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Effect of Intervention Programs on Reducing the Incidence of ACL Injuries, Improving Neuromuscular Deficiencies, and Enhancing Athletic Performance

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ACL Injuries in the Female Athlete

Abstract

This chapter reviews the current available data regarding the effectiveness of the ACL intervention programs in reducing injury rates, improving knee kinematic and kinetic factors, and enhancing athletic performance indicators. Three of nine programs published to date that reported ACL injury rates in female athletes according to athlete exposures statistically reduced the injury rate. Over 25 studies have analyzed the effectiveness of knee injury prevention programs in changing kinematic or kinetic factors in female athletes. However, the effectiveness of these programs in altering neuromuscular indices under reactive, unplanned, actual athletic conditions remains largely unknown. While many studies have documented changes in athletic performance indicators following ACL injury prevention training in female athletes, the results remain mixed.

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References

  1. Arnason A, Engebretsen L, Bahr R (2005) No effect of a video-based awareness program on the rate of soccer injuries. Am J Sports Med 33(1):77–84

    Article  PubMed  Google Scholar 

  2. Barber-Westin SD, Hermeto AA, Noyes FR (2010) A 6-week neuromuscular training program for competitive junior tennis players. J Strength Cond Res 24(9):2372–2382

    Article  PubMed  Google Scholar 

  3. Barber-Westin SD, Smith ST, Campbell T et al (2010) The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. J Strength Cond Res 24(11):3055–3062

    Article  PubMed  Google Scholar 

  4. Barendrecht M, Lezeman HC, Duysens J et al (2011) Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes. J Strength Cond Res 25(3): 575–584

    PubMed  Google Scholar 

  5. Caraffa A, Cerulli G, Projetti M et al (1996) Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc 4(1):19–21

    Article  PubMed  CAS  Google Scholar 

  6. Chappell JD, Limpisvasti O (2008) Effect of a neuromuscular training program on the kinetics and kinematics of jumping tasks. Am J Sports Med 36(6): 1081–1086

    Article  PubMed  Google Scholar 

  7. Chimera NJ, Swanik KA, Swanik CB et al (2004) Effects of plyometric training on muscle-activation strategies and performance in female athletes. J Athl Train 39(1):24–31

    PubMed  Google Scholar 

  8. DiStefano LJ, Padua DA, DiStefano MJ et al (2009) Influence of age, sex, technique, and exercise program on movement patterns after an anterior cruciate ligament injury prevention program in youth soccer players. Am J Sports Med 37(3):495–505

    Article  PubMed  Google Scholar 

  9. Distefano LJ, Padua DA, Blackburn JT et al (2010) Integrated injury prevention program improves balance and vertical jump height in children. J Strength Cond Res 24(2):332–342

    Article  PubMed  Google Scholar 

  10. DiStefano LJ, Blackburn JT, Marshall SW et al (2011) Effects of an age-specific anterior cruciate ligament injury prevention program on lower extremity biomechanics in children. Am J Sports Med 39(5):949–957

    Article  PubMed  Google Scholar 

  11. Ettlinger CF, Johnson RJ, Shealy JE (1995) A method to help reduce the risk of serious knee sprains incurred in alpine skiing. Am J Sports Med 23(5):531–537

    Article  PubMed  CAS  Google Scholar 

  12. Gilchrist J, Mandelbaum BR, Melancon H et al (2008) A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med 36(8):1476–1483

    Article  PubMed  Google Scholar 

  13. Grandstrand SL, Pfeiffer RP, Sabick MB et al (2006) The effects of a commercially available warm-up program on landing mechanics in female youth soccer players. J Strength Cond Res 20(2):331–335

    PubMed  Google Scholar 

  14. Griffin LY, Albohm MJ, Arendt EA et al (2006) Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. Am J Sports Med 34(9):1512–1532

