Proximal Risk Factors for ACL Injury: Role of Core Stability
This chapter reviews the role of the core and core stability in preventing ACL injuries. Core stability represents the ability of the core, or the muscles of the abdomen and lower back, to maintain or resume a relative position [or trajectory] of the trunk after a perturbation. Poor trunk control and core stability may place an athlete in a position that results in adverse loading of the knee, leading to injury. Training programs incorporating core-specific exercises have been successful at reducing ACL injury risk, but the extent to which the core-specific exercises influenced the reduction in injury risk is unknown. Reducing trunk angles, medializing the center of mass, and shifting the center of mass anteriorly more over the foot are all associated with reduced knee moments and may lead to reduced ACL injury risk.
KeywordsAnterior Cruciate Ligament Anterior Cruciate Ligament Injury Core Stability Lateral Trunk Knee Loading
The authors would like to thank Steve McConoughey, Ph.D. for his editorial assistance with this manuscript.
- 18.Hemmerly-Brown A (2011) Soldiers try new PT test at Benning. United States Army. http://www.army.mil/article/56445/. Accessed 7 Feb 2012
- 24.Jamison ST, Chaudhari AM (2010) Influence of trunk neuromuscular control on run-to-cut maneuver: a risk factor for ACL rupture. In: 56th annual meeting of the orthopaedic research society. AAOS, New Orleans, p 1892Google Scholar
- 25.Jamison ST, McNeilan RJ, Young GS et al. (2012) RCT of the effects of a trunk stabilization program on trunk control and knee loading. Med Sci Sports Exerc http://www.ncbi.nlm.nih.gov/pubmed/22525777Med Sci Sports Exerc. 2012 Oct; 44(10):1924–1934
- 34.McGill SM (2009) Ultimate back fitness and performance. Backfitpro, Inc., WaterlooGoogle Scholar
- 35.Merriam-Webster (2012) Stability. Encyclopaedia Britannica. http://www.merriam-webster.com/dictionary/stability. Accessed 7 Feb 2012
- 42.Sahrmann S (2002) Diagnosis and treatment of movement impairment syndromes. Mosby, PhiladelphiaGoogle Scholar
- 43.Schuler L (2011) The six-pack fast track. Men’s health. Rodale, Inc., EmmausGoogle Scholar
- 50.The President’s Council on Fitness SN (2012) Curl-ups. The President’s Challenge https://www.presidentschallenge.org/challenge/physical/activities/curl-ups.shtml. Accessed 8 Feb 2012
- 53.Whiting WC, Sugg S, Coleman A et al (1999) Muscle activity during sit-ups using abdominal exercise devices. J Strength Cond Res 13(4):339–345Google Scholar