Optimization of the Anterior Cruciate Ligament Injury Prevention Paradigm: Novel Feedback Techniques to Enhance Motor Learning and Reduce Injury Risk

Anne Benjaminse*, Alli Gokeler, Ariel V. Dowling, Avery Faigenbaum, Kevin R. Ford, Timothy E. Hewett, James A. Onate, Bert Otten, Gregory D. Myer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

96 Citations (Scopus)

Abstract

SYNOPSIS: Primary anterior cruciate ligament (ACL) injury prevention programs effectively reduce ACL injury risk in the short term. Despite these programs, ACL injury incidence-is still high, making it imperative to continue to improve current prevention strategies. A potential limitation of current ACL injury prevention training may be a deficit in the transfer of conscious, optimal movement strategies rehearsed during training sessions to automatic movements required for athletic activities and unanticipated events on the field. Instructional strategies with an internal focus of attention have traditionally been utilized, but may not be optimal for the acquisition of the control of complex motor skills required for sports. Conversely, external-focus instructional strategies may enhance skill acquisition more efficiently and increase the transfer of-improved motor Skills to sports activities. The current article will present insights gained from the motor-learning domain that may enhance neuromuscular training programs via improved skill development and increased retention and transfer to sports activities, which may reduce ACL injury incidence in the long term.

Original languageEnglish
Pages (from-to)170-182
Number of pages13
JournalJournal of Orthopaedic & Sports Physical Therapy
Volume45
Issue number3
DOIs
Publication statusPublished - Mar-2015

Keywords

  • ACL
  • focus of attention
  • knee
  • MIRROR-NEURON SYSTEM
  • LOWER-EXTREMITY BIOMECHANICS
  • SELF-CONTROLLED FEEDBACK
  • TEAM HANDBALL PLAYERS
  • ATTENTIONAL FOCUS
  • EXTERNAL-FOCUS
  • DYNAMIC STABILIZATION
  • AUGMENTED FEEDBACK
  • POSTURAL CONTROL
  • VIDEO ANALYSIS

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