    Article  PubMed  Google Scholar 

  15. Heidt RS Jr, Sweeterman LM, Carlonas RL et al (2000) Avoidance of soccer injuries with preseason conditioning. Am J Sports Med 28(5):659–662

    PubMed  Google Scholar 

  16. Herman DC, Weinhold PS, Guskiewicz KM et al (2008) The effects of strength training on the lower extremity biomechanics of female recreational athletes during a stop-jump task. Am J Sports Med 36(4):733–740

    Article  PubMed  Google Scholar 

  17. Herman DC, Onate JA, Weinhold PS et al (2009) The effects of feedback with and without strength training on lower extremity biomechanics. Am J Sports Med 37(7):1301–1308

    Article  PubMed  Google Scholar 

  18. Herrington L (2010) The effects of 4 weeks of jump training on landing knee valgus and crossover hop performance in female basketball players. J Strength Cond Res 24(14):3427–3432

    Article  PubMed  Google Scholar 

  19. Hewett TE, Stroupe AL, Nance TA et al (1996) Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med 24(6):765–773

    Article  PubMed  CAS  Google Scholar 

  20. Hewett TE, Lindenfeld TN, Riccobene JV et al (1999) The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med 27(6):699–706

    PubMed  CAS  Google Scholar 

  21. Holm I, Fosdahl MA, Friis A et al (2004) Effect of neuromuscular training on proprioception, balance, muscle strength, and lower limb function in female team handball players. Clin J Sport Med 14(2):88–94

    Article  PubMed  Google Scholar 

  22. Hurd WJ, Chmielewski TL, Snyder-Mackler L (2006) Perturbation-enhanced neuromuscular training alters muscle activity in female athletes. Knee Surg Sports Traumatol Arthrosc 14(1):60–69

    Article  PubMed  Google Scholar 

  23. Irmischer BS, Harris C, Pfeiffer RP et al (2004) Effects of a knee ligament injury prevention exercise program on impact forces in women. J Strength Cond Res 18(4):703–707

    PubMed  Google Scholar 

  24. Junge A, Rosch D, Peterson L et al (2002) Prevention of soccer injuries: a prospective intervention study in youth amateur players. Am J Sports Med 30(5): 652–659

    PubMed  Google Scholar 

  25. Kato S, Urabe Y, Kawamura K (2008) Alignment control exercise changes lower extremity movement during stop movements in female basketball players. Knee 15(4):299–304

    Article  PubMed  Google Scholar 

  26. Labella CR, Huxford MR, Grissom J et al (2011) Effect of neuromuscular warm-up on injuries in female soccer and basketball athletes in urban public high schools: cluster randomized controlled trial. Arch Pediatr Adolesc Med 165(11):1033–1040

    Article  PubMed  Google Scholar 

  27. Leger LA, Lambert J (1982) A maximal multistage 20-m shuttle run test to predict VO2 max. Eur J Appl Physiol Occup Physiol 49(1):1–12

    Article  PubMed  CAS  Google Scholar 

  28. Lephart SM, Abt JP, Ferris CM et al (2005) Neuromuscular and biomechanical characteristic changes in high school athletes: a plyometric versus basic resistance program. Br J Sports Med 39(12):932–938

    Article  PubMed  CAS  Google Scholar 

  29. Lim BO, Lee YS, Kim JG et al (2009) Effects of sports injury prevention training on the biomechanical risk factors of anterior cruciate ligament injury in high school female basketball players. Am J Sports Med 37(9):1728–1734

    Article  PubMed  Google Scholar 

  30. Mandelbaum BR, Silvers HJ, Watanabe DS et al (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 33(7):1003–1010

    Article  PubMed  Google Scholar 

  31. McLeod TC, Armstrong T, Miller M et al (2009) Balance improvements in female high school ­basketball players after a 6-week neuromuscular-training program. J Sport Rehabil 18(4):465–481

    PubMed  Google Scholar 

  32. Myer GD, Ford KR, Palumbo JP et al (2005) Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. J Strength Cond Res 19(1):51–60

