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An Integrated Approach to Change the Outcome Part II: Targeted Neuromuscular Training Techniques to Reduce Identified ACL Injury Risk Factors

Myer, Gregory D.1,2,3,4,5,6,7; Ford, Kevin R.1,2,3; Brent, Jensen L.1; Hewett, Timothy E.1,2,3,4,8,9,10,11,12

Journal of Strength & Conditioning Research: August 2012 - Volume 26 - Issue 8 - p 2272–2292
doi: 10.1519/JSC.0b013e31825c2c7d
Methodological Report

Abstract: Myer, GD, Ford, KR, Brent, JL, and Hewett, TE. An integrated approach to change the outcome part II: targeted neuromuscular training techniques to reduce identified ACL injury risk factors. J Strength Cond Res 26(8): 2272–2292, 2012—Prior reports indicate that female athletes who demonstrate high knee abduction moments (KAMs) during landing are more responsive to neuromuscular training designed to reduce KAM. Identification of female athletes who demonstrate high KAM, which accurately identifies those at risk for noncontact anterior cruciate ligament (ACL) injury, may be ideal for targeted neuromuscular training. Specific neuromuscular training targeted to the underlying biomechanical components that increase KAM may provide the most efficient and effective training strategy to reduce noncontact ACL injury risk. The purpose of the current commentary is to provide an integrative approach to identify and target mechanistic underpinnings to increased ACL injury in female athletes. Specific neuromuscular training techniques will be presented that address individual algorithm components related to high knee load landing patterns. If these integrated techniques are employed on a widespread basis, prevention strategies for noncontact ACL injury among young female athletes may prove both more effective and efficient.

1Human Performance Laboratory, Sports Medicine Biodynamics Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Departments of 2Pediatrics; and

3Orthopedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio

4Division of Athletic Training, School of Allied Medical Professions, The Ohio State University, Columbus, Ohio

Departments of 5Athletic Training

6Sports Orthopedics; and

7Pediatric Science, Rocky Mountain University of Health Professions, Provo, Utah

8The Ohio State University Sports Health and Performance Institute, The Ohio State University, Columbus, Ohio

Departments of 9Physiology and Cell Biology

10Orthopedic Surgery

11Family Medicine

12Biomedical Engineering, The Ohio State University, Columbus, Ohio

Address correspondence to Dr. Gregory D. Myer, greg.myer@chmcc.org.

© 2012 National Strength and Conditioning Association