Preventing Knee Injuries in Women s Soccer

Size: px
Start display at page:

Download "Preventing Knee Injuries in Women s Soccer"

Transcription

1 Preventing Knee Injuries in Women s Soccer By Wayne Nelson, DC, CCRS The United States has recently seen a rapid increase in participation of young athletes with organized youth soccer leagues. As parents spend more time around the sport they become very familiar with the injuries associated with this sport. They begin noticing that lower extremity injuries are more common and that there are many more injuries associated with the women s teams than the men s, especially knee injuries. Although soccer has a low rate of injuries compared to other youth sports, current literature reports that the lower limb, specifically the ankle and knee, are the body parts most often injured in youth soccer. Factors That Increase Your Risk Of An ACL Injury The anterior cruciate ligament (ACL) is one of the major stabilizing ligaments in the knee. The majority of ACL injuries in sports occur in the absence of physical contact with other players at the time of injury and are categorized as non-contact ACL injuries. It has been shown that the female athlete involved in cutting sports (soccer, basketball and volleyball) is 4 to 10 times more likely to sustain a sports-related non-contact ACL injury than male athletes. Also, we know that the knee has a nearly sixfold increased risk of reinjury with a previous injury to a knee and the ankle has a fourfold greater risk of reinjury if the athlete had a previous ankle injury. A prior injury is one of the single best predictors of future injury risk and ACL injuries to the opposite knee are even more common than reinjuries of the initial knee. Figure 1. ACL injuries typically occur immediately after a landing when the knee is nearly straight. The Cost Of An ACL Injury Goes Beyond Dollars!

2 The cost of an ACL rupture is costly with conservative estimates of surgery and rehabilitation at $17,000 to $25,000 per injury. Additional costs include loss of entire seasons of sports participation, loss of scholarship funding, lowered academic performance, longterm disability, chronic knee instability, secondary damage to menisci and a 10-times greater risk of degenerative osteoarthritis of the knee. Why Women Have More ACL Injuries Than Men A variety of factors have been explored to account for the gender difference in susceptibility to ACL injuries: ACL size; knee joint laxity; standing posture, foot pronation ( dropped arch ), misalignment of the lower extremity, and pelvic position; and hormonal variations. Furthermore, they have explored shoe-surface interaction; playing surface; skill level; level of conditioning, muscle strength, and altered neuromuscular controls. With regard to environmental, anatomical and hormonal risk factors, there is no conclusive evidence that any one single risk factor correlates directly with an increase in ACL injury in female athletes. Therefore, the emphasis has turned to biomechanical risk factors and the use of neuromuscular and proprioceptive intervention programs to address potential biomechanical deficits. Prevention Is The Best Solution Preventing ACL injuries is paramount. ACL injury reconstruction surgeries are complicated for adolescents and often have poor results. On the other hand, the natural history of untreated ACL injuries in adolescents is not acceptable. Because of the concerns with surgical and nonsurgical treatments of ACL injuries in adolescents, ACL injuries are more devastating for adolescents than for adults, and the early training for prevention of noncontact ACL injuries in adolescents is important. Inadequate Knee Control Causes ACL Injuries Understanding injury mechanisms is a key component of prevention of non-contact ACL injuries. Mechanically, ACL injury occurs when an excessive tension force is applied on the ACL. A non-contact ACL injury occurs when a person themselves generates great forces at the knee that applies excessive loading on the ACL. This can occur in a number of ways: sudden deceleration, repeatedly performing landing and pivoting maneuvers (Figure 2), one-step/stop deceleration, cutting movements, sudden change of direction, landing from a jump with

3 inadequate knee and hip flexion (at or near full extension), or a lapse of concentration (resulting from an unanticipated change in the direction of play). Figure 2. A landing and pivoting maneuver. ACL injuries typically occur immediately after landing during a deceleration maneuver combined with a change of direction while the foot is in a closed-chain position (planted on the ground). While the foot is planted and pronated (rolled in), the tibia of the lower leg is internally rotated (turned inwards), and the knee is nearly straight (at or near full extension. Figure 1). If the athlete attempts to change direction, the result is an excessive torsional force that can potentially strain or rupture the ACL. Figure 3. A typical falling pattern that demonstrates an increased risk for an ACL injury. How Long Has This Been Going On? A longitudinal study of children 5 to 12 years of age in youth soccer demonstrated that there is no gender difference in knee injury risk before puberty in athletes. However, age older than 11 years was a significant risk factor for knee injury in girls. Compared to their male counterparts, changes that occur in the female athlete while performing a stop-jump task include: decreased knee and hip flexion angles at initial contact, a tendency to land with the lower extremities more extended, and they maintained knee valgus

