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Preventing Noncontact ACL Injuries PDF

Preventing Noncontact ACL Injuries PDF

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    Ebook

    Preventing Noncontact ACL Injuries presents the latest information regarding risk factors and prevention strategies for anterior cruciate ligament injury. The e-book covers current theories regarding loading mechanisms that may contribute to ACL injuries and the various movement screening tools that will help you identify athletes most at risk. It also explores the research investigating programs that have been successful in reducing injuries and the programs that have failed. To enhance learning, the e-book includes 64 video clips of assessments and exercises that illustrate what to look for when assessing clients as well as exercises for preventing ACL injuries. This e-book is also available with an online course component!Preventing Noncontact ACL Injuries also has an online course component that provides interactive case studies that allow you to practice identifying dysfunctional movement patterns and developing comprehensive training programs for two virtual athletes. The course thoroughly covers the numerous components that contribute to an effective program, including technique training (such as how to land from jumping or how to cut correctly), strengthening, plyometrics, and balance and agility training. Through this hands-on approach, you will learn how to draw on scientific evidence, athlete assessments, and your own clinical expertise to develop training programs for individual athletes. For more information or to order the Preventing Noncontact ACL Injuries course and e-book package, visit the HK Education Center.

    Table of Contents

    An Introduction to Understanding and Preventing ACL Injury

    Timothy Edwin Hewett, PhD, FACSM

    Summary

    Part I. The Problem of ACL Injuries

    Part Editor: Letha Y. Griffin, MD, PhD

     

    Chapter 1. Incidence of ACL Injury

    Stephen W. Marshall, PhD; Darin Padua, PhD, ATC; and Melanie McGrath, MS, ATC

    Human Movement and ACL Injury

    What Is Incidence?

    What Is the Average Incidence of ACL Injury in the General Population?

    National Ambulatory Care Surveys

    Summary

    How Does ACL Injury Incidence Vary by Age and Gender?

    How Does the Incidence of ACL Injury Vary By Sport and Gender?

    Literature Review Methods

    Abstraction of Incidence Data

    General Results

    Synthesis and Commentary

    Conclusions

    Recommendations for Future Research

    Chapter 2. Does ACL Reconstruction Prevent Articular Degeneration? The ACL Risk Equation

    Paul H. Marks, MD; Kurt P. Droll, MD, MSc; and Michelle Cameron-Donaldson, MD

    Meniscal Pathology

    Osteochondral Pathology

    Impaired Proprioception

    Biochemical Mediators

    Summary and Future Work

    Chapter 3. The Costs Associated With ACL Injury

    Timothy Edwin Hewett, PhD, FACSM; and Bohdanna T. Zazulak, DPT, MS, OCS

    Who Pays for ACL Injury Prevention in the High Risk Female Athlete?

    Informing the High Risk Female Athlete

    Summary

    Part II. ACL Injury Prevention Programs

    Part Editor: Timothy E. Hewett, PhD, FACSM

     

    Chapter 4. Components of Prevention Programs

    Holly J. Silvers, MPT

    Chapter 5. Theories on How Interventions May Influence ACL Injury Rates:

    The Biomechanical Effects of Plyometric, Balance, Strength, and Feedback Training

    Timothy Edwin Hewett, PhD, FACSM; Gregory D. Myer, MS, CSCS; and Kevin R.  Ford, MS

    Single-Component Training

    Multicomponent Training

    Effects of a Comprehensive Program Combined With Either Plyometric or Balance Training Components

    Conclusions and Future Directions

    Chapter 6. Preventive Training Programs: Changing Strength Ratios Versus Positions of Muscular Efficiency

    Sandra J. Shultz, PhD, ATC, CSCS

    Thigh Strength

    Hip Strength

    Core Strength

    Summary

    Chapter 7. Effect of Prevention Programs on Performance

    Christopher M. Powers, PhD, PT; Christine D. Pollard, PhD, PT; and Susan M. Sigward, PhD, PT, ATC

    Performance Measure: Vertical Jump Height

    Performance Measures: Agility, Strength and Lunge Distance

    Performance Measures: Vertical Jump Height, Single-Leg Hop, Speed, and Strength

    Performance Measure: Single-Limb Stability

    Performance Measures: Balance, Strength, Single-Leg Hop, Triple Jump, and Stair Hop

    Summary

    Chapter 8. Congruence Between Existing Prevention Programs and Research on Risk Factors and Mechanisms of Noncontact ACL Injury

    William E. Garrett, Jr., MD, PhD; and Bing Yu, PhD

    ACL Loading Mechanisms and Risk Factors for Noncontact ACL Injury

    Current Training Programs

    Future Training Program Development

    Chapter 9. Discussion, Summary, and Future Research Goals

    Lars Engebretsen, MD, PhD

     

    Part III. Biomechanical and Neuromuscular Mechanisms of ACL Injuries

    Part Editor: Timothy Edwin Hewett, PhD,FACSM

     

    Chapter 10. Biomechanics Associated with Injury: Athlete Interviews and Review of Injury Tapes

    Tron Krosshaug, PhD, and Roald Bahr, MD, PhD

    Defining “Injury Mechanisms”

