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Sport-specific biomechanical responses to an ACL injury prevention programme: a randomised controlled trial |
Taylor JB, Ford KR, Schmitz RJ, Ross SE, Ackerman TA, Shultz SJ |
Journal of Sports Sciences 2018;36(21):2492-2501 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
Anterior cruciate ligament (ACL) injury prevention programmes have not been as successful at reducing injury rates in women's basketball as in soccer. This randomised controlled trial (ClinicalTrials.gov NCT02530333) compared biomechanical adaptations in basketball and soccer players during jumplanding activities after an ACL injury prevention programme. Eighty-seven athletes were cluster randomised into intervention (6-week programme) and control groups. Three-dimensional biomechanical analyses of drop vertical jump (DVJ), double- (SAG-DL) and single-leg (SAG-SL) sagittal, and double- (FRONT-DL) and single-leg (FRONT-SL) frontal plane jump landing tasks were tested before and after the intervention. Peak angles, excursions, and joint moments were analysed using two-way MANCOVAs of post-test scores while controlling for pre-test scores. During SAG-SL the basketball intervention group exhibited increased peak knee abduction angles (p = 0.004) and excursions (p = 0.003) compared to the basketball control group (p = 0.01) and soccer intervention group (p = 0.01). During FRONT-SL, the basketball intervention group exhibited greater knee flexion excursion after training than the control group (p = 0.01), but not the soccer intervention group (p = 0.11). Although women's soccer players exhibit greater improvements in knee abduction kinematics than basketball players, these athletes largely exhibit similar biomechanical adaptations to ACL injury prevention programmes.
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