ACL Injury in Basketball
Women playing basketball are more likely to experience ACL injuries than their male counterparts. Many biomechanical researches indicate that ACL injuries increase the danger of suffering resultant injuries such as osteoarthritis and meniscal tears. Meniscal tears and osteoarthritis occur faster in persons with ACL constructed knees and ACL-deficiency. Genetic consequences of ACL injury, monetary implications, surgery and rehabilitation have prompted current progression of ACL injury deterrence programs in basketball. Majority of prevention programs have been introduced in a warm-up set-up. The programs have effectively reduced non-contact ACL injuries in the game. Some in-print studies about the use of warm-up
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Other disadvantages of ACL deterrence warm-up versus more convectional warm-up set-ups may comprise the following: a damaging effect on skill performance due to increased fatigue, increased time demands, which may reduce sport-specific skillfulness training and ensuing program observance by coaches and diminished capability to alter warm-up components to generate inconsistent challenges and athletic demands and limit partakers disinterest due to monotony.
Injury Mechanism
An examination of the present evidence is obligatory in order to understand the most efficient means to come up with warm-up programs to target and competently tackle risk factors predisposing female basketball players to non-contact ACL injury while endeavoring to attain physical performance gains (McKeag, 2003). Recent studies offer evidence that warm-up systems and ACL injury deterrence programs are able to offer improvements in physical and athletic performance measures and affect biomechanical changes. Enhanced physical performance measures offer positive psychosomatic reinforcement which allows enhanced compliance from female basketball players and coaches to ACL injury deterrence programs.
Roughly seventy percent of ACL injuries are non-contact in nature. To prevent non-contact ACL damages in feminine basketball
It’s time to start preventing these detrimental injuries. Since most ACL injuries occur from changing directions quickly, stopping instantly, landing incorrectly, and direct contact. The best way to avoid these injuries is the stop wearing cleats and avoiding sport with a lot of twisting and contact, but that's not fun. An individual can prevent the ACL injury by strengthening the hamstring and the quads. Also changing the surface while training and practicing. Surfaces can increase the chance of ACL hence the athlete has to stop and change directions. For example, Basketball courts are usually made wood but finish on them so that the player can move and dribble the ball. The finished floor can be slippery causing players slide across them.
Studies have also shown that women in particular, unfortunately have a disadvantage in life when compared to male counterparts, and that is one pertaining to their higher risk for ACL injury. Due to a neuromuscular imbalance that is concomitant with overactive quadriceps strength compared to hamstring strength, females tend to place more stress on the ACL. Accordingly, this increases the pressure on the ACL leading to a higher prevalence of injury that will arise more on the female spectrum than that of the male (Myer et al., 2009). Furthermore, this is important to be aware of for female athletes and for the Physical Therapists who treat them in efforts to provide educational information regarding the relationship of stronger hamstrings correlating to a lesser chance of ACL injury. Personally, I have worked with athletic females in the past as a personal trainer and while I was not strengthening hamstrings with the direct objective to prevent an ACL injury, I was cognizant of the notion that a balanced quadriceps and hamstring ratio was necessary to avoid lower extremity injuries as a
There have been higher incidences of serious knee injuries among female sports, especially those that include jumping and pivoting. In particular, anterior cruciate ligament (ACL) injury rates are more commonly found in female sports. Previous research has shown ACL injuries are primarily due to noncontact mechanisms that include sudden deceleration, landing, and pivoting maneuvers (Mihata, Beutler, & Boden, 2006; Yu & Garrett, 2007). High-risk sports such as basketball and soccer expose athletes to these potential injuring forces. Despite the many similarities between male and female sports, females often have a higher rate of ACL injures (Mihata et al., 2006).
With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always
If instability is evident then the menisci will get injured sooner or later which will set the scene for progressive, degenerative, arthritis of the knee. You can usually tell when an ACL in jury has happened because you will hear or feel a pop during a twisting movement or a fast deceleration which will also come with the inability to continue participation. Which will then be followed by swelling, this is said to indicate a 90% probability of rupture of the ACL. These injuries occur mostly when an individual suddenly stops or plants their foot hard into the ground like a cutting motion, also ACL Failure has been linked to heavy or stiff-legged landing, which can cause the knee rotation while landing, mainly when the knee in put into an abnormal position. Like I said before women or three times more likely to suffer one of these injuries than males, especially in sports such as; association football, Basketball and Tennis. This has been linked with the differences in anatomy because of gender, muscular strength, the reaction time of muscle contraction and coordination. Also training techniques are linked to this. A female’s pelvis is relatively wider than that of males, requiring the angle of the femur to turn towards the knees. The role of genetics is still an ongoing study and is speculative. Many cases of athletes landing flat on their heels has been a common occurrence. As this can cause the tibia to be force into the knee,
Several recent studies demonstrate that the rate of ACL injuries among women can be significantly reduced by following proper neuromuscular training (NMT) and conditioning programs.
