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https://www.readbyqxmd.com/read/28979857/osteoarthritis-action-alliance-consensus-opinion-best-practice-features-of-anterior-cruciate-ligament-and-lower-limb-injury-prevention-programs
#1
Thomas Trojian, Jeffrey Driban, Rathna Nuti, Lindsay Distefano, Hayley Root, Cristina Nistler, Cynthia LaBella
AIM: To identify best practice features of an anterior cruciate ligament (ACL) and lower limb injury prevention programs (IPPs) to reduce osteoarthritis (OA). METHODS: This consensus statement started with us performing a systematic literature search for all relevant articles from 1960 through January 2017 in PubMed, Web of Science and CINAHL. The search strategy combined the Medical Subject Heading (MeSH) and keywords for terms: (1) ACL OR "knee injury" OR "anterior cruciate ligament"; (2) "prevention and control" OR "risk reduction" OR "injury prevention" OR "neuromuscular training"; and (3) meta-analysis OR "systematic review" OR "cohort study" OR randomized...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28969821/editorial-commentary-increased-risk-of-second-ruptures-and-poorer-outcomes-after-anterior-cruciate-ligament-injury-and-reconstruction-in-hypermobile-athletes-a-potential-synergism-of-passive-ligamentous-and-active-muscular-control-of-dynamic-knee-stability
#2
EDITORIAL
Timothy E Hewett
Graft failure rates were higher and inferior subjective outcomes were observed after anterior cruciate ligament reconstruction in patients with generalized hypermobility. This is a clear and corroborative finding that is highly consilient with other reports of similar studies from the published literature. However, controversy remains regarding other potentially predictive and confounding variables. For example, age, activity level, sex, and dynamic neuromuscular control were not considered in this interesting, important, and potentially impactful study...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28886823/update-on-anterior-cruciate-ligament-rupture-and-care-in-the-female-athlete
#3
REVIEW
Jeremy M Burnham, Vonda Wright
As female athlete sports participation has continued to increase, the rate of anterior cruciate ligament (ACL) rupture in female athletes has also increased. Individualized, patient-specific treatment is crucial to achieving optimal outcomes; ACL reconstruction must accurately restore native ACL anatomy and address any concomitant injury to secondary stabilizers. Rehabilitation programs should target hip, core, and trunk neuromuscular control; allow adequate time for graft ligamentization; and address the psychosocial needs of the athlete...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28872400/what-is-the-most-effective-training-approach-for-preventing-noncontact-acl-injuries-in-high-school-aged-female-athletes
#4
Erica M Willadsen, Andrea B Zahn, Chris J Durall
CLINICAL SCENARIO: The high prevalence of noncontact anterior cruciate ligament (ACL) injuries in adolescent female athletes is thought to originate from hormonal, neuromuscular, and structural differences between sexes.(1) Although hormonal and structural factors are non-modifiable, neuromuscular control can be altered with training. A variety of training approaches have been adopted in ACL prevention programs including neuromuscular control training, core stability training, balance training, and plyometric exercise...
September 5, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28872396/whole-body-vibration-on-performance-of-quadriceps-after-acl-reconstruction-a-blinded-randomized-controlled-trial
#5
Karinna Sonálya Aires da Costa, Daniel Tezoni Borges, Liane de Brito Macedo, Caio Alano de Almeida Lins, Jamilson Simões Brasileiro
CONTEXT: Whole body vibration (WBV) has been widely used in clinical and sport practice. These devices produce constant vibrations originating symmetrical waves that move along the vertical axis. It is suggested that mechanical stimuli produced by high vibration can be an alternative to improve neuromuscular performance and balance in different populations. However, there is still a lack of consensus in the literature regarding neurophysiological responses in the skeletal muscle immediately after the use of WBV, specifically in individuals subjected to ACL reconstruction...
September 5, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28862529/an-algorithmic-approach-to-rehabilitation-following-arthroscopic-surgery-for-arthrofibrosis-of-the-knee-a-case-series
#6
Brian J Eckenrode
BACKGROUND AND PURPOSE: Loss of knee range of motion (ROM) has been reported as the most common complication following anterior cruciate ligament reconstruction (ACLR). Arthrofibrosis of the knee, or specifically Cyclops syndrome, has been described as the formation of a scar tissue nodule adjacent to the tibial tunnel of the anterior cruciate ligament (ACL) graft. This lesion often results in loss of knee extension ROM, pain, and impaired function. CASE DESCRIPTIONS: Three consecutive patients were referred to physical therapy following arthroscopic knee surgery for lysis of adhesions of a Cyclops lesion from a previous ACLR...
September 1, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28830232/influence-of-ground-reaction-force-perturbations-on-anterior-cruciate-ligament-loading-during-sidestep-cutting
#7
Joshua T Weinhandl, Kristian M O'Connor
Anterior cruciate ligament (ACL) injury risk is likely increased under unexpected loading conditions. Such situations may arise from mid-air contact with another athlete, or misjudgments in landing height, stride length or surface compliance resulting in an unbalanced landing and unexpected changes in the ground reaction forces (GRFs). The purpose this study was to identify how GRF perturbations influence ACL loading during sidestep cutting. Muscle-actuated simulations of sidestep cutting were generated and analyzed for 20 subjects...
