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equation that combines anatomic factors, a
unique hormonal environment, and a neuro-
muscular sequence that create a situation
with high risk for ACL rupture.
INTERVENTION
PROGRAMS
Most prevention programs attempt to alter
dynamic loading of the tibiofemoral joint
through neuromuscular and proprioceptive
training [7]. Successful programs include:
traditional stretching, strengthening of
“core” musculature and pelvic stabilizers,
athlete’s awareness of high risk positions,
technique modification for these high risk
positions (cutting, landing, decelerating),
aerobic conditioning, sports specific agili-
ties, proprioceptive and balance training and
plyometrics.
Landing technique:
landing softly on the fore-
foot and rolling back to the rear foot, enga-
ging knee and hip flexion upon landing, two-
feet landing whenever possible.
Cutting maneuvers:
avoid excessive dynamic
valgus of the knee upon landing and squatting;
aim to achieve the “knee over toe position”.
All orthopedic surgeons should strive to incor-
porate these intervention strategies into their
post-operative ACL rehabilitation programs.
ACL INJURIES: ARE FEMALES MORE AT RISK?
179
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