Featured Research

from universities, journals, and other organizations

Universal neuromuscular training an inexpensive, effective way to reduce ACL injuries in athletes

Date:
May 8, 2014
Source:
American Academy of Orthopaedic Surgeons
Summary:
As participation in high-demand sports such as basketball and soccer has increased over the past decade, so has the number of anterior cruciate ligament injuries in teens and young. The ACL is a critical ligament that stabilizes the knee joint. An ACL injury, one of the most common sports injuries affecting approximately 200,000 Americans each year, often requires surgery and a lengthy period of rehabilitation.

As participation in high-demand sports such as basketball and soccer has increased over the past decade, so has the number of anterior cruciate ligament (ACL) injuries in teens and young adults. In a study appearing today in the Journal of Bone and Joint Surgery(JBJS) (a research summary was presented at the 2014 Annual Meeting of the American Academy of Orthopaedic Surgeonsin March), researchers found that universal neuromuscular training for high school and college-age athletes -- which focuses on the optimal way to bend, jump, land and pivot the knee -- is an effective and inexpensive way to avoid ACL sprains and tears.

The ACL is a critical ligament that stabilizes the knee joint. An ACL injury, one of the most common sports injuries affecting approximately 200,000 Americans each year, often requires surgery and a lengthy period of rehabilitation. Recent research has found that screening tools such as a "hop test" or isokinetic dynamometer which measure muscle strength to identify neuromuscular deficits, as well as neuromuscular training programs, may reduce ACL injuries.

Researchers evaluated three strategies for young athletes: no training or screening, universal neuromuscular training, and universal screening with neuromuscular training for identified high-risk athletes only. The research used a mathematical model for risk and screening based on published data on real student athletes, ages 14-22. Costs of training and screening programs were estimated based on existing literature. Anterior cruciate ligament surgical costs were estimated at between $5,000 and $17,000, with costs running as high as $38,000.

Among the findings:

  • On average, universal training reduced the incidence of ACL injury by 63 percent (from 3 to 1.1 percent per season), while the screening program, on average, reduced the incidence rate by 40 percent (from 3 to 1.8 percent).
  • Out of 10,000 athletes, the model predicted 300 ACL injuries in the no-screening group, 110 in the universal training group, and 180 in the universal training/screening for "at risk" athletes group.
  • Researchers estimated the cost of implementing a universal training program, including coach and player instruction, at approximately $1.25 per day, saving an average of $275 per player, per season in injury-related costs.

"Use of both preventative measures and screening tools sounds appealing, but often there are significant financial, administrative and social hurdles that have to be overcome before they can be implemented on a widespread level," said lead study author Eric F. Swart, MD, an orthopaedic resident at Columbia University Medical Center in New York.

"While we were not surprised that training was more cost-effective than no intervention, we were impressed at the magnitude of the benefit," said Dr. Swart. "According to our model, training was so much less expensive and so much more effective than we anticipated. In addition, fewer players injured mean fewer surgical reconstruction procedures, which also saves money. The research suggests that widely implementing a universal training strategy could actually pay for itself in terms of injuries prevented and surgeries avoided, which makes a very appealing case for primary prevention."


Story Source:

The above story is based on materials provided by American Academy of Orthopaedic Surgeons. Note: Materials may be edited for content and length.


Journal Reference:

  1. Eric Swart, Lauren Redler, Peter D. Fabricant, Bert R. Mandelbaum, Christopher S. Ahmad, Y. Claire Wang. Prevention and Screening Programs for Anterior Cruciate Ligament Injuries in Young Athletes. The Journal of Bone and Joint Surgery (American), 2014; 96 (9): 705 DOI: 10.2106/JBJS.M.00560

Cite This Page:

American Academy of Orthopaedic Surgeons. "Universal neuromuscular training an inexpensive, effective way to reduce ACL injuries in athletes." ScienceDaily. ScienceDaily, 8 May 2014. <www.sciencedaily.com/releases/2014/05/140508133159.htm>.
American Academy of Orthopaedic Surgeons. (2014, May 8). Universal neuromuscular training an inexpensive, effective way to reduce ACL injuries in athletes. ScienceDaily. Retrieved October 21, 2014 from www.sciencedaily.com/releases/2014/05/140508133159.htm
American Academy of Orthopaedic Surgeons. "Universal neuromuscular training an inexpensive, effective way to reduce ACL injuries in athletes." ScienceDaily. www.sciencedaily.com/releases/2014/05/140508133159.htm (accessed October 21, 2014).

Share This



More Health & Medicine News

Tuesday, October 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC Revamps Ebola Guidelines After Criticism

CDC Revamps Ebola Guidelines After Criticism

Newsy (Oct. 21, 2014) The Centers for Disease Control and Prevention have issued new protocols for healthcare workers interacting with Ebola patients. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Vaccine Trials to Start a in January

WHO: Ebola Vaccine Trials to Start a in January

AP (Oct. 21, 2014) Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe in soon to start trials, the World Health Organization said Tuesday. (Oct. 21) Video provided by AP
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
CDC Issues New Ebola Guidelines for Health Workers

CDC Issues New Ebola Guidelines for Health Workers

Reuters - US Online Video (Oct. 21, 2014) The U.S. Centers for Disease Control and Prevention has set up new guidelines for health workers taking care of patients infected with Ebola. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins