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  • Title: The effectiveness of injury-prevention programs in reducing the incidence of anterior cruciate ligament sprains in adolescent athletes.
    Author: Paszkewicz J, Webb T, Waters B, Welch McCarty C, Van Lunen B.
    Journal: J Sport Rehabil; 2012 Nov; 21(4):371-7. PubMed ID: 22713252.
    Abstract:
    CLINICAL SCENARIO: There is a high incidence of anterior cruciate ligament (ACL) injury in adolescents participating in pivoting sports such as soccer, basketball, and handball. Most ACL injuries in athletes are noncontact injuries, with a mechanism of sudden deceleration, change in direction, or landing from a jump. These mechanisms coupled with an increase in contraction of the quadriceps have been shown as risk factors for ACL injuries. Injuries to the ACL may require surgery, a long rehabilitation, and the potential for reinjury. Studies have shown reductions in lower extremity injury rates using training protocols that focus on landing mechanics, balance training, strength training, and/or agility training. There has been some thought that starting preventive training programs with adolescent athletes may be the most effective approach to reducing adolescent ACL injuries. FOCUSED CLINICAL QUESTION: Can lower extremity injury-prevention programs effectively reduce ACL injury rates in adolescent athletes?
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