RETENTION OF MOVEMENT TECHNIQUE: IMPLICATIONS FOR PRIMARY PREVENTION OF ACL INJURIES

Overview

Journal Int J Sports Phys Ther

Specialty Rehabilitation Medicine

Date 2017 Nov 22

PMID 29158953

Citations 10

Authors

Wouter Welling

Anne Benjaminse

Alli Gokeler

Bert Otten

Affiliations

Soon will be listed here.

Abstract

Background: Retention of movement technique is crucial in anterior cruciate ligament (ACL) injury prevention programs. It is unknown if specific instructions or video instructions result in changes in kinematic and kinetic measures during a relatively short training session, and in a retention test one week later.

Hypothesis/purpose: The purpose was to determine the effects of verbal external focus (EF), verbal internal focus (IF) and video instructions (VI) on landing technique (i.e. kinematics and kinetics) during training and retention.

Study Design: Randomized Controlled Trial.

Methods: This study compared verbal EF, verbal IF, VI and CTRL group. Forty healthy athletes were assigned to the IF (n=10), EF (n=10), VI (n=10) or CTRL group (n=10). A jump-landing task was performed as a baseline, followed by two training blocks (TR1 and TR2) and a post test. Group specific instructions were offered in TR1 and TR2. In addition, subjects in the IF, EF and VI groups were free to ask for feedback after every jump in TR1 and TR2. One week later, a retention test was conducted without specific instructions or feedback. Kinematics and kinetics were captured using an 8-camera motion analysis system.

Results: Males and females in the EF and VI instruction group showed beneficial results during and after the training session, in terms of improved landing technique. Retention was achieved after only a short training session.

Conclusion: ACL injury prevention programs should include EF and/or VI instructions to improve kinematics and kinetics and achieve retention.

Level Of Evidence: 3b.

Citing Articles

Development of a Cutting Technique Modification Training Program and Evaluation of its Effects on Movement Quality and Cutting Performance in Male Adolescent American Football Players.

Thieschafer L, Klutz J, Weig J, DosSantos T, Busch D Sports (Basel). 2023; 11(9).

PMID: 37755861 PMC: 10534889. DOI: 10.3390/sports11090184.

Training interventions to reduce the risk of injury to the lower extremity joints during landing movements in adult athletes: a systematic review and meta-analysis.

Bathe C, Fennen L, Heering T, Greif A, Dubbeldam R BMJ Open Sport Exerc Med. 2023; 9(2):e001508.

PMID: 37304892 PMC: 10254820. DOI: 10.1136/bmjsem-2022-001508.

Immediate and six-week effects of wearing a knee sleeve following anterior cruciate ligament reconstruction on knee kinematics and kinetics: a cross-over laboratory and randomised clinical trial.

Sole G, Lamb P, Pataky T, Pathak A, Klima S, Navarre P BMC Musculoskelet Disord. 2022; 23(1):560.

PMID: 35689284 PMC: 9186011. DOI: 10.1186/s12891-022-05488-2.

The Q-Pass Index: A Multifactorial IMUs-Based Tool to Assess Passing Skills in Basketball.

Quilez-Maimon A, Rojas-Ruiz F, Delgado-Garcia G, Courel-Ibanez J Sensors (Basel). 2021; 21(13).

PMID: 34283154 PMC: 8271510. DOI: 10.3390/s21134601.

Ankle Dorsiflexion Affects Hip and Knee Biomechanics During Landing.

Taylor J, Wright E, Waxman J, Schmitz R, Groves J, Shultz S Sports Health. 2021; 14(3):328-335.

PMID: 34096370 PMC: 9112706. DOI: 10.1177/19417381211019683.

