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

被引:122
作者
Benjaminse, Anne [1 ,2 ]
Gokeler, Alli [1 ]
Dowling, Ariel V. [3 ]
Faigenbaum, Avery [4 ]
Ford, Kevin R. [5 ,6 ]
Hewett, Timothy E. [6 ,7 ]
Onate, James A. [8 ]
Otten, Bert [1 ]
Myer, Gregory D. [6 ,7 ,9 ,10 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, NL-9713 AV Groningen, Netherlands
[2] Hanze Univ Appl Sci, Sch Sport Studies, Groningen, Netherlands
[3] Stanford Univ, Dept Mech Engn, BioMot Lab, Stanford, CA 94305 USA
[4] Coll New Jersey, Dept Hlth & Exercise Sci, Ewing, NJ USA
[5] High Point Univ, Sch Hlth Sci, Dept Phys Therapy, High Point, NC USA
[6] Cincinnati Childrens Hosp Med Ctr, Div Sports Med, Cincinnati, OH 45229 USA
[7] Ohio State Univ, Sports Hlth & Performance Inst, Sports Med, Columbus, OH 43210 USA
[8] Ohio State Univ, Sch Hlth & Rehabil Sci, Ctr Personalized Hlth Care, Columbus, OH 43210 USA
[9] Univ Cincinnati, Coll Med, Div Sports Med, Dept Pediat & Orthopaed Surg, Cincinnati, OH USA
[10] Micheli Ctr Sports Injury Prevent, Waltham, MA USA
关键词
ACL; focus of attention; knee; MIRROR NEURON SYSTEM; SELF-CONTROLLED FEEDBACK; ATTENTIONAL FOCUS; EXTERNAL-FOCUS; TEAM HANDBALL; DYNAMIC STABILIZATION; AUGMENTED FEEDBACK; POSTURAL CONTROL; PERFORMANCE; BALANCE;
D O I
10.2519/jospt.2015.4986
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
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.
引用
收藏
页码:170 / 182
页数:13
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