Understanding and Preventing Noncontact ACL Injuries
Author:
Publisher: Human Kinetics
Published:
Total Pages: 352
ISBN-13: 9781450409261
DOWNLOAD EBOOK →Grade level: 11, 12, i, s, t.
Author:
Publisher: Human Kinetics
Published:
Total Pages: 352
ISBN-13: 9781450409261
DOWNLOAD EBOOK →Grade level: 11, 12, i, s, t.
Author: Timothy E. Hewett
Publisher:
Published: 2014-07-01
Total Pages: 346
ISBN-13: 9781450489645
DOWNLOAD EBOOK →With more than 200,000 athletes each year suffering injury to the anterior cruciate ligament (ACL) of the knee, "Understanding and Preventing Noncontact ACL Injuries" provides an authoritative description of the biomechanical, clinical, and injury factors pertinent to the athletes--primarily girls and young women--who experience this problem.
Author: American Orthopaedic Society for Sports Medicine
Publisher: Human Kinetics Publishers
Published: 2007
Total Pages: 315
ISBN-13: 9780736065351
DOWNLOAD EBOOK →Grade level: 11, 12, i, s, t.
Author: Kinetics Human
Publisher:
Published: 2018
Total Pages:
ISBN-13: 9781492575474
DOWNLOAD EBOOK →Author: Letha Y. Griffin
Publisher: Academy
Published: 2001
Total Pages: 140
ISBN-13:
DOWNLOAD EBOOK →This important work will help you understand: the epidemiology of noncontact ACL injuries; risk factors for injuries; the "at-risk" athlete; neuromuscular prevention programs; their influence on injury rates. Supported by the American Orthopaedic Society for Sports Medicine, the National Athletic Trainers Association Research and Education Foundation, the National Collegiate Athletic Association, and the Orthopaedic Research and Education Foundation.
Author: Robin West
Publisher: Elsevier Health Sciences
Published: 2018-12-07
Total Pages: 400
ISBN-13: 0323548407
DOWNLOAD EBOOK →This easy-to-read reference presents a succinct overview of clinically-focused topics covering the prevention, treatment, and rehabilitation of ACL injuries in the female athlete. Written by two professional team physicians, it provides practical, focused information for orthopaedic and sports medicine surgeons and physicians. Covers ACL injury risk factors and prevention, including biomechanics, biology, and anatomy of the female athlete. Discusses graft choices, the biology of healing, rehabilitation and return to play, future options for treatment, and more. Addresses special considerations such as pediatric ACL and revision ACL. Consolidates today’s available information and experience in this timely area into one convenient resource.
Author: Mahmut Nedim Doral
Publisher: Springer Nature
Published: 2015-06-29
Total Pages: 3295
ISBN-13: 3642365698
DOWNLOAD EBOOK →Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.
Author: Ariel Veronica Dowling
Publisher:
Published: 2011
Total Pages:
ISBN-13:
DOWNLOAD EBOOK →The overall goal of this dissertation is to use novel motion analysis systems to investigate the underlying mechanisms that cause an anterior cruciate ligament (ACL) injury and then to explore movement modification methods that might prevent ACL injuries from occurring. Additionally, novel motion analysis systems can provide new information about ACL injuries and therefore should be used to help analyze these injuries from a different perspective. This thesis provides the results from multiple experimental studies that used two novel motion analysis systems to investigate the underlying causes of ACL injury and potential injury prevention methods. Using a markerless motion capture system, the first investigation determined that increasing the coefficient of friction of the shoe-surface condition will change a subject's movement strategies during a sidestep cutting task in specific ways that may increase the risk of ACL injury. This investigation provides a biomechanical basis for the increased incidence of ACL injuries on high friction surfaces, and suggests that females are more at risk for ACL injury when cutting on high friction surfaces. In terms of novel motion analysis systems, there is a need for simple, cost effective methods to identify athletes at a higher risk for ACL injury during jumping tasks. As such, the second study assessed the capacity of a wearable inertial-based system to evaluate ACL injury risk during jumping tasks. The proposed system measured the knee flexion angle and the trunk lean, and demonstrated good concurrent validity and discriminative performance in terms of the known risk factors for ACL injury. This study also reported the angular velocity of the thigh and shank segments during bilateral and unilateral drop jumps for the first time. Furthermore, this study illustrated that there is an association between the coronal segment angular velocity and knee abduction moment, and that the coronal segment angular velocity can differentiate between subjects at higher risk for ACL injury. Recent studies have shown that the incidence of ACL injury can be decreased through the use of intervention programs. Therefore, the objective for the final study was to determine if an independent inertial-based system can be used to modify jump landing mechanics in order to decrease the risk for ACL injury by providing real-time feedback based on known kinematic and kinetic injury risk factors. This study found that the subjects reduced their risk for ACL injury after training with the system because there were significant increases in the maximum knee flexion angle and the maximum trunk lean. The subjects also reduced their risk for injury by decreasing their thigh coronal angular velocity, which was correlated with a decrease in their knee abduction moment. This study suggests that an inertial-based system could be used for interventional training aimed at reducing the risk for ACL injury.
