Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Follow-up

Background Among female athletes it has not been established whether a neuromuscular and proprioceptive sports-specific training program will consistently reduce the incidence of anterior cruciate ligament injuries. Purpose To determine whether a neuromuscular and proprioceptive performance program...

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Veröffentlicht in:The American journal of sports medicine 2005-07, Vol.33 (7), p.1003-1010
Hauptverfasser: Mandelbaum, Bert R., Silvers, Holly J., Watanabe, Diane S., Knarr, John F., Thomas, Stephen D., Griffin, Letha Y., Kirkendall, Donald T., Garrett, William
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container_end_page 1010
container_issue 7
container_start_page 1003
container_title The American journal of sports medicine
container_volume 33
creator Mandelbaum, Bert R.
Silvers, Holly J.
Watanabe, Diane S.
Knarr, John F.
Thomas, Stephen D.
Griffin, Letha Y.
Kirkendall, Donald T.
Garrett, William
description Background Among female athletes it has not been established whether a neuromuscular and proprioceptive sports-specific training program will consistently reduce the incidence of anterior cruciate ligament injuries. Purpose To determine whether a neuromuscular and proprioceptive performance program was effective in decreasing the incidence of anterior cruciate ligament injury within a select population of competitive female youth soccer players. Study Design Cohort study; Level of evidence, 2. Methods In 2000, 1041 female subjects from 52 teams received a sports-specific training intervention in a prospective non-randomized trial. The control group consisted of the remaining 1905 female soccer players from 95 teams participating in the same league who were age and skill matched. In the 2001 season, 844 female athletes from 45 teams were enrolled in the study, with 1913 female athletes (from 112 teams) serving as the age- and skill-matched controls. All subjects were female soccer players between the ages of 14 and 18 and participated in either their traditional warm-up or a sports-specific training intervention before athletic activity over a 2-year period. The intervention consisted of education, stretching, strengthening, plyometrics, and sports-specific agility drills designed to replace the traditional warm-up. Results During the 2000 season, there was an 88% decrease in anterior cruciate ligament injury in the enrolled subjects compared to the control group. In year 2, during the 2001 season, there was a 74% reduction in anterior cruciate ligament tears in the intervention group compared to the age- and skill-matched controls. Conclusion Using a neuromuscular training program may have a direct benefit in decreasing the number of anterior cruciate ligament injuries in female soccer players.
doi_str_mv 10.1177/0363546504272261
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Purpose To determine whether a neuromuscular and proprioceptive performance program was effective in decreasing the incidence of anterior cruciate ligament injury within a select population of competitive female youth soccer players. Study Design Cohort study; Level of evidence, 2. Methods In 2000, 1041 female subjects from 52 teams received a sports-specific training intervention in a prospective non-randomized trial. The control group consisted of the remaining 1905 female soccer players from 95 teams participating in the same league who were age and skill matched. In the 2001 season, 844 female athletes from 45 teams were enrolled in the study, with 1913 female athletes (from 112 teams) serving as the age- and skill-matched controls. All subjects were female soccer players between the ages of 14 and 18 and participated in either their traditional warm-up or a sports-specific training intervention before athletic activity over a 2-year period. The intervention consisted of education, stretching, strengthening, plyometrics, and sports-specific agility drills designed to replace the traditional warm-up. Results During the 2000 season, there was an 88% decrease in anterior cruciate ligament injury in the enrolled subjects compared to the control group. In year 2, during the 2001 season, there was a 74% reduction in anterior cruciate ligament tears in the intervention group compared to the age- and skill-matched controls. Conclusion Using a neuromuscular training program may have a direct benefit in decreasing the number of anterior cruciate ligament injuries in female soccer players.