INCREASE IN TEARS Anterior cruciate ligament injuries are receiving a great deal of notice because of the incidence of injury that occurs not only in the athletic population but also in those individuals who are recreationally active (Russell, 2006). Each year in the United States there are approximately 250,000 ACL injuries. This is approximately 1 in 3,000 in the general population (Boden, 2000). Of these injuries, about 175,000 require reconstructive surgery. These surgeries had an estimated cost of over two billion dollars annually in the United States (Yu, 2007). These statistics alone make it obvious that this injury occurs very often. The ACL is one of the most commonly disrupted ligaments in the knee. While the prevalence of the injury has increased, so has the number of athletes in the world since ACL injury research first began. Women are now allowed to participate in sports and new sports are being participated in
In her article, “High School ACL Injury Rates”, Dawn Comstock shows that in 2009, about sixty percent, of all sports surgeries involve the knee; within the sixty percent, about fifty percent of the knee surgeries are ACL reconstructions. Sports that could have a higher tendency for an athlete to tear the ACL are sports that require an athlete to decelerate quickly or need to cut and change direction instantly. For example, an article shows that a high-impact sport has a higher percentage of ACL tears when compared to a low-impact sport, such as football and women’s soccer; football has a forty-one percent ACL injury rate while women’s soccer only has nineteen percent. Not only does the level of impact effect the likelihood of ACL injury, but the gender of the athlete as well. When looking at women’s and men’s soccer, men have a merely thirteen percent ACL injury rate because their physical structure along with their techniques when doing certain exercises.
In sport an ACL injury is the most frequently ruptured ligament of the knee (Johnson, 1983), it is described by Flynn 2005 as a serious, common and costly injury (Flynn, 2005). In many cases an ACL injury is the result of noncontact and studies done by Barrett et al 1972 and Beckett et al 1992 support this as they reported that 78% and 71% of ACL injured patients described noncontact mechanisms of injury such as landing with too much knee extension or change in direction (pivoting) (Barrett et al 1972 and Beckett et al 1992) and also can happen due to contact such dominant kicking leg, fall on the knee or even a forceful blow to the knee. Bjordal et al 1997, in their findings showed that 58% and 42% of ACL injuries were
The Anterior Cruciate Ligament (ACL) is one of the most common knee injuries in female sports today. The ACL is a ligament that attaches the femur and tibia to the knee allowing the knee to bend while still being stable and supporting the whole body. Dr. Russel F. Warren, a physician for the New York Giants football team, explains, “The ACL prevents the shin bone (tibia) from moving too far forward on the thigh bone (femur) and keeps the knee from twisting inward excessively.” When athletes tear their ACL there is a greater chance that they have hurt or another ligament in their knee such as the LCL, MCL or Meniscus; which is cartilage that absorbs shock from the body’s pressure (MedlinePlus). The ACL is strong, but one wrong move could result
Female athletes can protect themselves through many stretches and prevention programs provided by their coaches, parents and Athletic Trainers. Many ACL tears can be protected by warm- up or cool-down programs or stretching (Ritter). The solution to preventing some of the ACL injuries is a strength and flexibility programs to strengthen the hamstrings, quadriceps and the core while stabilizing the knee (Busse). Working on the athlete’s techniques such as running, jumping and landing techniques can vastly improve their chances of ACL strength and would help prevent against tears (Malamut). Using an ACL prevention program teaches athletes how to align their hips for correct form and how to jump correctly without pain and without being knock-knee.
Female participation in competitive athletics has increased significantly in recent years. Compared to their male counterparts, they are at a 2 to 10 times greater risk for ACL injury (Edward et al, 2015, p. 368) There are two main mechanisms for an ACL injury: Contact, and non-contact. 70% of all reported ACL injuries are non-contact in nature, whereas the remaining 30% involve contact from an outside force such as an opposing player, a goalpost, or another object on the field or court (Silvers, 2009, p.83).
The most common ligamentous injury to the knee is injury to the anterior cruciate ligament (ACL) (Teske 2010), and it is the second most common injury in the lower extremity. It has become so common of an injury that 1 in 3000 individuals in the United States will be affected with an ACL tear (Micheo 2010) and there are 200,000 new cases per year (Wilk 2012). It is most commonly seen in people 15-30 years of age (Teske 2010). It is also more common in females than males (Fayad 2003, Teske 2010, Bowerman 2006). This is due to increased joint laxity in post-pubescent females compared to post-pubescent males (Bowerman 2006) and differences in muscle activation. Males tend to have a more balanced quadriceps to hamstrings ratio
This paper focuses on the prevention and treatment of injuries in basketball. This paper explores the basic concepts of preventing injuries and the different methods to treat injuries that occur as a result of playing basketball. There are a variety of preventive measures to limit injuries at recreational, collegiate and professional levels of playing basketball. This paper will elaborate on specific approaches to injury prevention for each circumstance. Depending on the duration and intensity of play many contributing factors play a role in the prescribed treatment of basketball injuries. This paper will examine the different types of treatment available and the major factors that are considered based on case by case basis. Basketball is an enjoyable sport with the risk of minor and major injury. This paper will give insight into those injuries and remedies to treat and prevent them.
This essay deals with the current treatments, rehabilitation procedures and onsets following anterior cruciate ligament (ACL) injuries. Within this essay, there will be information including the causes, characteristics, and symptoms of ACL injuries. Throughout the United States, there are estimated to be 200,000 ACL injuries per year with 100,000 of those injuries being treated through ACL reconstruction (Evans, Shaginaw, & Bartolozz, 2014). With a satisfactory ACL reconstruction outcome between 75%-97%. From the 10%-15% failure rate of ACL reconstruction, the primary fault is due to technical mistakes at 70% (Samitier, Marcano, Alentorn-Geli, Cugot, Former, & Moser,