4 (Figure 4) at initial foot contact with the ground. The degree of these changes increased with age. The literature indicates that the ACL injury rate in adolescents increases linearly after 12 years of age and that adolescents at 17 and 18 years of age have the highest ACL injury rate. Training for Prevention Also Helps Performance Comprehensive training can lead to improvements in athletic performance and movement biomechanics as well as reduce ACL injury risk in female athletes. The processes that reduc ACL injury rates appear to be relatively similar, arising from a common rationale derived from performance enhancement training and physical rehabilitation for athletes. Improving Technique Is The Answer Emphasis of training should be on proper technique: landing softly, increase knee flexion, minimize knee valgus (align the center of knee cap with the first toe). Improving running technique to include accelerated rounded turns, decelerate with a multi-step stop, and maintain proper knee alignment and knee flexion during cutting maneuvers. Strength conditioning should focus on increasing hamstring, gluteus maximus, gluteus medius (hip extension and abduction) strength and reactivity. Figure 4. Dynamic lower extemity valgus. To maximize stability keep the knee cap aligned with the large toe. (Hewett TE, et al. Am J Sports Med. 2006;34,2: ) About The Author Located in Roseville, California, Wayne Nelson, DC, CCRS, is a board certified Chiropractic Rehabilitation Specialist and has over

5 17 years experience in rehabilitation, sports medicine and performance training. If you have any questions about preventing injuries or improving your fitness for soccer you can contact Wayne at Figure 5. Important muscles of the thigh. H - hamstrings Gmx - gluteus maximus Gmd - gluteus medius Q - quadricps Copyright Wayne Nelson 2007

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND Barry Tietjens Unisports Sports Medicine Auckland NO DISCLOSURES ACL INJURY PREVENTION Knee injuries involving the ACL are common in sport ACL

More information

KNEEFIT ACL Injury Prevention Program

KNEEFIT ACL Injury Prevention Program The Bad News Anterior Cruciate Ligament (ACL) injuries have become extremely common in athletics. From golfer Tiger Woods to Tom Brady of the New England Patriots to Michael Owen of Manchester United F.C.

More information

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC Objectives Rehabilitation after ACL Reconstruction: From the OR to the Playing Field Mark V. Paterno PT, PhD, MBA, SCS, ATC Coordinator of Orthopaedic and Sports Physical Therapy Cincinnati Children s

More information

ACL INJURIES IN THE FEMALE ATHLETE

ACL INJURIES IN THE FEMALE ATHLETE ACL INJURIES IN THE FEMALE ATHLETE Jeffrey L. Mikutis, D.O. Surgical Director, Sports Medicine Pediatric Orthopaedic Surgeon Orthopaedic Center for Spinal & Pediatric Care, Inc. Dayton Children s Hospital

More information

Prevention & Management of ACL Injury. Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP

Prevention & Management of ACL Injury. Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP Prevention & Management of ACL Injury Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP ACL injury ACL injury 30/100,000, 40% sports injuries (NHS) Limited statistics in UK related to sport Rugby Union 2002-2004

More information

Anterior Cruciate Ligament ruptures in Women compared to men.

Anterior Cruciate Ligament ruptures in Women compared to men. By Complete Performance Coach: Rosie Shakespeare www.completeperformance.co.nz Anterior Cruciate Ligament ruptures in Women compared to men. The anterior cruciate ligament (ACL) is found behind the kneecap

More information

INJURY IN FEMALE SOCCER PLAYERS

INJURY IN FEMALE SOCCER PLAYERS INJURY IN FEMALE SOCCER PLAYERS Pr E. SERVIEN, MD PhD Orthopaedic surgery Centre Albert Trillat Hopital de la Croix-Rousse, FIFA medical center of excellence Lyon University France Background female athlete

More information

LADIES GAA ACL PREVENTION PROGRAM

LADIES GAA ACL PREVENTION PROGRAM LADIES GAA ACL PREVENTION PROGRAM Enda King Clinical Specialist Physiotherapist SSC 19 th March 2012 TOPICS Anatomy ACL Injury Mechanism ACL Injury Risk Factors ACL Injury Consequences ACL Injury Prevention

More information

ACL Injury Risk Factors and Prevention An Update. Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu

ACL Injury Risk Factors and Prevention An Update. Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu ACL Injury Risk Factors and Prevention An Update Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu Case Scenario 14 yo female soccer player Changed directions quickly when ball was taken from

More information

NEUROMUSCULAR FACTORS

NEUROMUSCULAR FACTORS HAZARD FACTORS OF ACL RUPTURE: NEUROMUSCULAR FACTORS KAUX JF, Delvaux F, Forthomme B, Massart N, Daniel C, Crielaard JM, Croisier JL Sports Medicine and Traumatology Department (SPORTS2) University Hopital

More information

ACL Injury Prevention Through Proprioceptive & Neuromuscular Training Arlington Soccer Club April 1, 2010

ACL Injury Prevention Through Proprioceptive & Neuromuscular Training Arlington Soccer Club April 1, 2010 ACL Injury Prevention Through Proprioceptive & Neuromuscular Training Arlington Soccer Club April 1, 2010 Matthew R. McManus, PT Co-Owner & Regional Clinical Director - Massachusetts ProEx Physical Therapy

