(English) Episode 176-ACL Tears Solved Cutting Knee Injury Risk by 60% with Exercise - the critical window and proven blueprints

AIM OF THE GUIDELINEThe Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy are engaged in an ongoing effort to create evidence-based clinical practice guidelines (CPGs) for orthopaedic and sports physical therapy management and the prevention of musculoskeletal impairments described in the World Health Organization’s International Classification of Functioning, Disability and Health (ICF). This particular guideline focuses on exercise-based knee injury prevention.Exercise-based prevention was defined as an intervention requiring the participant(s) to be active and move. This could include physical activity; strengthening; stretching; neuromuscular, proprioceptive, agility, or plyometric exercises; and other training modalities, but excludes passive interventions such as bracing or programs that only involve education. Knee injuries were defined as any knee joint pathology including damage to the joint (patellofemoral and/or tibiofemoral), ligaments, meniscus, or patellar tendon. These recommendations can be followed and implemented by athletes, coaches, health and fitness professionals, athletic trainers, physical therapists, physicians, surgeons, and other clinicians.The objectives of this CPG are as follows:Review the evidence in the scientific literature for exercise-based knee injury prevention programs.Identify exercise-based knee injury prevention programs that are effective for specific subgroups of athletes.Describe the evidence for the components, dosage, and delivery of exercise-based knee injury prevention programs.Provide suggestions for the implementation of exercise-based knee injury prevention programs.Create a reference publication for athletes, coaches, parents, students, interns, residents, fellows, athletic trainers, orthopaedic and sports physical therapy clinicians, academic instructors, clinical instructors, and physicians and surgeons in orthopaedics and sports regarding the best current practice of exercise-based knee injury prevention programs.Arundale AJH, Bizzini M, Giordano A, Hewett TE, Logerstedt DS, Mandelbaum B, et al. Exercise-based knee and anterior cruciate ligament injury prevention: Clinical practice guidelines linked to the international classification of Functioning, Disability and Health from the Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy. J Orthop Sports Phys Ther [Internet]. 2018;48(9):A1–42. Available from: http://dx.doi.org/10.2519/jospt.2018.0303