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Is there evidence that proprioception or balance training can prevent anterior cruciate ligament (ACL) injuries in athletes without previous ACL injury?

Jessica L Owen, BSc, Sean Campbell, MSc, Sara J Falkner, BKin, Christine Bialkowski, BSc, and Alex T Ward, BSc, are second-year students in the Master's of Physical Therapy Program, Division of Physical Therapy, School of Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada

Submitted October 14, 2005; Accepted June 23, 2006

Because this article has no abstract, we have provided an extract of the full text and any section headings.

The purpose of "Evidence in Practice" is to illustrate how evidence is gathered and used to guide clinical decision making. This article is not a case report. The examination, evaluation, and intervention sections are purposely abbreviated.

 

A collegiate-level soccer player was instructed by her coach to incorporate a proprioceptive component into her training program. He suggested that she purchase a balance board and immediately begin a program that he designed. She approached her physical therapist (SJF) for more information. I immediately recognized that, because of her sex and sport of choice, she would be at high risk for an anterior cruciate ligament (ACL) injury. Hewett et al¹ estimated that as many as 2,200 ACL ruptures per year occur in female collegiate athletes in both the recreational and competitive ranks. Treatment and rehabilitation costs are estimated at $17,000 per ACL injury, which do not take into account the potential loss of . . . [Full Text of this Article]

	Database used for search: PubMed

 

	Initial keywords: anterior cruciate ligament injury, ACL injury, knee injury, balance, proprioception, prevention

 

	Selection of articles for review:

 

	Thacker SB, Stroup DF, Branche CM, et al. Prevention of knee injuries in sports: a systematic review of the literature. J Sports Med Phys Fitness. 2003;43:165–179.

 

	Caraffa A, Cerulli G, Projetti M, et al. Prevention of anterior cruciate ligament injuries in soccer: a prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc. 1996;4:19–21.

 

	Soderman K, Werner S, Pietila T, et al. Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players? A prospective randomized intervention study. Knee Surg Sports Traumatol Arthrosc. 2000;8:356–363.

 

	Clinical decision:

 

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