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ACL Prevention Program Objectives and Risk Factors
- 1. ACL Prevention Campbell McCormack, PT, MS Lead Therapist – GSPP UNC Instructor Functional Movement Systems
- 2. How Are We Doing?? 250,000 $3 Billion 6-9 months
- 3. 30% 70%
- 5. Joint flexibility Amount of training Field surface Functional instability Field conditions Previous injury Pathologic ligament laxity Number of games played Climatic factors Muscle tightness Inadequate rehab Ankle taping Inadequate warm-up Shoe/cleat type Poor reaction time Game rules Foul playACL dimensions Femoral notch size Level of skill Insufficient endurance Inadequate recovery Alcohol use BMI Core deficits Excessive subtalar pronation Excessive tibial torsion Bracing Hormonal variations Q angle
- 10. What if…..
- 12. Y-Balance Test
- 14. Risk Factors Screening Program Assignment Medical Assessment Corrective Program
- 15. 30% 70%
- 16. It Takes A Village
- 17. Call to action
- 19. Resources • http://smsmf.org/files/PEP_Program_0412201 1.pdf • http://sportsmetrics.org/wp- content/uploads/2012/12/WIPP-Poster- e1355497200495.jpg • http://f-marc.com/11plus/downloads/ • http://www.dragondoor.com/b57/ • http://move2perform.com/
- 20. References • Butler et al. Modifiable Risk Factors Predict Injuries in Firefighters During Training Academies. Work. 2013;46:11-17. • Chorba et al. Use of a Functional Movement Screening Tool to Determine Injury Risk in Female Collegiate Athletes. NAJSPT. 2010;5:47-54. • Cook et al. Functional Movement Screening: The Use of Fundamental Movements as an Assessment of Function Parts 1 & 2. IJSPT vol 9, no. 3 p. 396. • Coughlan et al. A Comparison Between Performance on Selected Directions of the Star Excursion Balance Test and the Y Balance Test. JAT 2012; 47(4):366-371. • DiStefano et al. Influence of Age, Sex, Techniques, and Exercise Program on Movement Patterns After an Anterior Cruciate Ligament Injury Prevention Program in Youth Soccer Players. AJSM vol 37, no. 3 • Dvorak et al. Risk Factor Analysis for Injuries in Football Players. AJSM vol 28, no. 5 • Frank et al. Trunk and Hip Biomechanics Influence Anterior Cruciate Loading Mechanisms in Physically Active Participants AJSM 2013 41:2676 • Keller et al. Reporting on ACL Deficient Patients: A Function-Based Return-to- Activity Algorithm BJSM (2013) 47: e3
- 21. References • Kiesel K, Plisky P, Butler R. Functional movement test scores improve following a standardized off season intervention program in professional football players. Scand J Med Sci Sports. 2011;21:287- 292. • Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007;2:147-158. • Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in American football players. J Sport Rehabil. 2014;23:88-94. • Lehr et al. Field-expedient screening and injury risk algorithm categories as predictors of noncontact lower extremity injury Scand J Med Sci Sports 2013: 23: e225-e232 • Mandelbaum et al. Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes AJSM Vol 33, no 7 • Plisky et al. Star Excursion Balance Test as a Predictor of Lower Extremity Injury in High School Basketball Players. JOSPT 2006. • Silvers, Mandelbaum Prevention of anterior cruciate ligament injury in the female athlete BJSM (2007); 41(supp)i52-i59. • Voskanian, Natalie ACL Injury prevention in female athletes review of the literature and practical considerations in implementing an ACL prevention program. Curr Rev Musculoskelt Med (2013) 6: 158-163.