Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes

Gregory D. Myer, Kevin R. Ford, Timothy Hewett

Research output: Contribution to journalArticle

166 Citations (Scopus)

Abstract

Objective: To present the rationale and detailed techniques for the application of exercises targeted to prevent anterior cruciate ligament (ACL) injury in high-risk female athletes. Background: Female athletes have a 4- to 6-fold increased risk for ACL injury compared with their male counterparts playing at similar levels in the same sports. The increased ACL injury risk coupled with greater sports participation by young women over the last 30 years (9-fold increase in high school and 5-fold increase in collegiate sports) has generated public awareness and fueled several sex-related mechanistic and interventional investigations. These investigations provide the groundwork for the development of neuromuscular training aimed at targeting identified neuromuscular imbalances to decrease ACL injury risk. Description: After the onset of puberty, female athletes may not have a neuromuscular spurt to match their similar, rapid increase in growth and development. The lack of a natural neuromuscular adaptation may facilitate the development of neuromuscular imbalances that increase the risk for ACL injury. Dynamic neuromuscular analysis training provides the methodologic approach for identifying high-risk individuals and the basis of using interventions targeted to their specific needs. Clinical Advantages: Dynamic neuromuscular training applied to the high-risk population may decrease ACL injury risk and help more female athletes enjoy the benefits of sports participation without the long-term disabilities associated with injury.

Original languageEnglish (US)
Pages (from-to)352-364
Number of pages13
JournalJournal of Athletic Training
Volume39
Issue number4
StatePublished - Oct 2004
Externally publishedYes

Fingerprint

Athletes
Sports
Anterior Cruciate Ligament Injuries
Population Dynamics
Puberty
Growth and Development
Exercise
Wounds and Injuries

Keywords

  • Dynamic knee valgus
  • Injury-prevention training
  • Knee injury
  • Neuromuscular imbalances
  • Neuromuscular training

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

Cite this

Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes. / Myer, Gregory D.; Ford, Kevin R.; Hewett, Timothy.

In: Journal of Athletic Training, Vol. 39, No. 4, 10.2004, p. 352-364.

Research output: Contribution to journalArticle

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