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ACL PreventionCampbell McCormack, PT, MS
Lead Therapist – GSPP UNCInstructor Functional Movement Systems
How Are We Doing??
250,000
$3 Billion
6-9 months
30% 70%
Noncontact
Landing
Pivot
Decelerating
Contact
Trauma
Contact Prevention?
Joint flexibility
Amount of trainingField surface
Functional instabilityField conditions
Previous injury
Pathologic ligament laxityNumber of games played
Climatic factors
Muscle tightness
Inadequate rehab
Ankle taping
Inadequate warm-up
Shoe/cleat type
Poor reaction time
Game rules
Foul playACL dimensions
Femoral notch size Level of skill
Insufficient endurance
Inadequate recovery
Alcohol use
BMI
Core deficits
Excessive subtalar pronation
Excessive tibial torsion
Bracing
Hormonal variations Q angle
Program Objectives
What if…..
Y-Balance Test
Risk Factors Screening Program Assignment
Medical Assessment
Corrective Program
30% 70%
Screening
Risk Assignment
Individual Care
Programming
Armor Building
Tumbling
It Takes A Village
Call to action
Resources• http://
smsmf.org/files/PEP_Program_04122011.pdf• http://
sportsmetrics.org/wp-content/uploads/2012/12/WIPP-Poster-e1355497200495.jpg
• http://f-marc.com/11plus/downloads/• http://www.dragondoor.com/b57/• http://move2perform.com/
References• Butler et al. Modifiable Risk Factors Predict Injuries in Firefighters During Training
Academies. Work. 2013;46:11-17.• Chorba et al. Use of a Functional Movement Screening Tool to Determine Injury Risk in
Female Collegiate Athletes. NAJSPT. 2010;5:47-54.• Cook et al. Functional Movement Screening: The Use of Fundamental Movements as an
Assessment of Function Parts 1 & 2. IJSPT vol 9, no. 3 p. 396.• Coughlan et al. A Comparison Between Performance on Selected Directions of the Star
Excursion Balance Test and the Y Balance Test. JAT 2012; 47(4):366-371.• DiStefano et al. Influence of Age, Sex, Techniques, and Exercise Program on Movement
Patterns After an Anterior Cruciate Ligament Injury Prevention Program in Youth Soccer Players. AJSM vol 37, no. 3
• Dvorak et al. Risk Factor Analysis for Injuries in Football Players. AJSM vol 28, no. 5• Frank et al. Trunk and Hip Biomechanics Influence Anterior Cruciate Loading Mechanisms
in Physically Active Participants AJSM 2013 41:2676• Keller et al. Reporting on ACL Deficient Patients: A Function-Based Return-to-Activity
Algorithm BJSM (2013) 47: e3
References• Kiesel K, Plisky P, Butler R. Functional movement test scores improve following a standardized off
season intervention program in professional football players. Scand J Med Sci Sports. 2011;21:287-292.
• Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007;2:147-158.
• Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in American football players. J Sport Rehabil. 2014;23:88-94.
• Lehr et al. Field-expedient screening and injury risk algorithm categories as predictors of noncontact lower extremity injury Scand J Med Sci Sports 2013: 23: e225-e232
• Mandelbaum et al. Effectiveness of a Neuromuscular and Proprioceptive Training Program in Preventing Anterior Cruciate Ligament Injuries in Female Athletes AJSM Vol 33, no 7
• Plisky et al. Star Excursion Balance Test as a Predictor of Lower Extremity Injury in High School Basketball Players. JOSPT 2006.
• Silvers, Mandelbaum Prevention of anterior cruciate ligament injury in the female athlete BJSM (2007); 41(supp)i52-i59.
• Voskanian, Natalie ACL Injury prevention in female athletes review of the literature and practical considerations in implementing an ACL prevention program. Curr Rev Musculoskelt Med (2013) 6: 158-163.
