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Sports 2015, 3(2), 56-76; doi:10.3390/sports3020056

Neuromuscular Retraining in Female Adolescent Athletes: Effect on Athletic Performance Indices and Noncontact Anterior Cruciate Ligament Injury Rates

Cincinnati Sportsmedicine and Orthopaedic Center and the Noyes Knee Institute, 10663 Montgomery Road, Cincinnati, OH 45242, USA
These authors contributed equally to this work.
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Author to whom correspondence should be addressed.
Academic Editor: Eling Douwe de Bruin
Received: 25 March 2015 / Accepted: 11 May 2015 / Published: 13 May 2015
(This article belongs to the Special Issue Sports Medicine)
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Abstract

While many anterior cruciate ligament (ACL) prevention programs have been published, few have achieved significant reductions in injury rates and improvements in athletic performance indices; both of which may increase compliance and motivation of athletes to participate. A supervised neuromuscular retraining program (18 sessions) was developed, aimed at achieving both of these objectives. The changes in neuromuscular indices were measured after training in 1000 female athletes aged 13–18 years, and the noncontact ACL injury rate in 700 of these trained athletes was compared with that of 1120 control athletes. There were significant improvements in the drop-jump test, (p < 0.0001, effect size [ES] 0.97), the single-leg triple crossover hop (p < 0.0001, ES 0.47), the t-test (p < 0.0001, ES 0.64), the multi-stage fitness test (p < 0.0001, ES 0.57), hamstring strength (p < 0.0001), and quadriceps strength (p < 0.01). The trained athletes had a significant reduction in the noncontact ACL injury incidence rate compared with the controls (1 ACL injury in 36,724 athlete-exposures [0.03] and 13 ACL injuries in 61,244 exposures [0.21], respectively, p = 0.03). The neuromuscular retraining program was effective in reducing noncontact ACL injury rate and improving athletic performance indicators. View Full-Text
Keywords: anterior cruciate ligament; neuromuscular retraining; noncontact ACL injury; female athlete anterior cruciate ligament; neuromuscular retraining; noncontact ACL injury; female athlete
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Noyes, F.R.; Barber-Westin, S.D. Neuromuscular Retraining in Female Adolescent Athletes: Effect on Athletic Performance Indices and Noncontact Anterior Cruciate Ligament Injury Rates. Sports 2015, 3, 56-76.

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