August 22, 2017: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/28819679/neuromuscular-electrical-stimulation-is-effective-in-strengthening-the-quadriceps-muscle-after-anterior-cruciate-ligament-surgery
#8
REVIEW
Annette V Hauger, M P Reiman, J M Bjordal, C Sheets, L Ledbetter, A P Goode
PURPOSE: Reduced ability to contract the quadriceps muscles is often found immediately following anterior cruciate ligament (ACL) surgery. This can lead to muscle atrophy and decreased function. Application of neuromuscular electrical stimulation (NMES) may be a useful adjunct intervention to ameliorate these deficits following ACL surgery. The purpose of this review was to determine whether NMES in addition to standard physical therapy is superior to standard physical therapy alone in improving quadriceps strength or physical function following ACL surgery...
August 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28800303/does-gender-make-a-difference-in-knee-rotation-proprioception-and-range-of-motion-in-healthy-subjects
#9
Qassim I Muaidi
BACKGROUND: Knee proprioception is an integral component of neuromuscular control system that stabilizes the joints, reducing incidence of injury. Knee injuries' incidences differ between genders. Knee rotation is a component of different knee injury mechanisms. Gender differences in knee proprioception in internal (IR) and external (ER) rotations are not sufficiently studied. OBJECTIVE: To check whether proprioceptive acuity in IR and ER directions of knee rotation is inherently lower in women compared to men...
August 1, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28735104/effect-of-limb-dominance-and-sex-on-neuromuscular-activation-patterns-in-athletes-under-12-performing-unanticipated-side-cuts
#10
Michael J Del Bel, Alana K Fairfax, Michelle L Jones, Kendal Steele, Scott C Landry
Non-contact ACL injuries are one of the most common injuries to the knee joint among adolescent/collegiate athletes, with sex and limb dominance being identified as risk factors. In children under 12years of age (U12), these injuries occur less often and there is no sex-bias present. This study set out to explore if sex and/or limb dominance differences exist in neuromuscular activations in U12 athletes. Thirty-four U12 males and females had six bilateral muscles analyzed during unanticipated side-cuts. Principal component analysis was performed, capturing differences in overall magnitudes and timing of peak magnitudes...
October 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28717621/effects-of-the-menstrual-cycle-on-lower-limb-biomechanics-neuromuscular-control-and-anterior-cruciate-ligament-injury-risk-a-systematic-review
#11
REVIEW
Vivek Balachandar, Jan-Luigi Marciniak, Owen Wall, Chandrika Balachandar
OBJECTIVE: Anterior cruciate ligament (ACL) injury has a devastating impact on physical and psychological disability. Rates of ACL rupture are significantly greater in females than males during the same sports. Hormonal mechanisms have been proposed but are complex and poorly understood. This systematic review evaluates the effects of menstrual cycle on: 1) lower-limb biomechanics, 2) neuromuscular control, and 3) ACL injury risk. METHODS: The MEDLINE, CINAHL, SPORTSDiscus, Web of Science, and Google Scholar databases were searched from inception to August 2016 for studies investigating the effects of the menstrual cycle on lower-limb biomechanics, neuromuscular control, and ACL injury risk in females...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28714764/abdominal-hollowing-reduces-lateral-trunk-displacement-during-single-leg-squats-in-healthy-females-but-does-not-affect-peak-hip-abduction-angle-or-knee-abductio-angle-moment
#12
Lukas D Linde, Jessica Archibald, Eve C Lampert, John Z Srbely
CONTEXT: Females suffer 4-6 times more non-contact anterior cruciate ligament (ACL) injuries than males due to neuromuscular control deficits of the hip musculature leading to increases in hip adduction angle, knee abduction angle, and knee abduction moment during dynamic tasks such as single-leg squats. Lateral trunk displacement has been further related to ACL injury risk in females, leading to the incorporation of core strength/stability exercises in ACL preventative training programs...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28712544/the-effect-of-leg-dominance-and-landing-height-on-acl-loading-among-female-athletes
#13
Hossein Mokhtarzadeh, Katie Ewing, Ina Janssen, Chen-Hua Yeow, Nicholas Brown, Peter Vee Sin Lee
Female athletes are more prone to anterior cruciate ligament (ACL) injury. A neuromuscular imbalance called leg dominance may provide a biomechanical explanation. Therefore, the purpose of this study was to compare the side-to-side lower limb differences in movement patterns, muscle forces and ACL forces during a single-leg drop-landing task from two different heights. We hypothesized that there will be significant differences in lower limb movement patterns (kinematics), muscle forces and ACL loading between the dominant and non-dominant limbs...
