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(ACL) AND (neuromuscular)

Jared J Murray, Colleen M Renier, Jenny J Ahern, Barbara A Elliott
OBJECTIVE: To document neuromuscular training (NMT) availability and its relationship to anterior cruciate ligament (ACL) injuries in 4 major high school sports by gender, sport, and rural/urban geography, with the hypothesis that increased exposure to NMT would be associated with fewer ACL injuries. DESIGN: A retrospective cohort study. SETTING: All Minnesota high schools identified in the Minnesota State High School League (MSHSL) database for fall 2014 boys' football and soccer, and girls' volleyball and soccer...
October 17, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Radin Rafeeuddin, Raihana Sharir, Filip Staes, Bart Dingenen, Keith George, Mark A Robinson, Jos Vanrenterghem
The aim of this systematic review was (i) to identify neuromuscular markers that have been predictive of a primary non-contact ACL injury, (ii) to assess whether proposed risk factors have been supported or refuted in the literature from cohort and case-control studies, and (iii) to reflect on the body of research that aims at developing field based tools to assess risk through an association with these risk factors. Electronic searches were undertaken, of PubMed, SCOPUS, Web of Science, CINAHL and SPORTDiscus examining neuromuscular risk factors associated with ACL injury published between January 1990 and July 2015...
June 15, 2016: Physical Therapy in Sport
Tjerk Zult, Alli Gokeler, Jos J A M van Raay, Reinoud W Brouwer, Inge Zijdewind, Tibor Hortobágyi
PURPOSE: The function of the anterior cruciate ligament (ACL) patients' non-injured leg is relevant in light of the high incidence of secondary ACL injuries on the contralateral side. However, the non-injured leg's function has only been examined for a selected number of neuromuscular outcomes and often without appropriate control groups. We measured a broad array of neuromuscular functions between legs of ACL patients and compared outcomes to age, sex, and physical activity matched controls...
September 24, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Marta Stępień-Słodkowska, Krzysztof Ficek, Pawea Ziętek, Mariusz Kaczmarczyk, Wioletta Łubkowska, Mirosawa Szark-Eckardt, Pawea Cięszczyk
CONTEXT: The most commonly injured body part for skiing was found to be the knee. The rupture of the anterior cruciate ligament (ACL) was the most frequent diagnosis. ACL ruptures are determined by several extrinsic and intrinsic risk factors, including those which are hormonal, neuromuscular, anatomical or genetic. OBJECTIVES: To examine the association of both COL1A1 rs1800012 (+1245G/T) and COL1A1 rs1107946 (-1997G/T) polymorphisms, individually and as haplotypes, with anterior cruciate ligament ruptures in recreational Polish skiers...
August 24, 2016: Journal of Sport Rehabilitation
Timothy E Hewett, Gregory D Myer, Kevin R Ford, Mark V Paterno, Carmen E Quatman
Economic and societal pressures influence modern medical practice to develop and implement prevention strategies. Anterior cruciate ligament (ACL) injury devastates the knee joint leading to short term disability and long term sequelae. Due to the high risk of long term osteoarthritis in all treatment populations following ACL injury, prevention is the only effective intervention for this life-altering disruption in knee health. The 'Sequence of Prevention' Model provides a framework to monitor progress towards the ultimate goal of preventing ACL injuries...
September 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Rianne Huis 't Veld, Carmen van den Hoven, Erik Maartens, Stephanie Hoogendoorn, Roy Hoogeslag, Anil Peters, Christiaan Rompen, Jasper Reenalda
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Tjerk Zult, Alli Gokeler, Jos J A M van Raay, Reinoud W Brouwer, Tibor Hortobágyi
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Nicky van Melick, Robert E H van Cingel, Frans Brooijmans, Camille Neeter, Tony van Tienen, Wim Hullegie, Maria W G Nijhuis-van der Sanden
AIM: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. DESIGN: Clinical practice guideline underpinned by systematic review and expert consensus. DATA SOURCES: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline...
August 18, 2016: British Journal of Sports Medicine
Lei Wang
[Purpose] The aim of this study was to examine the immediate effects of neuromuscular joint facilitation (NJF) on the functional activity level after rehabilitation of anterior cruciate ligament (ACL) reconstruction. [Subjects and Methods] Ten young subjects (8 males and 2 females) who underwent ACL reconstruction were included in the study. The subjects were divided into two groups, namely, knee joint extension muscle strength training (MST) group and knee joint extension outside rotation pattern of NJF group...
July 2016: Journal of Physical Therapy Science
Timothy E Hewett, Kevin R Ford, Yingying Y Xu, Jane Khoury, Gregory D Myer
BACKGROUND: The widespread use of anterior cruciate ligament (ACL) injury prevention interventions has not been effective in reducing the injury incidence among female athletes who participate in high-risk sports. PURPOSE/HYPOTHESIS: The purpose of this study was to determine if biomechanical and neuromuscular factors that contribute to the knee abduction moment (KAM), a predictor of future ACL injuries, could be used to characterize athletes by a distinct factor...
July 29, 2016: American Journal of Sports Medicine
Daniel C Herman, Jeffrey T Barth
BACKGROUND: Neurocognitive status may be a risk factor for anterior cruciate ligament (ACL) injury. Neurocognitive domains such as visual attention, processing speed/reaction time, and dual-tasking may influence ACL injury risk via alterations to neuromuscular performance during athletic tasks. However, the relationship between neurocognition and performance during athletic tasks is not yet established. HYPOTHESIS: Athletes with low baseline neurocognitive scores will demonstrate poorer jump landing performance compared with athletes with high baseline neurocognitive score...
