Practical screening and intervention to reduce risk of ACL injury in young women
Theakston, Kim; Motto, Rhoida (2016)
Avaa tiedosto
Lataukset:
Theakston, Kim
Motto, Rhoida
Satakunnan ammattikorkeakoulu
2016
Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201604154439
https://urn.fi/URN:NBN:fi:amk-201604154439
Tiivistelmä
Injury of the anterior cruciate ligament (ACL) is a relatively common knee injury amongst participants of competitive sports such as soccer, basketball, gymnastics, volleyball and handball. Its incidence amongst young females is two to six times higher than males participating in the same sports due to a number of factors including biomechanical and neuromuscular differences. ACL injury has serious consequences for affected individuals including costly rehabilitation, long recovery time and a greater risk of subsequent knee injury. Community-wide prevention programs focusing on education and exercise to improve modifiable risk factors could significantly reduce the incidence of injury. For such programs to be successfully adopted, risk screening and training interventions need to be low-cost and of minimal inconvenience.
A brief literature review was made of the current evidence related to risk screening and prevention programs for ACL injury. The aim was to answer four main questions: (a) How can an ACL risk assessment and injury prevention program be rapidly and inexpensively implemented for a team of young females in a community sports setting?; (b) What field-based test method can identify a few of the most important modifiable risk factors?; (c) What training interventions can reduce these risk factors? and; (d) How can these interventions be provided to ensure best possibility for adoption and compliance by sports teams?
In this thesis we propose a field-based screening tool and training intervention guide to help physiotherapists assess groups of young women, identify individuals at high risk of ACL injury and design an injury prevention program based on therapeutic exercise. The screening process uses a tuck-jump landing test to identify four faulty movement patterns that are known neuromuscular/biomechanical risk factors for ACL injury. The faulty movement patterns exhibited during jump landing are ligament dominance (knee valgus), leg dominance (bias on landing leg), trunk dominance (core instability) and quadriceps dominance (insufficient knee flexion). The intervention guide recommends progressive neuromuscular exercise programs targeted specifically at each high risk movement pattern.
A brief literature review was made of the current evidence related to risk screening and prevention programs for ACL injury. The aim was to answer four main questions: (a) How can an ACL risk assessment and injury prevention program be rapidly and inexpensively implemented for a team of young females in a community sports setting?; (b) What field-based test method can identify a few of the most important modifiable risk factors?; (c) What training interventions can reduce these risk factors? and; (d) How can these interventions be provided to ensure best possibility for adoption and compliance by sports teams?
In this thesis we propose a field-based screening tool and training intervention guide to help physiotherapists assess groups of young women, identify individuals at high risk of ACL injury and design an injury prevention program based on therapeutic exercise. The screening process uses a tuck-jump landing test to identify four faulty movement patterns that are known neuromuscular/biomechanical risk factors for ACL injury. The faulty movement patterns exhibited during jump landing are ligament dominance (knee valgus), leg dominance (bias on landing leg), trunk dominance (core instability) and quadriceps dominance (insufficient knee flexion). The intervention guide recommends progressive neuromuscular exercise programs targeted specifically at each high risk movement pattern.