Timothy E Hewett1, Gregory D Myer, Kevin R Ford, Mark V Paterno, Carmen E Quatman. 1. Department of Physiology & Cell Biology, The Ohio State University Sports Medicine Sports Health & Performance Institute, 2050 Kenny Road, Suite 3100, Columbus, OH 43221-3502, USA. Timothy.Hewett@osumc.edu
Abstract
BACKGROUND: ACL injuries are common, often devastating injuries that lead to short-term disability and long-term sequelae, many of which lack effective treatment, such as osteoarthritis. Therefore, prevention of ACL injury is currently the only effective intervention for these life-altering sequelae, while much of the literature has a rehabilitative focus. QUESTIONS/PURPOSES: The primary long-term purpose of our multidisciplinary collaborative research team has been to develop ACL injury prevention programs by determining which factors related to ACL injury should be altered, followed by how and when they should be altered. METHODS: Our primary study objectives were to determine: (1) modifiable risk factors; (2) how these factors can best be modified; and (3) when is the best time to diminish these risk factors. Throughout the course of various studies, we determined the modifiable factors related to increased ACL injury risk. Our research team then focused on exploring numerous ways to augment these factors to maximize prevention efforts. We developed a sequence of prevention models that provide a framework to monitor progress toward the ultimate goal of preventing ACL injuries. RESULTS: The modifiable factors shown in our work include biomechanical and neuromuscular functionality. When targeted in physical training, we have determined that these factors can be enhanced to effectively aid in the prevention of ACL injuries. Preliminary data have shown that childhood and early adolescence may be valuable periods to implement such training. CONCLUSIONS: Current evidence has led to the evolution of clinical assessment tools for high-risk athletes and interventions for large populations and specific high-risk individuals. Targeted intervention implemented at the specified developmental stage of highest risk may be the final step toward the maximal reduction of ACL injury risk in young athletes.
BACKGROUND: ACL injuries are common, often devastating injuries that lead to short-term disability and long-term sequelae, many of which lack effective treatment, such as osteoarthritis. Therefore, prevention of ACL injury is currently the only effective intervention for these life-altering sequelae, while much of the literature has a rehabilitative focus. QUESTIONS/PURPOSES: The primary long-term purpose of our multidisciplinary collaborative research team has been to develop ACL injury prevention programs by determining which factors related to ACL injury should be altered, followed by how and when they should be altered. METHODS: Our primary study objectives were to determine: (1) modifiable risk factors; (2) how these factors can best be modified; and (3) when is the best time to diminish these risk factors. Throughout the course of various studies, we determined the modifiable factors related to increased ACL injury risk. Our research team then focused on exploring numerous ways to augment these factors to maximize prevention efforts. We developed a sequence of prevention models that provide a framework to monitor progress toward the ultimate goal of preventing ACL injuries. RESULTS: The modifiable factors shown in our work include biomechanical and neuromuscular functionality. When targeted in physical training, we have determined that these factors can be enhanced to effectively aid in the prevention of ACL injuries. Preliminary data have shown that childhood and early adolescence may be valuable periods to implement such training. CONCLUSIONS: Current evidence has led to the evolution of clinical assessment tools for high-risk athletes and interventions for large populations and specific high-risk individuals. Targeted intervention implemented at the specified developmental stage of highest risk may be the final step toward the maximal reduction of ACL injury risk in young athletes.
Authors: Michael Posthumus; Alison V September; Dion O'Cuinneagain; Willem van der Merwe; Martin P Schwellnus; Malcolm Collins Journal: Br J Sports Med Date: 2009-05-13 Impact factor: 13.800
Authors: Gregory D Myer; Kevin R Ford; Jon G Divine; Eric J Wall; Leamor Kahanov; Timothy E Hewett Journal: J Athl Train Date: 2009 Jan-Feb Impact factor: 2.860
Authors: Ajit M W Chaudhari; Thomas N Lindenfeld; Thomas P Andriacchi; Timothy E Hewett; Jennifer Riccobene; Gregory D Myer; Frank R Noyes Journal: Am J Sports Med Date: 2007-02-16 Impact factor: 6.202
Authors: Gregory D Myer; Kevin R Ford; Jane Khoury; Paul Succop; Timothy E Hewett Journal: Clin Biomech (Bristol, Avon) Date: 2010-08 Impact factor: 2.063
Authors: Adam M Kushner; Jensen L Brent; Brad J Schoenfeld; Jason Hugentobler; Rhodri S Lloyd; Al Vermeil; Donald A Chu; Jason Harbin; Stuart M McGill; Gregory D Myer Journal: Strength Cond J Date: 2015-04 Impact factor: 2.143
Authors: Adam M Kushner; Adam W Kiefer; Samantha Lesnick; Avery D Faigenbaum; Susmita Kashikar-Zuck; Gregory D Myer Journal: Curr Sports Med Rep Date: 2015 May-Jun Impact factor: 1.733