(English) Episode 177-ACL Catastrophe Averted - The 2023 Guidelines for Exercise-Based knee injury prevention and athletic longevity

AIM OF THE GUIDELINESThe Academy of Orthopaedic Physical Therapy and the Ameri-can Academy of Sports Physical Therapy have an ongoing e!ortto create evidence-based clinical practice guidelines (CPGs)for orthopaedic and sports physical therapy managementand prevention of musculoskeletal impairments described inthe World Health Organization’s International Classificationof Functioning, Disability and Health (ICF). This particularguideline focuses on the exercise-based prevention of knee in-juries. Exercise-based prevention was defined as an interven-tion requiring the participant(s) to be active and move. Thiscould include physical activity; strengthening; stretching; neu-romuscular, proprioceptive, agility, or plyometric exercises; andother training modalities, but excludes passive interventionssuch as bracing or programs that only involve education. Kneeinjuries were defined as any knee joint pathology includingdamage to the joint (patellofemoral and/or tibiofemoral), lig-aments, meniscus, or patellar tendon. The recommendationscan be followed and implemented by athletes, coaches, athletictrainers, physical therapists, strength and conditioning profes-sionals, sports scientists, physicians, surgeons, and other clini-cians or health and fitness professionals.The objectives of this CPG are as follows:• Review the evidence in the scientific literature for exer-cise-based knee injury prevention programs.• Identify exercise-based knee injury prevention programsthat are e!ective for specific subgroups of athletes.• Describe the evidence for the components, dosage, and de-livery of exercise-based knee injury prevention programs.• Provide suggestions for the implementation of exer-cise-based knee injury prevention programs.• Create a reference publication for athletes, coaches, par-ents, students, interns, residents, fellows, athletic trainers,orthopaedic and sports physical therapy clinicians, aca-demic instructors, clinical instructors, and physicians andsurgeons in orthopaedics and sports regarding the bestcurrent practice of exercise-based knee injury preventionprograms.Arundale AJH, Bizzini M, Dix C, Giordano A, Kelly R, Logerstedt DS, 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]. 2023;53(1):CPG1–34. Available from: http://dx.doi.org/10.2519/jospt.2023.0301