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546504272261</identifier><identifier>PMID: 15888716</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries ; Athletes ; Athletic Injuries - prevention &amp; control ; Biological and medical sciences ; Exercise ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Injuries ; Injuries of the limb. Injuries of the spine ; Joint and ligament injuries ; Knee ; Knee Injuries - prevention &amp; control ; Medical sciences ; Prevention ; Proprioception ; Prospective Studies ; Skin &amp; tissue grafts ; Soccer ; Soccer - injuries ; Soccer players ; Sport (general aspects) ; Sports injuries ; Sports medicine ; Training ; Traumas. Diseases due to physical agents ; Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. 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Purpose To determine whether a neuromuscular and proprioceptive performance program was effective in decreasing the incidence of anterior cruciate ligament injury within a select population of competitive female youth soccer players. Study Design Cohort study; Level of evidence, 2. Methods In 2000, 1041 female subjects from 52 teams received a sports-specific training intervention in a prospective non-randomized trial. The control group consisted of the remaining 1905 female soccer players from 95 teams participating in the same league who were age and skill matched. In the 2001 season, 844 female athletes from 45 teams were enrolled in the study, with 1913 female athletes (from 112 teams) serving as the age- and skill-matched controls. All subjects were female soccer players between the ages of 14 and 18 and participated in either their traditional warm-up or a sports-specific training intervention before athletic activity over a 2-year period. The intervention consisted of education, stretching, strengthening, plyometrics, and sports-specific agility drills designed to replace the traditional warm-up. Results During the 2000 season, there was an 88% decrease in anterior cruciate ligament injury in the enrolled subjects compared to the control group. In year 2, during the 2001 season, there was a 74% reduction in anterior cruciate ligament tears in the intervention group compared to the age- and skill-matched controls. Conclusion Using a neuromuscular training program may have a direct benefit in decreasing the number of anterior cruciate ligament injuries in female soccer players.</description><subject>Adolescent</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Athletes</subject><subject>Athletic Injuries - prevention &amp; control</subject><subject>Biological and medical sciences</subject><subject>Exercise</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Knee Injuries - prevention &amp; control</subject><subject>Medical sciences</subject><subject>Prevention</subject><subject>Proprioception</subject><subject>Prospective Studies</subject><subject>Skin &amp; tissue grafts</subject><subject>Soccer</subject><subject>Soccer - injuries</subject><subject>Soccer players</subject><subject>Sport (general aspects)</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Training</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</subject><subject>Women athletes</subject><subject>Wounds and injuries</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV-LEzEUxYMobq2--yQB0bfRZJLJn8dSdnWhuD6szyFNb2rKTFKTmUU_gt_aDC1UFsSnhHt_9-acHIReU_KBUik_EiZYx0VHeCvbVtAnaEG7rm0YE91TtJjbzdy_Qi9KORBCqBTqObqinVJKUrFAv6-9BzeGB4hQCk4eW_wFppyGqbiptxnbuMNfczrmkBwcZxLfZxtiiPu5vs92wCHWK9Qd41xdxREqnfE6Ty7YEfAm7O1Qu_g2HqYcoMwTNzDYHvBq_N7DCOUleuZtX-DV-VyibzfX9-vPzebu0-16tWkcp93YCK-2zlrJJN9yR7vWEc3FjqqOUc6U9BKqOyIZECZ3VivrFXWeOcaoU5yzJXp_2nvM6ccEZTRDKA763kZIUzFCatlyof8L0qpBMt1W8O0j8JCmHKsJQ7XUvCZTg1ii5kTtq2sTokv1m36OLvU97MFUj-s7s6KMaUK1nnly4l1OpWTwpkYw2PzLUGLm9M3j9OvIm7OQaTvA7jJwjrsC786ALc72PtvoQrlwQmlJ1V9ai63SLm7-9fAfI1rDPA</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>Mandelbaum, Bert R.</creator><creator>Silvers, Holly J.</creator><creator>Watanabe, Diane S.</creator><creator>Knarr, John F.</creator><creator>Thomas, Stephen D.</creator><creator>Griffin, Letha Y.</creator><creator>Kirkendall, Donald T.