Anterior cruciate ligament injury prevention

IF 0.5 4区 医学 Q4 ORTHOPEDICS Annals of Joint Pub Date : 2021-01-01 DOI:10.21037/AOJ-2020-SRI-08
Hannah Bradsell, R. Frank
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Abstract

: Anterior cruciate ligament injuries are a prominent issue in the field of sports medicine, especially for the female athlete. Extensive research has been performed that acknowledges the disparity in anterior cruciate ligament injury rates between male and female athletes and the high prevalence of risk factors specific to females. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. For example, prevention techniques aim to correct neuromuscular imbalances and improve biomechanical deficits, which are some of the most significant risk factors leading to these injuries. While there is a lack of opportunity for intervention related to anatomical and hormonal risks, awareness of their influence on injury mechanisms remains an important factor in clinical decision-making. In pursuit of addressing the risks of this injury, several prevention programs have been established that have been shown to successfully reduce anterior cruciate ligament injury rates when properly executed. The most effective programs include early intervention with continuous training and are multicomponent programs including various targeted exercises to modify associated risk factors. Unfortunately, despite the development of these readily available programs, anterior cruciate ligament injury rates remain high due to insufficient implementation of these methods. Recognizing the efficacy and feasibility of utilizing prevention strategies and continuing to develop effective techniques remain of utmost importance to reduce the incidence of this substantial injury among athletes.
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预防前交叉韧带损伤
前交叉韧带损伤是运动医学领域的一个突出问题,尤其是对女运动员而言。已经进行了广泛的研究,承认男女运动员前交叉韧带损伤率的差异以及女性特有的高风险因素。前交叉韧带损伤的潜在原因是广泛的,是重要的考虑,当接近损伤预防。例如,预防技术旨在纠正神经肌肉失衡和改善生物力学缺陷,这是导致这些损伤的一些最重要的危险因素。虽然缺乏与解剖和激素风险相关的干预机会,但意识到它们对损伤机制的影响仍然是临床决策的重要因素。为了解决这种损伤的风险,已经建立了几个预防方案,如果执行得当,已经证明可以成功地降低前交叉韧带损伤的发生率。最有效的项目包括持续训练的早期干预,以及包括各种有针对性的锻炼在内的多组件项目,以改变相关的风险因素。不幸的是,尽管这些现成的程序的发展,前交叉韧带损伤率仍然很高,由于这些方法的实施不足。认识到利用预防策略的有效性和可行性,并继续开发有效的技术,对于减少运动员中这种重大伤害的发生率仍然是至关重要的。
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来源期刊
Annals of Joint
Annals of Joint ORTHOPEDICS-
CiteScore
1.10
自引率
-25.00%
发文量
17
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