More information

ACL Injury Prevention

ACL Injury Prevention ACL Injury Prevention An Ounce of Prevention is Worth a Pound of Cure Benjamin Franklin Jeff Webb, M.D. Some ACL Injuries Are Not Preventable Some ACL Injuries May Be Preventable About 100,000 250,000

More information

Non-Contact ACL Injury Prevention for Females Jason D. Vescovi, PhD, CSCS

Non-Contact ACL Injury Prevention for Females Jason D. Vescovi, PhD, CSCS Non-Contact ACL Injury Prevention for Females Jason D. Vescovi, PhD, CSCS This paper was presented as part of the NSCA Hot Topic Series. All information contained herein is copyright of the NSCA. Non-Contact

More information

Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research. Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD

Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research. Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD A Gender Comparison of Lower Extremity Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD Anterior Cruciate Ligament

More information

Physical Therapy Corner: Knee Injuries and the Female Athlete

Physical Therapy Corner: Knee Injuries and the Female Athlete Physical Therapy Corner: Knee Injuries and the Female Athlete Knee injuries, especially tears of the anterior cruciate ligament, are becoming more common in female athletes. Interest in women s athletics

More information

ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION. Milad Alam, PGY2 Aug 12 th, 2014

ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION. Milad Alam, PGY2 Aug 12 th, 2014 ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION Milad Alam, PGY2 Aug 12 th, 2014 Femoral Attachment: post-med corner of medial side of lateral femoral condyle Tibial Attachment: in a fossa, anterior medial

More information

Non-contact ACL injuries: What you need to know. Jason D. Vescovi, Ph.D. and Todd D. Brown

Non-contact ACL injuries: What you need to know. Jason D. Vescovi, Ph.D. and Todd D. Brown Non-contact ACL injuries: What you need to know Jason D. Vescovi, Ph.D. and Todd D. Brown Jason and Todd are the co-creators of the G.O.A.L.S Training Series TM (www.goalstrainingseries.com) Brandi Chastain,

More information

VOLLEYBALL INJURY PREVENTION

VOLLEYBALL INJURY PREVENTION VOLLEYBALL INJURY PREVENTION Injuries to the anterior cruciate ligament are often associated with contact sports. However, these injuries occur quite readily in noncontact sports such as volleyball and

More information

Rebound offers advice for ACL Injury & prevention VELOCIT Y!

Rebound offers advice for ACL Injury & prevention VELOCIT Y! OCTOBER 27, 2014 ISSUE 5, VOLUME 2 03 Rebound offers advice for ACL Injury & prevention Rec program moves to the Dome VELOCIT Y Champions in Vegas CISC 03 Boys What happened in Vegas, did not stay in Vegas,

More information

5 Steps to Reducing Non-Contact ACL Injuries in Female Athletes

5 Steps to Reducing Non-Contact ACL Injuries in Female Athletes 5 STEPS TO REDUCING NON-CONTACT ACL INJURIES IN FEMALE ATHLETES CHAPTER 21 5 Steps to Reducing Non-Contact ACL Injuries in Female Athletes By David Kittner LINDSAY S TRAGEDY She had all the makings of

More information

Pattern Characterization of Running and Cutting Maneuvers in Relation to Noncontact

Pattern Characterization of Running and Cutting Maneuvers in Relation to Noncontact Pattern Characterization of Running and Cutting Maneuvers in Relation to Noncontact ACL Injury Brenna Hearn During running and cutting maneuvers, the anterior cruciate ligament (ACL) is commonly injured

More information

Sport-specific Rehabilitation and Performance Programs

Sport-specific Rehabilitation and Performance Programs Sport-specific Rehabilitation and Performance Programs At Cleveland Clinic, we understand athletes. That s why we ve designed an entire range of sport-specific rehabilitation and performance programs to

More information

PREVENTING ACL INJURIES IN SOCCER. By Brian Goodstein, MS, ATC, CSCS

PREVENTING ACL INJURIES IN SOCCER. By Brian Goodstein, MS, ATC, CSCS PREVENTING ACL INJURIES IN SOCCER By Brian Goodstein, MS, ATC, CSCS ACL injuries can be devastating to a soccer player s competitive season. For this reason, reputable medical institutions like the Cincinnati

More information

Adolescent Female Knee/ACL Injuries and Prevention. Camille Clinton, MD ProOrtho

Adolescent Female Knee/ACL Injuries and Prevention. Camille Clinton, MD ProOrtho Adolescent Female Knee/ACL Injuries and Prevention Camille Clinton, MD ProOrtho Background Native Seattlelite Played most sports, but primarily soccer High school, select, ODP, college College at Notre

