"The intervention resulted in a substantial reduction in the risk of ACL injuries from the control season to the second intervention season among the elite players who completed the programme." “The players were encouraged to be focused and conscious of the quality of their movements, with emphasis given to core stability and hip and knee position in relation to the foot ," wrote the Aspetar Sport Medical Journal. It found that a neuromuscular training programme did reduce the risk of ACL injuries, with players given balance and strength exercises to perform. The two leading theories are because it fires up the neuromuscular control centres in the brain and that it is quite physically demanding, so it gets people fitter and stronger."Ī study by Myklebust et al at the turn of the century involving female handball players in Norway supports that first theory. The idea is to include some changing direction running, some jumping and landing, and some strength drills. "The focus is on getting the warm-up right and there is a big difference between a traditional warm-up and an evidence-based warm-up. "There is hard data that shows if you spend 10 to 15 minutes warming up the right way, the risk of ACL ruptures goes down," says Jacobs. Tom Jacobs is a chartered physiotherapist who helped set up the Sporting Knee Injury Prevention Programme (SKIPP) after seeing an increase in ACL ruptures amongst teenagers doing sport and the charity's new Power Up To Play campaign aims is to raise awareness of the importance of doing the right warm-up. However, it has not cut through to wider public consciousness. This type of warm-up is not new: Back in 1972, researchers in Santa Monica devised the Prevent Injury Enhance Performance (PEP) programme that incorporated the same principles. The underlying idea is that these exercises help to improve stability and control, strengthen muscles and reinforce strong body positions. Technique is also key: Keeping the knee and foot aligned, landing on the balls of the feet and so on. For example, a warm-up that includes walking lunges and single-toe raises (strengthening), single-leg hops and vertical jumps (plyometrics) and runs with changes of direction and speed (agility) would contain those various elements. In 2019, the American Journal of Sports Medicine published a review of ACL injury prevention programmes that found the risk of injury was reduced by 53 per cent when they incorporated plyometric (jumping), strengthening and agility exercises. The importance of warming up before exercising has long been drilled into people but rather than the more habitual elements of, say, a few stretches and a light jog, it is about including specific types of drills into pre-training and pre-match routines. There are lots of calls for more research into the issue to find out why women are more likely to suffer these serious knee injuries, but there is already a lot of data on how to reduce the risk. In recent months that three-letter acronym for anterior cruciate ligament has become the biggest talking point in women's sport, far greater than the names of any of the star athletes taking to pitches, tracks, courses and slopes around the world. I'm trying to use csv as a "save as" file type, edit it via Excel and "Scan File" the edited excel csv file but retting the read error shown below.
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