References

Benjaminse A, Welling W, Otten B, Gokeler A . Novel methods of instruction in ACL injury prevention programs, a systematic review. Phys Ther Sport. 2014; 16(2):176-86. DOI: 10.1016/j.ptsp.2014.06.003. View

Onate J, Guskiewicz K, Marshall S, Giuliani C, Yu B, Garrett W . Instruction of jump-landing technique using videotape feedback: altering lower extremity motion patterns. Am J Sports Med. 2005; 33(6):831-42. DOI: 10.1177/0363546504271499. View

Gokeler A, Benjaminse A, Welling W, Alferink M, Eppinga P, Otten B . The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction. Phys Ther Sport. 2014; 16(2):114-20. DOI: 10.1016/j.ptsp.2014.06.002. View

Irmischer B, Harris C, Pfeiffer R, DeBeliso M, Adams K, Shea K . Effects of a knee ligament injury prevention exercise program on impact forces in women. J Strength Cond Res. 2004; 18(4):703-7. DOI: 10.1519/R-13473.1. View

DeVita P, Skelly W . Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc. 1992; 24(1):108-15. View

Pfeiffer R, Shea K, Roberts D, Grandstrand S, Bond L . Lack of effect of a knee ligament injury prevention program on the incidence of noncontact anterior cruciate ligament injury. J Bone Joint Surg Am. 2006; 88(8):1769-74. DOI: 10.2106/JBJS.E.00616. View

Boden B, Dean G, Feagin Jr J, Garrett Jr W . Mechanisms of anterior cruciate ligament injury. Orthopedics. 2000; 23(6):573-8. DOI: 10.3928/0147-7447-20000601-15. View

Cowling E, Steele J, McNair P . Effect of verbal instructions on muscle activity and risk of injury to the anterior cruciate ligament during landing. Br J Sports Med. 2003; 37(2):126-30. PMC: 1724613. DOI: 10.1136/bjsm.37.2.126. View

Hewett T, Myer G, Ford K, Heidt Jr R, Colosimo A, McLean S . Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005; 33(4):492-501. DOI: 10.1177/0363546504269591. View

10.

Porter J, Anton P, Wikoff N, Ostrowski J . Instructing skilled athletes to focus their attention externally at greater distances enhances jumping performance. J Strength Cond Res. 2012; 27(8):2073-8. DOI: 10.1519/JSC.0b013e31827e1521. View

11.

Wu W, Porter J, Brown L . Effect of attentional focus strategies on peak force and performance in the standing long jump. J Strength Cond Res. 2011; 26(5):1226-31. DOI: 10.1519/JSC.0b013e318231ab61. View

12.

Etnoyer J, Cortes N, Ringleb S, Van Lunen B, Onate J . Instruction and jump-landing kinematics in college-aged female athletes over time. J Athl Train. 2013; 48(2):161-71. PMC: 3600918. DOI: 10.4085/1062-6050-48.2.09. View

13.

Porter J, Nolan R, Ostrowski E, Wulf G . Directing attention externally enhances agility performance: a qualitative and quantitative analysis of the efficacy of using verbal instructions to focus attention. Front Psychol. 2011; 1:216. PMC: 3153821. DOI: 10.3389/fpsyg.2010.00216. View

14.

Onate J, Guskiewicz K, Sullivan R . Augmented feedback reduces jump landing forces. J Orthop Sports Phys Ther. 2001; 31(9):511-7. DOI: 10.2519/jospt.2001.31.9.511. View

15.

Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L . Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med. 2010; 38(11):2218-25. DOI: 10.1177/0363546510373570. View

16.

Welling W, Benjaminse A, Gokeler A, Otten B . Enhanced retention of drop vertical jump landing technique: A randomized controlled trial. Hum Mov Sci. 2015; 45:84-95. DOI: 10.1016/j.humov.2015.11.008. View

17.

McGinley J, Baker R, Wolfe R, Morris M . The reliability of three-dimensional kinematic gait measurements: a systematic review. Gait Posture. 2008; 29(3):360-9. DOI: 10.1016/j.gaitpost.2008.09.003. View

18.

Chiviacowsky S, Wulf G, de Medeiros F, Kaefer A, Wally R . Self-controlled feedback in 10-year-old children: higher feedback frequencies enhance learning. Res Q Exerc Sport. 2008; 79(1):122-7. DOI: 10.1080/02701367.2008.10599467. View

19.

McNevin N, Wulf G, Carlson C . Effects of attentional focus, self-control, and dyad training on motor learning: implications for physical rehabilitation. Phys Ther. 2000; 80(4):373-85. DOI: 10.1093/ptj/80.4.373. View

20.

Hewett T, Stroupe A, Nance T, Noyes F . Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med. 1996; 24(6):765-73. DOI: 10.1177/036354659602400611. View