More information

Mary LaBarre, PT, DPT,ATRIC

Mary LaBarre, PT, DPT,ATRIC Aquatic Therapy and the ACL Current Concepts on Prevention and Rehab Mary LaBarre, PT, DPT,ATRIC Anterior Cruciate Ligament (ACL) tears are a common knee injury in athletic rehab. Each year, approximately

More information

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction This protocol is designed to assist you with your preparation for surgery and should be followed under the direction

More information

Preventing ACL Injuries in Female Athletes

Preventing ACL Injuries in Female Athletes Preventing ACL Injuries in Female Athletes By Robert Silverman, DC, MS, CCN, CSCS For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior

More information

Knee sprains. What is a knee strain? How do knee strains occur? what you ll find in this brochure

Knee sprains. What is a knee strain? How do knee strains occur? what you ll find in this brochure what you ll find in this brochure What is a knee strain? How do knee strains occur? What you should do if a knee strain occurs. What rehabilitation you should do. Example of a return to play strategy.

More information

IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION

IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION ACL INJURY / RE-INJURY PREVENTION IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION JAMIE MCCARTNEY, B.Sc., CSCS MATT JORDAN, M.Sc., CSCS Strength and Conditioning, Canadian Sport Institute-Calgary

More information

ACL Rehabilitation Pathway. Expediating Safe Return to Optimum Performance. www.sportssurgeryclinic.com

ACL Rehabilitation Pathway. Expediating Safe Return to Optimum Performance. www.sportssurgeryclinic.com Specialists in Joint Replacement, Spinal Surgery, Orthopaedics and Sport Injuries ACL Rehabilitation Pathway Expediating Safe Return to Optimum Performance www.sportssurgeryclinic.com Contents Introduction...

More information

Kelly Corso MS, ATC, CES, FMSC, CSST

Kelly Corso MS, ATC, CES, FMSC, CSST ACL Injury Prevention Program Kelly Corso MS, ATC, CES, FMSC, CSST What is the ACL??? The ACL or anterior cruciate ligament, attaches the front top portion of the shin bone (tibia) to the back bottom portion

More information

Jumping, landing, Preventing ACL Injuries in Females: What Physical Educators Need to Know LISA TOSCANO BRIANNE CARROLL. Introduction to ACL Injuries

Jumping, landing, Preventing ACL Injuries in Females: What Physical Educators Need to Know LISA TOSCANO BRIANNE CARROLL. Introduction to ACL Injuries Preventing ACL Injuries in Females: What Physical Educators Need to Know LISA TOSCANO BRIANNE CARROLL Jumping, landing, cutting, and pivoting are all actions that can contribute to the tear of an anterior

More information

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY.

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. SOME ARE HINGE BRACED 0-90 DEGREES AND ASKED TO REHAB INCLUDING

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

ACL Injury: What are the Risk Factors? Kenneth G. Swan, Jr., M.D. June 2, 2015

ACL Injury: What are the Risk Factors? Kenneth G. Swan, Jr., M.D. June 2, 2015 ACL Injury: What are the Risk Factors? Kenneth G. Swan, Jr., M.D. June 2, 2015 I have no disclosures ACL injuries (ACLIs) are 3-6x more common in females than males But there s more to it than that. What

More information

ACL Injury - Rehabilitation

ACL Injury - Rehabilitation General Principles Reduction of swelling: Following injury this is the first step a swollen knee restricts movement and has an inhibitory effect on the muscles. You can do lots of exercises but will not

More information

Preventing Volleyball Injuries: Knees, Ankles, and Stress Fractures

Preventing Volleyball Injuries: Knees, Ankles, and Stress Fractures Preventing Volleyball Injuries: Knees, Ankles, and Stress Fractures William W. Briner, Jr., MD, FACSM,FAAFP, Head Team Physician, U.S. Volleyball National Teams and Flavia Pereira Fortunately the risk

More information

ACL Injury Prevention in female Athletes:

ACL Injury Prevention in female Athletes: ACL Injury Prevention in female Athletes: Alan Sinclair: Scottish Institute of Sport Strength & Conditioning Coach, Tayside & Fife. Key Points: ACL rupture is a serious injury requiring approximately 9

More information

Clinical Movement Analysis to Identify Muscle Imbalances and Guide Exercise

Clinical Movement Analysis to Identify Muscle Imbalances and Guide Exercise CLINICAL EVALUATION & TESTING Darin A. Padua, PhD, ATC, Column Editor Clinical Movement Analysis to Identify Muscle Imbalances and Guide Exercise Christopher J. Hirth, MS, ATC, PT, PES University of rth

More information

Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair

Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair UW Health Sports Rehabilitation Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair The knee consists of four bones that form three joints. The femur is the large bone in the thigh

More information

Knee Injuries. Pro-Am Sports Injury Clinic Telephone 01723 363332. Contents

Knee Injuries. Pro-Am Sports Injury Clinic Telephone 01723 363332. Contents Knee Injuries Contents Page 2 Anatomy of the Knee Joint Page 4 Mechanism of Injury and Site of Pain Page 5 Knee Injuries Explained Jenna Wheatman Bsc.MSST www.proamsportsinjury.co.uk 1 Injuries affecting

