Anterior Cruciate Ligament Injury Prevention Program ESSKA/ESMA: A Comprehensive Approach to Reducing the Incidence of Knee Joint Injuries in Czech Sport
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Peak knee flexion angle
研究概览
简要总结
This study aims to address the rising incidence of ACL injuries, particularly among adolescents, by developing and implementing a comprehensive prevention program based on the evidence-based "ACL Prevention for ALL" framework recommended by ESSKA-ESMA. The project focuses on muscle strengthening, flexibility, coordination, proper movement techniques, and a multidisciplinary approach involving coaches, physiotherapists, and physicians. Through targeted exercise modules, education, and dynamic evaluation-including 2D motion analysis-the study seeks to reduce ACL injuries, enhance movement safety, and enable individualized training plans by identifying and correcting muscle and biomechanical imbalances.
详细描述
- Introduction According to published data, there has been a continuous increase in ACL (anterior cruciate ligament) injuries in developed countries over the last two decades. This trend has also been observed in the Czech Republic, based on analysis conducted by our expert group. The increase is particularly notable among adolescents. Knee joint injuries subsequently lead to reduced athletic performance and, in extreme cases, can prevent a return to competitive or elite-level sport. These injuries also have significant psychosocial consequences for young athletes.
The evidence-based program "ACL Prevention for ALL," recommended by the professional society ESSKA-ESMA for widespread implementation, has been shown to reduce the incidence of ACL injuries by 50-60% across age groups and competitive levels. The prevention concept is based on several key components:
Muscle Strengthening and Balance: Focusing on strengthening the thigh muscles (quadriceps and hamstrings) and ensuring their balance, which plays a critical role in knee stabilization.
Flexibility: Improving lower limb flexibility can help reduce injury risk in individuals with reduced joint mobility.
Coordination and Proprioceptive Training: Exercises that enhance coordination and body awareness improve athletes' ability to respond quickly to movement changes, reducing injury risk.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 17 Years 至 20 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age group: Participants aged 17-20 years
- •Sports activity: Individuals actively engaged in sports with a high risk of ACL injury
- •Health status: Participants with no or minimal previous knee joint injuries that do not limit their current physical activity
- •Willingness to participate: Agreement to take part in the prevention program, including regular training and assessments
- •Informed consent: Signed informed consent for participation in the program and testing procedures; for minors, consent must be signed by legal guardians
排除标准
- •Current injury: Individuals with a current knee joint injury requiring treatment or surgery
- •Chronic conditions: Participants with chronic diseases or conditions that may affect the outcome of injury prevention (e.g., congenital abnormalities, neuromuscular disorders, or cardiovascular diseases)
- •Insufficient consent: Individuals who are unable or unwilling to provide written informed consent
- •Irregular participation: Individuals who do not comply with regular participation in the training program or assessments
结局指标
主要结局
Peak knee flexion angle
时间窗: 4 months
According to the 'quadriceps dominance theory,' a low angle increases the risk of ACL injury. Meta-analyses show an increase in the angle after IPP. Advantage: Easily measurable and consistently monitored in the literature.
Dynamic knee valgus (DKV)
时间窗: 4 months
Dynamic valgus is often described as a key injury mechanism, although its measurement is more complex and less standardized. It can be supplemented with specific angles such as knee abduction angle at initial contact (IC) and medial knee displacement.
Peak knee abduction moment
时间窗: 4 months
The strongest predictor of ACL injury risk according to the 'ligament dominance theory' and also the most frequently reported as changed after an IPP (Injury Prevention Program). Advantage: Quantifiable, measurable using 3D analysis and force platforms, and sensitive to changes.
次要结局
- Peak hip flexion angle & hip flexion at initial contact(4 months)
- Vertical Ground Reaction Force (vGRF)(4 months)