{"id":1789,"date":"2019-01-24T09:38:45","date_gmt":"2019-01-24T09:38:45","guid":{"rendered":"http:\/\/www.kg-testsite.com\/?p=1789"},"modified":"2019-01-25T10:36:57","modified_gmt":"2019-01-25T10:36:57","slug":"mechanisms-of-noncontact-acl-injuries-implications-for-rehabilitation-and-injury-prevention","status":"publish","type":"post","link":"https:\/\/www.kg-testsite.com\/rosecity\/mechanisms-of-noncontact-acl-injuries-implications-for-rehabilitation-and-injury-prevention\/","title":{"rendered":"Mechanisms of Noncontact ACL Injuries: Implications for Rehabilitation and Injury Prevention"},"content":{"rendered":"\n<p>Article by Mike Reinold | Featured on <a rel=\"noreferrer noopener\" aria-label=\"mattreinold.com (opens in a new tab)\" href=\"httpss:\/\/mikereinold.com\/mechanisms-of-noncontact-acl-injuries\/\" target=\"_blank\">mikereinold.com<\/a><\/p>\n\n\n\n<p>Great systemic review in the July-August issue of Journal of Athletic Training reviewing&nbsp;<a href=\"httpss:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2474820\/\">noncontact mechanisms of ACL injuries<\/a>.&nbsp; Actually the issue has a few articles that I like and will be reviewing in future posts. While none of the information in this article is necessarily new, the authors did a great job putting all the relevant information together in one resource.<\/p>\n\n\n\n<!--more-->\n\n\n\n<p>The authors reviewed articles from 1950-2007 and overview many factors associated with noncontact injuries including:<\/p>\n\n\n\n<ul><li>Quadriceps, hamstring, and gastrocnemius muscle force<\/li><li>Hyperextension loading<\/li><li>Frontal-plane and Transverse plane loading<\/li><\/ul>\n\n\n\n<p>The authors also have a great addition that reviews the forces on the ACL associated with many of our rehabilitation, strengthening, and functional exercises. The information reviewed definitely supports the need for injury prevention programs.<\/p>\n\n\n\n<p>Based on their review, the authors recommend exercises designed to:<\/p>\n\n\n\n<ul><li><strong>Prevent unopposed excessive quad force<\/strong>. This is an important one for me, this appears to be a biomechanical factor that is prevalent in the untrained or poorly trained athlete. The emphasis of exercises designed to provide the most dynamic joint stability through co-contraction of the muscle around the knee are extremely important for both injury prevention and rehabilitation. This is why I use a lot of closed kinetic chain exercises with 30 degree knee flexion, the position shown to encourage he most co-contraction between the quad and hamstring. This can be incorporated in exercises such as mini-squats early and progressed to balance and agility drills such as lateral agility lunges landing in the 30 degree position.<\/li><\/ul>\n\n\n\n<ul><li><strong>Prevent excessive frontal and transverse plane motions.&nbsp;<\/strong>This one is a no-brainer and I think we have done a great job the last decade or so emphasizing multi-plan movements and training.<\/li><li><strong>Prevent upright position while landing, cutting, and decelerating.<\/strong>&nbsp;This is where injury prevention programs excel. Tim Hewett in Cincinnati has done a lot of work in this field and continues to show that this can be minimized with a proper training program. Do a lit review in pubmed on Hewett and you\u2019ll find some nice articles, or click here to let me do the lit review for you:&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/sites\/entrez?Db=pubmed&amp;Cmd=DetailsSearch&amp;Term=Hewett+TE%5BAuthor%5D\">Tim Hewett on PubMed<\/a>.<\/li><\/ul>\n\n\n<hr>\n<p><\/p>\n<h2>Interested in Injury Prevention Training?<p><\/p>\n<\/h2>\n<p><strong>Rose City Physical Therapy offers&nbsp;Sportsmetrics Injury Prevention training.&nbsp;<\/strong><\/p>\n<p>Sportsmetrics&#x2122; is a training program scientifically proven to decrease knee injuries. The program was&nbsp;designed by Dr. Frank Noyes and other physicians and researchers at the Cincinnati SportsMedicine&nbsp;Research and Education Foundation. The six-week jump-training program is comprised of dynamic&nbsp;warm-ups, speed, agility, jump\/plyometric drills, strength training and flexibility. It focuses on&nbsp;improving balance and overall leg strength.<\/p>\n<p>Research has shown that Sportsmetrics&#x2122; training not only increases muscular power and jump height,&nbsp;but also decreases impact forces at the knee. While the program was scientifically tested on females,&nbsp;males will also benefit from developing overall leg strength and perfecting jumping and landing&nbsp;mechanics.<\/p>\n<p><a href=\"https:\/\/www.kg-testsite.com\/contact-us\/\">Contact Sasha Kolbeck, MPT, DPT, OCS, COMT<\/a> at our clinic for more information.<\/p>","protected":false},"excerpt":{"rendered":"<p>The authors reviewed articles from 1950-2007 and overview many factors associated with non-contact injuries including: quadriceps, hamstring, and gastrocnemius muscle force; hyperextension loading; frontal-plane and Transverse plane loading. <\/p>\n","protected":false},"author":1,"featured_media":1800,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[47,48],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Mechanisms of Noncontact ACL Injuries: Implications for Rehabilitation and Injury Prevention - Rose City PT<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kg-testsite.com\/rosecity\/mechanisms-of-noncontact-acl-injuries-implications-for-rehabilitation-and-injury-prevention\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mechanisms of Noncontact ACL Injuries: Implications for Rehabilitation and Injury Prevention - Rose City PT\" \/>\n<meta property=\"og:description\" content=\"The authors reviewed articles from 1950-2007 and overview many factors associated with non-contact injuries including: quadriceps, hamstring, and gastrocnemius muscle force; 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