More information

ACL Non-Operative Protocol

ACL Non-Operative Protocol ACL Non-Operative Protocol Anatomy and Biomechanics The knee is a hinge joint connecting the femur and tibia bones. It is held together by several important ligaments. The most important ligament to the

More information

FIS Injury Surveillance System. Video analysis of 4 ACL injuries. 2012/13 World Cup season

FIS Injury Surveillance System. Video analysis of 4 ACL injuries. 2012/13 World Cup season FIS Injury Surveillance System Video analysis of 4 ACL injuries 2012/13 World Cup season Introduction Injury recording through the FIS Injury Surveillance System (FIS ISS) revealed that there were four

More information

Sports Injuries Treatments in India Medical Tourism

Sports Injuries Treatments in India Medical Tourism Sports Injuries Treatments in India Medical Tourism Sports & Exercise is essential and required to maintain or to improve one s health. Sportsmen undergo vigorous training and preparation to maintain physical

More information

ACL Rehab. Here are a few tips on how to progress through an ACL rehab protocol with minimal problems;

ACL Rehab. Here are a few tips on how to progress through an ACL rehab protocol with minimal problems; ACL Rehab The ACL rehab protocol is broken down into 5 phases, and there s a list of goals and outcome measures that need to be satisfied at the end of each phase to move onto the next one. You move through

More information

Anterior Cruciate Ligament Injuries in Female Athletes

Anterior Cruciate Ligament Injuries in Female Athletes Anterior Cruciate Ligament Injuries in Female Athletes Part 1, Mechanisms and Risk Factors Clinical Sports Medicine Update Timothy E. Hewett,* PhD, Gregory D. Myer, MS, CSCS, and Kevin R. Ford, MS From

More information

Thomas C Kennedy, MD BA Stanford University 1980 MD Washington University 1984 Orthopaedic Residency U of MN 1990. Professor of Orthopaedic Sports

Thomas C Kennedy, MD BA Stanford University 1980 MD Washington University 1984 Orthopaedic Residency U of MN 1990. Professor of Orthopaedic Sports Injury Prevention in Sports Preventing Knee Injuries Thomas C Kennedy, MD BA Stanford University 1980 MD Washington University 1984 Orthopaedic Residency U of MN 1990. Professor of Orthopaedic Sports Medicine

More information

Lumbar/Core Strength and Stability Exercises

Lumbar/Core Strength and Stability Exercises Athletic Medicine Lumbar/Core Strength and Stability Exercises Introduction Low back pain can be the result of many different things. Pain can be triggered by some combination of overuse, muscle strain,

More information

The Epidemic of Anterior Cruciate Ligament Injury in Female Athletes: Etiologies and Interventions. Katie L. Mitchell

The Epidemic of Anterior Cruciate Ligament Injury in Female Athletes: Etiologies and Interventions. Katie L. Mitchell The Epidemic of Anterior Cruciate Ligament Injury in Female Athletes 1 The Epidemic of Anterior Cruciate Ligament Injury in Female Athletes: Etiologies and Interventions by Katie L. Mitchell Submitted

More information

Prevention of Anterior Cruciate Ligament Injuries in Female Team Handball Players: A Prospective Intervention Study Over Three Seasons

Prevention of Anterior Cruciate Ligament Injuries in Female Team Handball Players: A Prospective Intervention Study Over Three Seasons Clinical Journal of Sport Medicine, 13:71 78 2003 Lippincott Williams & Wilkins, Inc., Philadelphia Prevention of Anterior Cruciate Ligament Injuries in Female Team Handball Players: A Prospective Intervention

More information

High-school and collegiate age women are 3 4

High-school and collegiate age women are 3 4 BRIEF REVIEW RATIONALE AND IMPLEMENTATION OF ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION WARM-UP PROGRAMS IN FEMALE ATHLETES DANIEL P. BIEN Physical Therapy Department, University Orthopedics, Providence,

More information

www.ghadialisurgery.com

www.ghadialisurgery.com P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

Providence ACL Injury Prevention and Sports Performance Program. Presented by: Providence Sports Therapy 503-29-SPORT. Keeping athletes in the game

Providence ACL Injury Prevention and Sports Performance Program. Presented by: Providence Sports Therapy 503-29-SPORT. Keeping athletes in the game Providence ACL Injury Prevention and Sports Performance Program Presented by: Providence Sports Therapy 503-29-SPORT Keeping athletes in the game Welcome! Providence Sports Therapy wants to keep athletes

More information

Increased Incidence of Anterior Cruciate Ligament Tears in Adolescent Females Kristin M. Steinert 04