Author: Frank R. Noyes
Publisher: Springer
Published: 2018-09-07
Total Pages: 666
ISBN-13: 3662565587
DOWNLOAD EBOOK →This successful book, now in a revised and updated second edition, reviews all aspects of anterior cruciate ligament (ACL) injuries in female athletes, with the focus on complete, noncontact ACL injuries. The opening section discusses anatomy and biomechanics and explains the short- and long-term impacts of complete ACL ruptures, including long-term muscle dysfunction and joint arthritis. Risk factors and possible causes of the higher noncontact ACL injury rates in female athletes compared with male athletes are then discussed in depth. Detailed attention is devoted to neuromuscular training programs and their effectiveness in reducing noncontact ACL injury rates in female athletes, as well as to sports-specific ACL injury prevention and conditioning programs of proven value. Rehabilitation programs after ACL injury and reconstruction that reduce the risk of a future injury are explored, and the concluding section looks at worldwide implementation of neuromuscular ACL injury prevention training and future research directions. The book will be of value to orthopedic surgeons, physical therapists, athletic trainers, sports medicine primary care physicians, and strength and conditioning specialists.
Author: Ata Kiapour
Publisher:
Published: 2013
Total Pages: 312
ISBN-13:
DOWNLOAD EBOOK →The anterior cruciate ligament (ACL) is one of the most common sites of the injury in the knee joint. Over 120,000 ACL injuries occur annually in the United States, mainly affecting the young athletic population with females at a reported 2-8 fold greater risk than males. Non-contact injuries constitute the predominant mechanism of ACL injury (in over 70% of ACL injuries) occur mainly during landing following a jump and lateral cutting maneuvers. Due to long term disabilities associated with ACL injury (i.e. joint instability, pain and early development of osteoarthritis), potential loss of sports participation and high costs associated with surgical reconstruction, prevention is an appealing option to avoid the complications associated with ACL injury. While many advances have been made in terms of surgical and rehabilitation interventions, patients who have suffered ACL injury face long-term consequences that include lowered activity levels, 10-25 % incidence of re-injury 5 years after return to sport and 50-100 % incidence of osteoarthritis within 10-15 years of injury, regardless of the treatment. Despite the substantial effort conducted on investigation of the non-contact ACL injuries, the mechanism of these injuries is not well understood. Many proposed risk factors can be categorized as anatomic, neuromuscular or biomechanical. However, just biomechanical and neuromuscular risk factors can be defined as modifiable factors, which can be modified through targeted intervention strategies in an effort to reduce the risk of injury. Identification of modifiable risk factors for ACL injury represents a major step in the reduction of the incidence of injury. A better understanding of the mechanisms underlying non-contact ACL injuries and associated risk factors, might serve to improve current prevention strategies and decrease the risk of early-onset knee osteoarthritis. This proposal aims to employ a unique combination of established ex vivo and in silico methods in order to gain an in depth understanding of knee joint biomechanics during dynamic landing (as an identified high-risk task) with a specific focus on ACL injury. The objectives of this dissertation were to investigate the non-contact ACL injury during landing in an effort to identify the potential biomechanical and neuromuscular risk factors and determine the mechanisms that lead to these injuries. Cadaveric experiments were conducted on 20 normal, relatively young instrumented lower extremities. Following knee arthrometry, specimens were tested under a wide range of quasi-static single- and multi-axial loading conditions in order to quantify the global the biomechanical response of the tibiofemoral joint with regards to joint kinematics, ACL and MCL strains, and intra-articular cartilage pressure distribution. Subsequently, multiple bi-pedal and uni-pedal landing scenarios were simulated using a custom designed novel drop-stand. An extensive physiologic loading protocol was designed based on the identified high-risk loading factors from quasi-static characterization to simulated a wide range of landing scenarios. The findings of these cadaveric experiments were suggested the anterior tibial shear force, knee abduction moment and internal tibial rotation moment as the most critical biomechanical risk factors for the non-contact ACL injury during landing. Results further suggested the multi-planar loading condition consists of all three identified biomechanical risk factors as the most probable mechanism for non-contact ACL injuries. Findings finally highlighted the importance of dynamic knee valgus collapse as a primary factor contributing to these injuries (Specific Aim I). In addition to cadaveric experiments, a detailed anatomic non-linear finite element (FE) model of the lower extremity was developed from imaging data of a healthy, young female athlete. The developed model includes bony and soft tissue structures of the knee joint such as major ligaments, trans-knee muscles, articular cartilage and menisci. The model was then extensively validated against cadaveric measurements of joint kinematics, ligament strains and cartilage pressure distribution under a wide range of static, quasi-static and dynamic loading conditions. A comprehensive FE parametric study was conducted in order to investigate the effect of trans-knee muscle loads on knee joint biomechanics and risk of ACL injury. The findings in combination with ex vivo data resulted in identification of the anterior-posterior and medial-lateral muscle force imbalances as the potential neuromuscular risk factors lead to high ACL strains and high risk of ACL injury (Specific Aim II). The developed FE model was further used to help better interpret the experimental findings in an effort to identify ACL injury biomechanical risk factors and associated mechanism (Specific Aim I). Finally a novel framework was developed in order to customize the validated generalized FE model based on the structural properties of ACL and critical tibiofermoral anatomic factors. The customized models were then validated based subject-specific ACL strain data obtained ex vivo. It was shown that the customized models using the proposed approach lead to more realistic FE-predicted ACL strain compared to the generalized FE model. Findings suggested that this novel, validated framework can be used as a critical risk-screening tool in the large-scale clinical assessment of ACL injury risk among individuals (Specific Aim III).