September 2016: American Journal of Sports Medicine
Mathew J Failla, David S Logerstedt, Hege Grindem, Michael J Axe, May Arna Risberg, Lars Engebretsen, Laura J Huston, Kurt P Spindler, Lynn Snyder-Mackler
BACKGROUND: Rehabilitation before anterior cruciate ligament (ACL) reconstruction (ACLR) is effective at improving postoperative outcomes at least in the short term. Less is known about the effects of preoperative rehabilitation on functional outcomes and return-to-sport (RTS) rates 2 years after reconstruction. PURPOSE/HYPOTHESIS: The purpose of this study was to compare functional outcomes 2 years after ACLR in a cohort that underwent additional preoperative rehabilitation, including progressive strengthening and neuromuscular training after impairments were resolved, compared with a nonexperimental cohort...
July 14, 2016: American Journal of Sports Medicine
Dai Sugimoto, Gregory D Myer, Kim D Barber Foss, Michael J Pepin, Lyle J Micheli, Timothy E Hewett
OBJECTIVE: The aim of this study was to determine key components in neuromuscular training that optimise ACL injury reduction in female athletes using meta-regression analyses. DESIGN: Systematic review and meta-regression. DATA SOURCES: The literature search was performed in PubMed and EBSCO. ELIGIBILITY CRITERIA: Inclusion criteria for the current analysis were: (1) documented the number of ACL injuries, (2) employed a neuromuscular training intervention that aimed to reduce ACL injuries, (3) had a comparison group, (4) used a prospective control study design and (5) recruited female athletes as participants...
October 2016: British Journal of Sports Medicine
Christopher Kuenze, Moataz Eltoukhy, Adam Kelly, Chang-Young Kim
OBJECTIVES: Patients commonly experience altered response to fatiguing exercise after ACL reconstruction (ACLR). The objective of this study was to assess the impact of quadriceps strengthening on response to exercise after ACLR. DESIGN: Clinical trial. METHODS: Ten participants with a history of primary, unilateral ACLR (sex=9F/1M, age=21.0±2.8 years, BMI=23.7±2.7kg/m(2)) and 10 healthy participants (sex=9F/1M, age=22.2±3.2 years, BMI=23...
May 21, 2016: Journal of Science and Medicine in Sport
Marco Jacopetti, Andrea Pasquini, Cosimo Costantino
BackgroundThe anterior cruciate ligament (ACL) rupture accounting for about 50% of all knee ligament injuries. The rehabilitation program requires a long time to rebuild muscle strength and to reestablish joint mobility and neuromuscular control. The purpose of the study is to evaluate the muscle strength recovery in athletes with ACL reconstruction. MethodsWe enrolled soccer atlethes, with isolated anterior cruciate ligament rupture treated with bone-patellar tendon-bone autograft artroscopic reconstruction...
2016: Acta Bio-medica: Atenei Parmensis
Margarida Sá Fernandes, Rogério Pereira, Renato Andrade, Sebastiano Vasta, Hélder Pereira, João Páscoa Pinheiro, João Espregueira-Mendes
PURPOSE: The purpose of this study was to investigate the association of different osteoarticular femoral and tibial morphology and morphometric parameters with the risk of anterior cruciate ligament (ACL) rupture. METHODS: Thirty-six patients (29 male and 7 female) with an ACL rupture (<6 months) and 36 age and sex-matched controls were included. The anatomomorphological parameters and morphometrics of the distal epiphysis of the femur and proximal epiphysis of the tibia were measured through conventional lateral radiography of the knee...
May 9, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Adam G Culvenor, Bryce C Alexander, Ross A Clark, Natalie J Collins, Eva Ageberg, Hayden G Morris, Timothy S Whitehead, Kay M Crossley
Study Design Cross-sectional, controlled laboratory study. Background Postural control following anterior cruciate ligament reconstruction (ACLR) primarily has been investigated during static single-leg balance tasks. Little is known about dynamic postural control deficits post-ACLR. Objectives To compare dynamic postural control (bilaterally) in individuals who have undergone ACLR and in healthy controls, and to evaluate the relationship between dynamic postural control and self-reported and objective function...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
Stephen Gould, Jessica Hooper, Eric Strauss
Anterior cruciate ligament (ACL) injuries are common among all participants in sports, occurring in approximately 1 in 3,000 individuals yearly in the USA. Epidemiological studies of ACL injuries have demonstrated that females are at higher risk for injury than males. When compared to male athletes participating in the same sports, the risk of ACL injury is two to eight times greater in females.1-3 A significant research effort has been directed at identifying risk factors that may predispose females to ACL injury...
March 2016: Bulletin of the Hospital for Joint Diseases
John Nyland, Alma Mattocks, Shane Kibbe, Alaa Kalloub, Joe W Greene, David N M Caborn
Anatomical discoveries and a growing appreciation of the knee as a complex organ are driving innovations in patient care decision-making following anterior cruciate ligament (ACL) injury. Surgeons are increasing their efforts to restore combined mechanical-neurosensory ACL function and placing more consideration on when to reconstruct versus repair native anatomical structures. Surgical options now include primary repair with or without reinforcing the injured ACL with suture-based internal bracing, and growing evidence supports biological augmentation using platelet-rich plasma and mesenchymal stem cells to enhance tissue healing...
2016: Open Access Journal of Sports Medicine
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