Increased Incidence of Anterior Cruciate Ligament Tears in Adolescent Females Kristin M. Steinert 04 Increased Incidence of Anterior Cruciate Ligament Tears in Adolescent Females Kristin M. Steinert 4 Abstract The potential role of gender and age in the incidence of tears of the anterior cruciate ligament

More information

9 exercises to rehab a torn ACL without surgery

9 exercises to rehab a torn ACL without surgery MENU Search foxnews.com Health Home Men's Health Women's Health Children's Health Alternative Medicine Diabetes Heart Health Allergies HEALTH 9 exercises to rehab a torn ACL without surgery By Julie Wilcox

More information

ACL Injury Prevention Program

ACL Injury Prevention Program ACL Injury Prevention Program Kinetic Physical Therapy Adolescent Sports Medicine Developed by Michelle Feairheller MPT, DPT, OCS, CSCS, Greg Macionsky ATC, and Kristyn Kauffman BS 2014 ACL Injury Prevention

More information

Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt

Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt Case Study: 18 year old female soccer player Isolated ACL rupture (planted

More information

. 40 Allied Drive Dedham, MA (office)

. 40 Allied Drive Dedham, MA (office) 40 Allied Drive Dedham, MA 02026 781-251-3535 (office) www.bostonsportsmedicine.com ANTERIOR CRUCIATE LIGAMENT INJURY WHAT IS THE ANTERIOR CRUCIATE LIGAMENT? The anterior cruciate ligament (ACL) is one

More information

Gender Differences in the Kinematics of Unanticipated Cutting in Young Athletes

Gender Differences in the Kinematics of Unanticipated Cutting in Young Athletes Gender Differences in the Kinematics of Unanticipated Cutting in Young Athletes KEVIN R. FORD', GREGORY D. MYER', HARRISON E. TOMS', and TIMOTHY E. HEWETTF' 2 'Cincinnati Children's Hospital Research Foundation,

More information

Sprained Ankle - OrthoInfo - AAOS. Copyright 2005 American Academy of Orthopaedic Surgeons. Sprained Ankle

Sprained Ankle - OrthoInfo - AAOS. Copyright 2005 American Academy of Orthopaedic Surgeons. Sprained Ankle Copyright 2005 American Academy of Orthopaedic Surgeons Sprained Ankle A sprained ankle is a very common injury. Approximately 25,000 people experience it each day. A sprained ankle can happen to athletes

More information

Synopsis of Causation

Synopsis of Causation Ministry of Defence Synopsis of Causation Internal Derangement of the Knee Author: Dr Tony Fisher, Medical Author, Medical Text, Edinburgh Validator: Mr Malcolm Glasgow, Norfolk and Norwich University

More information

Injuries in Norwegian female elite soccer: a prospective one-season cohort study

Injuries in Norwegian female elite soccer: a prospective one-season cohort study DOI 10.1007/s00167-007-0403-z SPORTS MEDICINE Injuries in Norwegian female elite soccer: a prospective one-season cohort study Agnar Tegnander Æ Odd Egil Olsen Æ Trine Tegdan Moholdt Æ Lars Engebretsen

More information

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE January 2005 Rationale of Accelerated Rehabilitation Rehabilitation after

More information

women and sport Preventing sports injuries Kathrin Steffen, Grethe Myklebust & Tonje Wåle Flørenes

women and sport Preventing sports injuries Kathrin Steffen, Grethe Myklebust & Tonje Wåle Flørenes women and sport SCIENTIFIC REPORT series issue 5.3 YEAR 2014 Preventing sports injuries Kathrin Steffen, Grethe Myklebust & Tonje Wåle Flørenes PUBLISHED BY SISU sport books IN COOPERATION WITH WORLD VILLAGE

More information

Excessive Pronation and Postural Support

Excessive Pronation and Postural Support 1 Contact: Customer Service Foot Levelers, Inc. P.O. Box 12611 Roanoke, VA 24027-2611 (800) 553-4860 Ext. 3189 service@footlevelers.com Excessive Pronation and Postural Support by John J. Danchik, DC,

More information

ACL Injuries in Women Webcast December 17, 2007 Christina Allen, M.D. Introduction

ACL Injuries in Women Webcast December 17, 2007 Christina Allen, M.D. Introduction ACL Injuries in Women Webcast December 17, 2007 Christina Allen, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center, its medical staff or

More information

ACL Injury Prevention Program For The Competitive Female Athlete. Coach s Manual

ACL Injury Prevention Program For The Competitive Female Athlete. Coach s Manual ACL Injury Prevention Program For The Competitive Female Athlete Education, Exercises, and Techniques designed to address the current epidemic of ACL tears in today s young female soccer players. Coach

More information

Structure and Function of the Bones and Noncontractile Elements of the Knee

Structure and Function of the Bones and Noncontractile Elements of the Knee Structure and Function of the Bones and Noncontractile Elements of the Knee BONES OF THE KNEE JOINT Shaft and Distal Femur Linea aspera gives rise to quadriceps. Flatten into supracondylar ridges End in

More information

Anterior Cruciate Ligament Injury

Anterior Cruciate Ligament Injury Anterior Cruciate Ligament Injury Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 WHAT IS THE ANTERIOR CRUCIATE LIGAMENT? The anterior cruciate

More information

Sports Health. Dedicated to building champions

Sports Health. Dedicated to building champions Sports Health Dedicated to building champions Dedicated to Building Focus The Competitive Edge All athletes deserve the very best sports-related care and treatment that s one-on-one and state-of-the-art.