July 26, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28674942/performance-bridging-the-gap-after-acl-surgery
#14
REVIEW
Polly de Mille, Jamie Osmak
PURPOSE OF REVIEW: The purpose of this paper is to identify strategies for a successful transition to sports in patients following rehabilitation for ACL reconstruction surgery (ACLR). RECENT FINDINGS: Recent research continues to demonstrate a relatively low rate of return to previous level of play among athletes following ACLR combined with a significant risk of injury to either the ipsi or the contralateral ACL. Recent research also demonstrates a growing use of a varied battery of assessments to determine readiness to return to sport as well as a lack of consensus on the ideal rehabilitation program, the criteria for clearance for return to play (both in time from surgery and functional milestones), and the nature of a conditioning program designed specifically for transitioning the cleared athlete back to competition...
July 3, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28656531/acl-injury-prevention-what-does-research-tell-us
#15
REVIEW
Trent Nessler, Linda Denney, Justin Sampley
PURPOSE OF REVIEW: Mechanisms leading to anterior cruciate ligament (ACL) injury have been identified, yet re-injury or a secondary injury persists in the athletic population. The purpose of this review is to identify risk factors associated with ACL injury and investigate programs to prevent injury. RECENT FINDINGS: Faulty mechanics during dynamic movement that cause excessive valgus force at the knee increases the risk of ACL injury. Faulty mechanics may be a result of lateral displacement of the trunk, unequal limb loading, and lack of control to avoid the valgus knee position...
June 27, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28652828/prevention-treatment-and-rehabilitation-of-anterior-cruciate-ligament-injuries-in-children
#16
REVIEW
Pamela J Lang, Dai Sugimoto, Lyle J Micheli
As more children and adolescents participate in competitive organized sports, there has been an increase in the reported incidence of anterior cruciate ligament (ACL) injuries in these age groups. ACL injuries in skeletally immature athletes present a challenge, as reconstruction must preserve the physis of the distal femur and of the proximal tibia to avoid growth disturbances. Historically, a skeletally immature athlete with an ACL injury was treated with a brace and activity modification until skeletal maturity, with ACL reconstruction being performed at that time in the "non-copers" who experienced instability...
2017: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/28603786/how-anterior-cruciate-ligament-injury-was-averted-during-knee-collapse-in-a-nba-point-guard
#17
Nathan D Schilaty, Nathaniel A Bates, Aaron J Krych, Timothy E Hewett
Non-contact anterior cruciate ligament (ACL) injuries occur with rapid decelerations and pivoting. A recent injury to a high-level National Basketball Association (NBA) player demonstrated neuromuscular control and injury-sparing mechanisms that resulted in only minor ligament injury to the medial collateral ligament. We analyzed biomechanical mechanisms via publically available orthogonal 2-D video to demonstrate how this potential ACL injury was averted. Analysis of the knee injury mechanism demonstrated that the NBA player experienced low ground reaction force, high sagittal plane flexion, and maintenance of frontal plane stability with neuromuscular control...
2017: Ann Musculoskelet Med
https://www.readbyqxmd.com/read/28603569/pediatric-acl-injuries-a-review-of-current-concepts
#18
Vikas Trivedi, Panna Mishra, Deepankar Verma
BACKGROUND: The number of anterior cruciate ligament (ACL) injuries reported in skeletally immature athletes has increased over the past 2 decades. The reasons for this increased rate include the growing number of children and adolescents participating in competitive sports vigorous sports training at an earlier age and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. There is a growing need for a consensus and evidence based approach for management of these injuries to frame a dedicated age specific treatment strategy...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28587262/trends-in-pediatric-and-adolescent-anterior-cruciate-ligament-injuries-in-victoria-australia-2005-2015
#19
Louise Shaw, Caroline F Finch
Anterior cruciate ligament (ACL) injuries in children and adolescents have been the focus of recent media attention and parental concern, given their potential for adverse long-term health outcomes and healthcare costs. However, there is limited formal evidence on trends in the incidence of ACL injuries in children. This study utilizes the Victorian Admitted Episodes Dataset (VAED) to characterize epidemiologic trends of hospital-admitted ACL injuries in those aged 5 to 14 years over a period of 10 years from 2005 to 2015...
June 5, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28451617/return-to-sport-for-skeletally-immature-athletes-after-acl-reconstruction-preventing-a-second-injury-using-a-quality-of-movement-assessment-and-quantitative-measures-to-address-modifiable-risk-factors
#20
Jessica Graziano, Theresa Chiaia, Polly de Mille, Danyal H Nawabi, Daniel W Green, Frank A Cordasco
BACKGROUND: Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low rates of return to play. Historically, quantitative measures have been used to determine readiness to return to sport; however, they do not assess modifiable risk factors related to the quality of movement. PURPOSE: To determine the effectiveness of a criteria-based rehabilitation progression and return-to-sport criteria on efficient return to activity and prevention of second injury in young athletes post-ACLR...
April 2017: Orthopaedic Journal of Sports Medicine
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