Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis

Evangelos Pappas, Elizabeth J. Nightingale, Milena Simic, Kevin R. Ford, Timothy Hewett, Gregory D. Myer

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

Objective Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. Design The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Results Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p≤0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. Conclusions The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes.

Original languageEnglish (US)
Pages (from-to)673-680
Number of pages8
JournalBritish Journal of Sports Medicine
Volume49
Issue number10
DOIs
StatePublished - May 1 2015
Externally publishedYes

Fingerprint

Biomechanical Phenomena
Meta-Analysis
Exercise
Wounds and Injuries
Rupture
Knee
Literature
Electromyography
Ligaments
Athletes
Sports
Databases
Control Groups
Anterior Cruciate Ligament Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis. / Pappas, Evangelos; Nightingale, Elizabeth J.; Simic, Milena; Ford, Kevin R.; Hewett, Timothy; Myer, Gregory D.

In: British Journal of Sports Medicine, Vol. 49, No. 10, 01.05.2015, p. 673-680.

Research output: Contribution to journalReview article

Pappas, Evangelos ; Nightingale, Elizabeth J. ; Simic, Milena ; Ford, Kevin R. ; Hewett, Timothy ; Myer, Gregory D. / Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis. In: British Journal of Sports Medicine. 2015 ; Vol. 49, No. 10. pp. 673-680.
@article{c55f931e97704397a8ad0291d57860ee,
title = "Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis",
abstract = "Objective Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. Design The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Results Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p≤0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. Conclusions The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes.",
author = "Evangelos Pappas and Nightingale, {Elizabeth J.} and Milena Simic and Ford, {Kevin R.} and Timothy Hewett and Myer, {Gregory D.}",
year = "2015",
month = "5",
day = "1",
doi = "10.1136/bjsports-2014-093796",
language = "English (US)",
volume = "49",
pages = "673--680",
journal = "British Journal of Sports Medicine",
issn = "0306-3674",
publisher = "BMJ Publishing Group",
number = "10",

}

TY - JOUR

T1 - Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis

AU - Pappas, Evangelos

AU - Nightingale, Elizabeth J.

AU - Simic, Milena

AU - Ford, Kevin R.

AU - Hewett, Timothy

AU - Myer, Gregory D.

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Objective Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. Design The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Results Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p≤0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. Conclusions The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes.

AB - Objective Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. Design The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Results Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p≤0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. Conclusions The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes.

UR - http://www.scopus.com/inward/record.url?scp=84929047167&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929047167&partnerID=8YFLogxK

U2 - 10.1136/bjsports-2014-093796

DO - 10.1136/bjsports-2014-093796

M3 - Review article

C2 - 25492646

AN - SCOPUS:84929047167

VL - 49

SP - 673

EP - 680

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

IS - 10

ER -