More information

The incidence of anterior cruciate ligament (ACL)

The incidence of anterior cruciate ligament (ACL) ORIGINAL RESEARCH The Influence of In-Season Injury Prevention Training on Lower-Extremity Kinematics during Landing in Female Soccer Players Christine D. Pollard, PhD, PT, Susan M. Sigward, PhD, ATC,

More information

By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital

By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital Physiotherapy Provides aids to people Deals with abrasion and dysfunction (muscles, joints, bones) To control and repair maximum movement potentials

More information

ACL Reconstruction Physiotherapy advice for patients

ACL Reconstruction Physiotherapy advice for patients Oxford University Hospitals NHS Trust ACL Reconstruction Physiotherapy advice for patients Introduction This booklet is designed to provide you with advice and guidance on your rehabilitation after reconstruction

More information

Knee Conditioning Program. Purpose of Program

Knee Conditioning Program. Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

Football Medicine Strategies for Knee Injuries FIRST ANNOUNCEMENT. and call for papers

Football Medicine Strategies for Knee Injuries FIRST ANNOUNCEMENT. and call for papers International Conference on Sports Rehabilitation and Traumatology FIRST ANNOUNCEMENT and call for papers Football Medicine Strategies for Knee Injuries In partnership with: 21 st -22 nd April, 2012 Stamford

More information

ANKLE STRENGTHENING INTRODUCTION EXERCISES SAFETY

ANKLE STRENGTHENING INTRODUCTION EXERCISES SAFETY ANKLE STRENGTHENING INTRODUCTION Welcome to your Ankle Strengthening exercise program. The exercises in the program are designed to improve your ankle strength, fitness, balance and dynamic control. The

More information

EXERCISES AFTER INJURY TO THE ANTERIOR CRUCIATE LIGAMENT (ACL) OF THE KNEE

EXERCISES AFTER INJURY TO THE ANTERIOR CRUCIATE LIGAMENT (ACL) OF THE KNEE EXERCISES AFTER INJURY TO THE ANTERIOR CRUCIATE LIGAMENT (ACL) OF THE KNEE Phase one: The First Six Weeks after Injury Initially, the knee needs to be protected-use the knee immobilizer and/or crutches

More information

Traditional anterior cruciate ligament (ACL)

Traditional anterior cruciate ligament (ACL) BRIEF REVIEW NEUROMUSCULAR TRAINING TECHNIQUES TO TARGET DEFICITS BEFORE RETURN TO SPORT AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION GREGORY D. MYER, 1,2 MARK V. PATERNO, 1 3 KEVIN R. FORD, 1,4 AND

More information

Clinical Biomechanics

Clinical Biomechanics Clinical Biomechanics 25 (2010) 142 146 Contents lists available at ScienceDirect Clinical Biomechanics journal homepage: www.elsevier.com/locate/clinbiomech Limited hip and knee flexion during landing

More information

Sports Medicine. Assessing and Diagnosing Knee Injuries in Pediatric Patients

Sports Medicine. Assessing and Diagnosing Knee Injuries in Pediatric Patients Sports Medicine Assessing and Diagnosing Knee Injuries in Pediatric Patients Sports Medicine at Nationwide Children s Hospital Nationwide Children s Hospital Sports Medicine includes a staff of physicians

More information

ACL Reconstruction Rehabilitation Program

ACL Reconstruction Rehabilitation Program ACL Reconstruction Rehabilitation Program 1. Introduction to Rehabilitation 2. The Keys to Successful Rehabilitation 3. Stage 1 (to the end of week 1) 4. Stage 2 (to the end of week 2) 5. Stage 3 (to the

More information

Michael K. McAdam, M.D. Orthopedic Surgeon Specializing in Arthroscopy and Sports Medicine

Michael K. McAdam, M.D. Orthopedic Surgeon Specializing in Arthroscopy and Sports Medicine Michael K. McAdam, M.D. Orthopedic Surgeon Specializing in Arthroscopy and Sports Medicine Anterior Cruciate Ligament Injury Injury to the anterior cruciate ligament (ACL) is common, especially in athletic

More information

Sports Injury Treatment

Sports Injury Treatment Sports Injury Treatment Participating in a variety of sports is fun and healthy for children and adults. However, it's critical that before you participate in any sport, you are aware of the precautions