</creator><creator>Garrett, William</creator><general>SAGE Publications</general><general>American Orthopaedic Society for Sports Medicine</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20050701</creationdate><title>Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes</title><author>Mandelbaum, Bert R. ; Silvers, Holly J. ; Watanabe, Diane S. ; Knarr, John F. ; Thomas, Stephen D. ; Griffin, Letha Y. ; Kirkendall, Donald T. ; Garrett, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-6f8bcaa7374b4c152c0946d185314387f7e158073e037da98af81cf3c331c8443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Athletes</topic><topic>Athletic Injuries - prevention &amp; control</topic><topic>Biological and medical sciences</topic><topic>Exercise</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Knee Injuries - prevention &amp; control</topic><topic>Medical sciences</topic><topic>Prevention</topic><topic>Proprioception</topic><topic>Prospective Studies</topic><topic>Skin &amp; tissue grafts</topic><topic>Soccer</topic><topic>Soccer - injuries</topic><topic>Soccer players</topic><topic>Sport (general aspects)</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Training</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</topic><topic>Women athletes</topic><topic>Wounds and injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mandelbaum, Bert R.</creatorcontrib><creatorcontrib>Silvers, Holly J.</creatorcontrib><creatorcontrib>Watanabe, Diane S.</creatorcontrib><creatorcontrib>Knarr, John F.</creatorcontrib><creatorcontrib>Thomas, Stephen D.</creatorcontrib><creatorcontrib>Griffin, Letha Y.</creatorcontrib><creatorcontrib>Kirkendall, Donald T.</creatorcontrib><creatorcontrib>Garrett, William</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mandelbaum, Bert R.</au><au>Silvers, Holly J.</au><au>Watanabe, Diane S.</au><au>Knarr, John F.</au><au>Thomas, Stephen D.</au><au>Griffin, Letha Y.</au><au>Kirkendall, Donald T.</au><au>Garrett, William</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Follow-up</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>33</volume><issue>7</issue><spage>1003</spage><epage>1010</epage><pages>1003-1010</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background Among female athletes it has not been established whether a neuromuscular and proprioceptive sports-specific training program will consistently reduce the incidence of anterior cruciate ligament injuries. Purpose To determine whether a neuromuscular and proprioceptive performance program was effective in decreasing the incidence of anterior cruciate ligament injury within a select population of competitive female youth soccer players. Study Design Cohort study; Level of evidence, 2. Methods In 2000, 1041 female subjects from 52 teams received a sports-specific training intervention in a prospective non-randomized trial. The control group consisted of the remaining 1905 female soccer players from 95 teams participating in the same league who were age and skill matched. In the 2001 season, 844 female athletes from 45 teams were enrolled in the study, with 1913 female athletes (from 112 teams) serving as the age- and skill-matched controls. All subjects were female soccer players between the ages of 14 and 18 and participated in either their traditional warm-up or a sports-specific training intervention before athletic activity over a 2-year period. The intervention consisted of education, stretching, strengthening, plyometrics, and sports-specific agility drills designed to replace the traditional warm-up. Results During the 2000 season, there was an 88% decrease in anterior cruciate ligament injury in the enrolled subjects compared to the control group. In year 2, during the 2001 season, there was a 74% reduction in anterior cruciate ligament tears in the intervention group compared to the age- and skill-matched controls. Conclusion Using a neuromuscular training program may have a direct benefit in decreasing the number of anterior cruciate ligament injuries in female soccer players.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15888716</pmid><doi>10.1177/0363546504272261</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries
Athletes
Athletic Injuries - prevention & control
Biological and medical sciences
Exercise
Female
Fundamental and applied biological sciences. Psychology
Humans
Injuries
Injuries of the limb. Injuries of the spine
Joint and ligament injuries
Knee
Knee Injuries - prevention & control
Medical sciences
Prevention
Proprioception
Prospective Studies
Skin & tissue grafts
Soccer
Soccer - injuries
Soccer players
Sport (general aspects)
Sports injuries
Sports medicine
Training
Traumas. Diseases due to physical agents
Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
Women athletes
Wounds and injuries
title Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Follow-up
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