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ACL injuries affect approximately 500,000 athletes annually, leading to pain, significant time lost from sports (6-18 months), missed school, and potential late-onset arthritis. Both males and females are at risk, but females are 3-5 times more likely to suffer an ACL injury, with non-contact injuries accounting for at least 70% of cases. Addressing proprioception, conditioning, and sport-specific skills, alongside the PEP program, can reduce injuries by up to 70%. Understanding braces, fitness, and proper training is crucial for injury prevention.
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SAFEKIDSACL PREVENTION Derek K. Lichota MD
ACL PREVENTION • Why is this an issue? • 500,000 injuries a year(estimate) • Athlete • Pain • Time lost in sports(6-18 mo.) • Missed school • Late arthritic issues
ACL PREVENTION • Background • Male or Female? • Both but females have about 3-5 times the incidence of occurrence
ACL PREVENTION • Background • Contact or noncontact? • Both: non-contact is at least 70% of the injuries
ACL PREVENTION • BRACE OR NO BRACE? • No evidence to support prophylactic bracing • Is it a reasonable thing to do? • What is the cost?
ACL PREVENTION • Brace costs • $350 for off the shelf brace • Marketing tool • Is it indicated?
ACL PREVENTION • FITNESS • General fitness • Sport specific fitness • Sport specific athletic skills
ACL PREVENTION • PROPRIOCEPTION • What is it? • The ability to know where the joint is, in time and space.
ACL PREVENTION • PROPRIOCEPTION • Why is this important? • We might be able to decrease the incidence of ACL injury by 50% or more • Females are at a greater risk than males
ACL PREVENTION • Conditioning • Strength • Flexibility • Sport’s specificity
ACL PREVENTION • Sport specific activity • Jump stop • Sudden deaccleration • Cut and pivot • Hyperextension • Jump stop • Sudden deceleration
ACL PREVENTION • PEP PROGRAM • Prevent injury • Enhance Performance • Santa Monica California
ACL PREVENTION • PEP program • 15 min three times per week • Adding plyometrics • Neuromuscular training
ACL PREVENTION • What does it cost? • 15 minutes of warm up • No special equipment • Commitment from players, coaches, trainers, and physicians
ACL PREVENTION • SOFT LANDINGS
ACL PREVENTION • These programs have shown a decrease in the incidence of knee injuries by up to 70%
ACL PREVENTION • WEB INTERACTION • ACL PREVENTION
ACL PREVENTION • QUESTIONS?
ACL PREVENTION • THANK YOU