More information

www.noc.nhs.uk ACL Reconstruction Information for Patients Delivering Excellence Hip and Knee service

www.noc.nhs.uk ACL Reconstruction Information for Patients Delivering Excellence Hip and Knee service www.noc.nhs.uk ACL Reconstruction Information for Patients Hip and Knee service Delivering Excellence Contents Page The classic injury 3 Why does the anterior cruciate ligament fail to heal? 4 Rationale

More information

EPIDEMIOLOGY IN KNEE INJURIES IN VOLLEYBALL PLAYERS

EPIDEMIOLOGY IN KNEE INJURIES IN VOLLEYBALL PLAYERS EPIDEMIOLOGY IN KNEE INJURIES IN VOLLEYBALL PLAYERS Nora Deda, PhD Cand. Artan Kalaja, PhD Cand. Faculty of Educational Sciences, University of Shkodra Luigj Gurakuqi" Albania Abstract Volleyball enjoys

More information

A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings

A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings Clinical Biomechanics 21 (2006) 33 40 www.elsevier.com/locate/clinbiomech A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings Kevin

More information

The Knee: Problems and Solutions

The Knee: Problems and Solutions The Knee: Problems and Solutions Animals, like people, may suffer a variety of disorders of the knee that weaken the joint and cause significant pain if left untreated. Two common knee problems in companion

More information

Anterior Cruciate Ligament Injuries in Soccer Players : An Overview

Anterior Cruciate Ligament Injuries in Soccer Players : An Overview ISSN 1750-9823 (print) International Journal of Sports Science and Engineering Vol. 03 (2009) No. 01, pp. 050-064 Anterior Cruciate Ligament Injuries in Soccer Players : An Overview Amit Bandyopadhyay

More information

ANTERIOR CRUCIATE LIGAMENT INJURY HISTORY

ANTERIOR CRUCIATE LIGAMENT INJURY HISTORY Journal of Sports Science and Medicine (2004) 3, 220-225 http://www.jssm.org Research article LOWER EXTREMITY MALALIGNMENTS AND ANTERIOR CRUCIATE LIGAMENT INJURY HISTORY Jay Hertel 1, Jennifer H. Dorfman

More information

Stretching for Young Athletes. Shawn P. Anderson, SPT Duke University Doctor of Physical Therapy

Stretching for Young Athletes. Shawn P. Anderson, SPT Duke University Doctor of Physical Therapy Stretching for Young Athletes Shawn P. Anderson, SPT Duke University Doctor of Physical Therapy Sports and exercise are usually integral parts of many adolescents life. Whether they play at school or in

More information

PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST

PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST PHYSIOTHERAPY OF HIP AND KNEE AFTER SURGERY AND INJURY BY RACHEL GEVELL PHYSIOTHERAPIST AIMS AND OBJECTIVES To demonstrate the use of physiotherapy assessment and treatment following: Hip Arthroplasty

More information

SPORTS REHABILITATION

SPORTS REHABILITATION SPORTS REHABIITATION AC prevention in female football Written by Kathrin Steffen, Roald Bahr and Grethe Myklebust, Norway TARPEY TEARS RIGHT AC, WI MISS WOMEN S WORD CUP United States Women s National

More information

Cincinnati SportsMedicine and Orthopaedic Center

Cincinnati SportsMedicine and Orthopaedic Center Cincinnati SportsMedicine and Orthopaedic Center Medial Collateral Ligament Reconstruction Rehabilitation Protocol* This rehabilitation protocol was developed for patients who have had medial collateral

More information

American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015

American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015 American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015 Coming together is a beginning; keeping together is progress; working together is success.

More information

Common Orthopedic Conditions

Common Orthopedic Conditions Common Orthopedic Conditions Clayton E Turner, MD Casper Orthopaedic Associates Casper, Wyoming Frontiers in Wyoming Medicine 2014 Common Orthopedic Conditions 1. Ankle Sprain 2. Plantar Fasciitis 3. Tennis

More information

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol GENERAL CONSIDERATIONS * This handout serves as a general outline for you as a patient to better understand guidelines and time frames

More information

Rehabilitation After ACL Reconstruction

Rehabilitation After ACL Reconstruction CENTRE PERTH ORTHOPAEDIC & SPORTS MEDICINE Rehabilitation After ACL Reconstruction Dr Keith Holt Philosophy of Rehabilitation Rehabilitation, as it applies to the recovery period from Orthopaedic Surgery,

More information

Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction

Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction UW Health Sports Rehabilitation Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction The knee joint is comprised of an articulation of three bones: the femur (thigh bone), tibia (shin

More information

Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions

Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions Assessment Protocols Treatment Protocols Treatment Protocols Corrective Exercises Artwork and slides taken from the book Clinical

More information

Knee, hip and lower limb specialist

Knee, hip and lower limb specialist ACL Injury: Should it be fixed? The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. In the USA the incidence of ACL injuries is currently estimated at approximately

More information