    PubMed  Google Scholar 

  33. Myer GD, Ford KR, McLean SG et al (2006) The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am J Sports Med 34(3):445–455

    Article  PubMed  Google Scholar 

  34. Myer GD, Ford KR, Brent JL et al (2007) Differential neuromuscular training effects on ACL injury risk factors in“high-risk” versus “low-risk” athletes. BMC Musculoskelet Disord 8:39

    Article  PubMed  Google Scholar 

  35. Myklebust G, Engebretsen L, Braekken IH et al (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med 13(2):71–78

    Article  PubMed  Google Scholar 

  36. Nagano Y, Ida H, Akai M et al (2011) Effects of jump and balance training on knee kinematics and electromyography of female basketball athletes during a single limb drop landing: pre-post intervention study. Sports Med Arthrosc Rehabil Ther Technol 3(1):14

    Article  PubMed  Google Scholar 

  37. Noyes FR, Barber-Westin SD, Fleckenstein C et al (2005) The drop-jump screening test: difference in lower limb control by gender and effect of neuromuscular training in female athletes. Am J Sports Med 33(2):197–207

    Article  PubMed  Google Scholar 

  38. Noyes FR, Barber-Westin SD, Smith ST et al (2011) A training program to improve neuromuscular indices in female high school volleyball players. J Strength Cond Res 25(8):2151–2160

    Article  PubMed  Google Scholar 

  39. Noyes FR, Barber-Westin SD, Smith ST et al (2012) A training program to improve neuromuscular and performance indices in female high school basketball players. J Strength Cond Res 26(3):709–719

    PubMed  Google Scholar 

  40. Noyes FR, Barber-Westin SD, Smith ST et al (2012) A training program to improve neuromuscular and performance indices in female high school soccer players. J Strength Cond Res. Epub ahead of print, March 4, 2012

    Google Scholar 

  41. Olsen OE, Myklebust G, Engebretsen L et al (2005) Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ 330(7489):449

    Article  PubMed  Google Scholar 

  42. Pasanen K, Parkkari J, Pasanen M et al (2008) Neuromuscular training and the risk of leg injuries in female floorball players: cluster randomised controlled study. BMJ 337:a295

    PubMed  Google Scholar 

  43. Paterno MV, Myer GD, Ford KR et al (2004) Neuromuscular training improves single-limb stability in young female athletes. J Orthop Sports Phys Ther 34(6):305–316

    PubMed  Google Scholar 

  44. Petersen W, Zantop T, Steensen M et al (2002) Prevention of lower extremity injuries in handball: initial results of the handball injuries prevention programme. Sportverletz Sportschaden 16(3):122–126

    Article  PubMed  CAS  Google Scholar 

  45. Petersen W, Braun C, Bock W et al (2005) A ­controlled prospective case control study of a ­prevention ­training program in female team handball players: the German experience. Arch Orthop Trauma Surg 125(9):614–621

    Article  PubMed  Google Scholar 

  46. Pfeiffer RP, Shea KG, Roberts D et al (2006) Lack of effect of a knee ligament injury prevention ­program on the incidence of noncontact anterior ­cruciate ligament injury. J Bone Joint Surg Am 88(8):1769–1774

    Article  PubMed  Google Scholar 

  47. Pollard CD, Sigward SM, Ota S et al (2006) The influence of in-season injury prevention training on lower-extremity kinematics during landing in female soccer players. Clin J Sport Med 16(3):223–227

    Article  PubMed  Google Scholar 

  48. Ramsbottom R, Brewer J, Williams C (1988) A progressive shuttle run test to estimate maximal oxygen uptake. Br J Sports Med 22(4):141–144

    Article  PubMed  CAS  Google Scholar 

  49. Renstrom P, Ljungqvist A, Arendt E et al (2008) Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med 42(6):394–412

