable level of quality of evidence in surgical treatment of knee injuries.
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TL;DR: It is confirmed that most noncontact injuries occur with the knee close to extension during a sharp deceleration or landing maneuver, and passive protection of the ACL by the hamstring muscles may be reduced in patients with above-average flexibility.
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