    Describing the Inciting Event

    Research Approaches to Describe the Injury Mechanisms

    Literature Search

    Athlete Interviews

    Video Analysis

    Conclusions

    Chapter 11. Clinical Biomechanical Studies on ACL Injury Risk Factors

    Laura J. Huston, MS

    Background

    Kinematic and Kinetic Differences

    Jump Landings

    Sidestep and Cutting Maneuvers

    Muscular Differences

    Altered Muscle Activation Patterns

    Conclusions

    Chapter 12. Effects of Neuromuscular Training on Lower Extremity Motion Patterns

    Bing Yu, PhD; and Marlene DeMaio, MD

    Combined Training Programs Including Plyometrics

    Chapter 13. Sport-Specific Injury Mechanisms Associated With Pivoting, Cutting, and Landing

    Mary Lloyd Ireland, MD

    Gender Comparisons

    Definitions of Mechanism of Injury

    Soccer

    Team Handball

    Basketball

    Gender Differences

    Conclusions

    Chapter 14. Effects of Muscle Firing on Neuromuscular Control and ACL Injury

    Timothy Edwin Hewett, PhD, FACSM; Bohdanna T. Zazulak, DPT, MS, OCS; and Gregory D. Myer, MS, CSCS

    Introduction

    Differences in EMG Activation Levels Between Males And Females

    Summary and Conclusions

    Chapter 15. Etiology and Mechanisms of ACL Injury in Alpine Skiing

    Bruce D. Beynnon, PhD; Carl Ettlinger, MSME; and Robert J. Johnson, MD

    The Epidemiology of Alpine Skiing Injuries

    ACL Injury Mechanisms Associated With Alpine Skiing

    Summary

    Chapter 16. Noncontact ACL Injuries in Dance and Skating

    Carol D. Teitz, MD

    Muscular Control

    Shoe-Surface Interface

    Center Of Gravity and Proprioception

    Choreography

    Miscellaneous

    What About Gymnasts?

    Summary

     

    Chapter 17. The Role of Biofeedback in Preventing Noncontact ACL Injuries

    Julie R. Steele, PhD ; and Bridget J. Munro, PhD

    The Role of Biofeedback in ACL Injury Prevention

    Biofeedback, Neuromuscular Activity, and ACL Injury Prevention

    Biofeedback, Knee Joint Motion, and ACL Injury Prevention

    The Role of Biofeedback in Preventing ACL Reinjury

    Future Directions for Biofeedback and ACL Injury Prevention

     

    Part IV. Hormonal and Anatomic Risk Factors and Preventive Bracing for ACL Injuries

    Part Editor: Sandra J. Shultz, PhD, ATC, CSCS

    Chapter 18. Ligament Biology and Its Relationship to Injury Forces

    James R. Slauterbeck, MD; John R. Hickox, MS; and Daniel M. Hardy, PhD

    Relationships Among ACL Injury Factors

    Effects of Tissue Remodeling

    Sex, Hormones, and ACL Injury

    Chapter 19. Hormonal Influences on Ligament Biology

    Sandra J. Shultz, PhD, ATC, CSCS

    Sex Hormone Profiles: Not all Menstrual Cycles Are Created Equal

    Sex Hormones Effects on Collagen Structure and Metabolism

    Sex Hormones and Knee Joint Laxity and Stiffness

    Menstrual Cycle and ACL Injury

    Summary

    Birth Control Hormones, Ligament Biology and ACL Injury

    Summary

    Chapter 20. Anatomical Factors in ACL Injury Risk

    Sandra J. Shultz, PhD, ATC, CSCS; Anh-Dung Nguyen, MS Ed, ATC; and Bruce D. Beynnon, PhD

    Notch Size and Width

    Generalized Joint Laxity

    Anterior Knee Laxity

    Anatomical Alignment

    Conclusions

    Chapter 21. Intrinsic and Extrinsic Forces Associated With ACL Injury: Can Functional Bracing Reduce the Risk of ACL Injury?

    Bruce D. Beynnon, PhD; and James R. Slauterbeck, MD

    The Biomechanics of Knee Bracing

    The Effectiveness of Braces in Preventing ACL, ACL Graft, and ACL-Deficient Knee Injuries

    Conclusion

    About the Author

    The American Orthopaedic Society for Sports Medicine (AOSSM) is a national organization of orthopaedic surgeons specializing in sports medicine, including national and international sports medicine leaders. The AOSSM works closely with many other sports medicine specialists and clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, and physical therapists, to improve the identification, prevention, treatment, and rehabilitation of sports injuries.

    Formed in 1972 primarily as a forum for education and research, AOSSM has increased its membership from its modest initial membership of fewer than 100 to over 2,000. There are 67 Accreditation Council for Graduate Medical Education approved fellowships in orthopaedic sports medicine in the United States and Canada.

    Members must demonstrate continuing active research and educational activities in the field of sports medicine. Such activities may include service as a team physician at any level of competition; educating persons involved with the health of athletes; service to local, regional, national, and international competitions; and the presentation of scientific research papers at sports medicine meetings. The unifying interest of the membership is their concern with the effects of exercise and the monitoring of its impact on active individuals of all ages, abilities, and levels of fitness.