Evidence map›Paper›PMID 28979857›Full record

ArticleWorld journal of orthopedics2017

Osteoarthritis action alliance consensus opinion - best practice features of anterior cruciate ligament and lower limb injury prevention programs.

Thomas Trojian, Jeffrey Driban, Rathna Nuti, Lindsay Distefano, Hayley Root, Cristina Nistler, Cynthia LaBella

Registry-linked trialAbstract read
In one paragraph

Article in World journal of orthopedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05167162 (Efficacy of the Most Commonly Used Physiotherapeutic Treatments for Acute Lower Limb Fatigue in Athletes), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05167162 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of the Most Commonly Used Physiotherapeutic Treatments for Acute Lower Limb Fatigue in Athletes

TypeinterventionalSponsorClinica Gema LeonRan2021 to 2022Enrolled80ConditionsLower Limb InjuryArmsState-Trait Anxiety Questionnaire, Rating of Perceived Exertion, Motor coordination tests, Physiotherapeutic intervention, Data Analysis
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Thomas TrojianDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States. thomas.trojian@drexel.edu.
Jeffrey DribanDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.
Rathna NutiDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.
Lindsay DistefanoDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.
Hayley RootDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.
Cristina NistlerDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.
Cynthia LaBellaDivision of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA 19127, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify best practice features of an anterior cruciate ligament (ACL) and lower limb injury prevention programs (IPPs) to reduce osteoarthritis (OA).

methodsThis consensus statement started with us performing a systematic literature search for all relevant articles from 1960 through January 2017 in PubMed, Web of Science and CINAHL. The search strategy combined the Medical Subject Heading (MeSH) and keywords for terms: (1) ACL OR "knee injury" OR "anterior cruciate ligament"; (2) "prevention and control" OR "risk reduction" OR "injury prevention" OR "neuromuscular training"; and (3) meta-analysis OR "systematic review" OR "cohort study" OR randomized. We found 166 different titles. The abstracts were reviewed for pertinent papers. The papers were reviewed by at least two authors and consensus of best practice for IPP to prevent OA was obtained by conference calls and e-mail discussions. All authors participated in the discussion.

resultsThe best practice features of an IPP have the following six components: (1) lower extremity and core strengthening; (2) plyometrics; (3) continual feedback to athletes regarding proper technique; (4) sufficient dosage; (5) minimal-to-no additional equipment; and (6) balance training to help prevent injuries. Exercises focused on preventing ankle sprains, hamstring injuries and lateral trunk movements are important. Plyometric exercises should focus on correcting knee valgus movement. Exercises should focus on optimizing the hamstring to quadriceps strength ratio. In order for IPP to be successful, there should be increased education and verbal feedback along with increased athletic compliance. Additional equipment is not necessary. Balance training alone does not significantly reduce injuries, but is beneficial with other exercises. Not enough evidence to recommend stretching and agility exercises, with no ill effects identified. Therefore, we suggest making these optional features.

conclusionBest practice features for ACL and lower limb IPPs to help prevent OA contain six key components along with two optional.

Indexed as

Anterior cruciate ligamentInjury prevention programKnee injuryLower limb

Identifiers

PMID28979857
PMCPMC5605359

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.