A Review of Neuromuscular Training and Biomechanical Risk Factor Screening for ACL Injury Prevention Among Female Soccer Players.

Amelia Weingart, Nicole Rynecki, David Pereira
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Abstract

Anterior cruciate ligament (ACL) injuries are a highly prevalent and costly injury to treat, both financially and regarding its long-term detrimental effects on those injured. Adolescent female soccer players appear to be particularly vulnerable, possibly due to various biomechanical risk factors, such as knee valgus loading and imbalanced hamstrings-quadriceps (H/Q) ratio. Many studies support the benefits of generic neuromuscular training programs in mitigating this heightened injury risk. Despite this, ACL injuries remain pervasive within this population. This review aims to highlight the current tools available to assess athletes for biomechanical risk factors at an individual level, including three-dimensional motion analysis, the Landing Error Scoring System (LESS), and the Cutting Movement Assessment Score (CMAS). Utilization of these analyses could facilitate developing and implementing more individualized training programs, thereby identifying high-risk athletes, reducing sports-related ACL injuries, and lessening the economic burden of these injuries on both the patient and the health care system.

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女性足球运动员前交叉韧带损伤预防的神经肌肉训练和生物力学风险因素筛查综述。
前交叉韧带(ACL)损伤是一种非常普遍且昂贵的损伤治疗,无论是在经济上还是在对受伤者的长期有害影响方面。青少年女足球运动员似乎特别容易受到伤害,可能是由于各种生物力学风险因素,如膝盖外翻负荷和腿筋-股四头肌(H/Q)比例不平衡。许多研究支持通用神经肌肉训练计划在减轻这种高伤害风险方面的好处。尽管如此,前交叉韧带损伤在这一人群中仍然普遍存在。这篇综述的目的是强调目前可用于评估运动员在个人水平上的生物力学风险因素的工具,包括三维运动分析、着陆误差评分系统(LESS)和切割运动评估评分(CMAS)。利用这些分析可以促进制定和实施更个性化的训练计划,从而识别高危运动员,减少运动相关的前交叉韧带损伤,减轻这些损伤对患者和医疗保健系统的经济负担。
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