    Article  PubMed  CAS  Google Scholar 

  50. Sadoghi P, von Keudell A, Vavken P (2012) Effectiveness of anterior cruciate ligament injury prevention training programs. J Bone Joint Surg Am 94(9):769–776

    Article  PubMed  Google Scholar 

  51. Sigward S, Pollard CD, Powers CM (2008) Abstract #29. The influence of an ACL injury prevention program on knee valgus moments during cutting: an evaluation of pre-pubertal, pubertal and post-pubertal female athletes. J Athl Train 43(5):559

    Google Scholar 

  52. Soderman K, Werner S, Pietila T et al (2000) Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players? A prospective randomized intervention study. Knee Surg Sports Traumatol Arthrosc 8(6):356–363

    Article  PubMed  CAS  Google Scholar 

  53. Soligard T, Myklebust G, Steffen K et al (2008) Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. BMJ 337:a2469

    Article  PubMed  Google Scholar 

  54. Steffen K, Bakka HM, Myklebust G et al (2008) Performance aspects of an injury prevention program: a ten-week intervention in adolescent female football players. Scand J Med Sci Sports 18(5):596–604

    Article  PubMed  CAS  Google Scholar 

  55. Steffen K, Myklebust G, Olsen OE et al (2008) Preventing injuries in female youth football – a cluster-randomized controlled trial. Scand J Med Sci Sports 18(5):605–614

    Article  PubMed  CAS  Google Scholar 

  56. Tsang KK, Dipasquale AA (2011) Improving the q:h strength ratio in women using plyometric exercises. J Strength Cond Res 25(10):2740–2745

    Article  PubMed  Google Scholar 

  57. Vescovi JD, Canavan PK, Hasson S (2008) Effects of a plyometric program on vertical landing force and jumping performance in college women. Phys Ther Sport 9(4):185–192

    Article  PubMed  Google Scholar 

  58. Vescovi JD, VanHeest JL (2010) Effects of an anterior cruciate ligament injury prevention program on performance in adolescent female soccer players. Scand J Med Sci Sports 20(3):394–402

    Article  PubMed  CAS  Google Scholar 

  59. Wedderkopp N, Kaltoft M, Lundgaard B et al (1999) Prevention of injuries in young female players in European team handball. A prospective intervention study. Scand J Med Sci Sports 9(1):41–47

    Article  PubMed  CAS  Google Scholar 

  60. Wilderman DR, Ross SE, Padua DA (2009) Thigh muscle activity, knee motion, and impact force during side-step pivoting in agility-trained female basketball players. J Athl Train 44(1):14–25

    Article  PubMed  Google Scholar 

  61. Wilkerson GB, Colston MA, Short NI et al (2004) Neuromuscular changes in female collegiate athletes resulting from a plyometric jump-training program. J Athl Train 39(1):17–23

    PubMed  Google Scholar 

  62. Wojtys EM, Huston LJ, Taylor PD et al (1996) Neuromuscular adaptations in isokinetic, isotonic, and agility training programs. Am J Sports Med 24(2):187–192

    Article  PubMed  CAS  Google Scholar 

  63. Yoo JH, Lim BO, Ha M et al (2010) A meta-analysis of the effect of neuromuscular training on the prevention of the anterior cruciate ligament injury in female athletes. Knee Surg Sports Traumatol Arthrosc 18(6):824–830

    Article  PubMed  Google Scholar 

  64. Zebis MK, Bencke J, Andersen LL et al (2008) The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med 18(4):329–337

    Article  PubMed  Google Scholar 

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Correspondence to Sue D. Barber-Westin B.S. .

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Barber-Westin, S.D., Noyes, F.R. (2012). Effect of Intervention Programs on Reducing the Incidence of ACL Injuries, Improving Neuromuscular Deficiencies, and Enhancing Athletic Performance. In: Noyes, F., Barber-Westin, S. (eds) ACL Injuries in the Female Athlete. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32592-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-32592-2_18

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