March Certification Course

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On March 24th, we welcomed 20 new certified instructors to the Sportsmetrics community.  Thanks for your dedication to ACL injury prevention!

Angela Brinkman, OTR/L:  Cloverdale, OH

Shannon Carroll, DPT:  OSR Physical Therapy, Rosemount, MN

Brenda Charley, MS:  Flagstaff Sports Institute, Flagstaff, AZ

Anya Cox, PTA, SPT:  Cincinnati, OH

Matthew Daigle, MPT:  Marion, AR

Elizabeth Gappa, ATC:  Winona Health Outpatient Therapy Department, Winona, MN

Cole Gradeless, ATC:  The Colony, TX

Matthew Green, TN:  Girls Preparatory School, Chattanooga, TN

Jeremiah Hazard, BS:  Orthopedic Physical Therapy Institute Coeur d’Alene, Hayden, ID

Kelly Johannes, DPT:  Hardin Memorial Hospital- Therapy & Sports Medicine Center, Fort Knox, KY

Theresa Kindsvogel, ATC:  Belmont, MI

Carolyn Meder, ATC:  Mercy Health AT Resident, Cincinnati, OH

Michelle Peterson, PT:  Morris, IL

Alexandra Miller, PT:  Peak Physical Therapy & Wellness, Millersburg, OH

Brady Schrauth, ATC:  Holy Family Memorial, Manitowoc, WI

Stephanie Smith, ATC:  Mercy Health AT Resident, Cincinnati, OH

Jasmine Stark, ATC:  Mercy Health Rehab, Muskegon, MI

Chad Vix, PTA:  Winona Health Outpatient Therapy Department, Winona, MN

Scarlett Waite, ATC:  Rockford, MI

Sportsmetrics Certification Course Level I: February 9-10, 2019

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February 9, 2019 – February 10, 2019

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Description:

Serious knee injuries are sidelining female athletes at an alarming rate and although there is no absolute prevention from these types of injuries, thereuntitled (11 of 22) is finally something you can do to help reduce the risk of sustaining a serious knee injury. Cincinnati SportsMedicine Research and Education Foundation has led the way with the development of Sportsmetrics™, the first program scientifically proven to decrease knee injuries in female athletes. The specialized progression of jump/plyometric drills found in Sportsmetrics™ teaches athletes safe techniques for jumping and landing, in an effort to significantly reduce the risk of serious knee injury in female athletes.

Agenda

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2018 AAOS Poster Presentation

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On March 6-10, 2018, the American Academy of Orthopaedic Surgeons held their annual meeting in New Orleans with over 30,00o orthopaedic professionals from around the world in attendance. Three of Dr. Noyes’ current studies were accepted by AAOS and presented at this year’s meeting.  AAOS chose to feature one of the studies, “Which Anterior Cruciate Ligament Prevention Programs Are Effective in Decreasing Injury Rates and Improving Neuromuscular Indices in Female Athletes?”, to be released to the press as one of the major scientific advancements highlighted at the meeting. The study reviewed 36 published ACL prevention training programs to determine which programs are scientifically proven to improve neuromuscular indices and reduce noncontact ACL injury rates in female athletes.

The study found 3 programs (Sportsmetrics1, PEP2, and Myer3,4) that had a significant impact in improving multiple neuromuscular indices including vertical ground reaction forces, knee joint angles, hip and knee moments and lower extremity muscle strength.  Three programs were found to be effective in significantly reducing noncontact ACL injury rates:   Sportsmetrics5, PEP2, and KIPP6.

Overall, only 2 programs (Sportsmetrics and PEP) had a significant impact on both noncontact ACL injury rates and high-risk movement patterns in female athletes.   Successful training programs included the following concepts:  dynamic warm-up, supervised plyometrics, lower extremity and core strength training, supervised agility training and a minimum 6 week training period.

Dr. Noyes and his team of researchers at Noyes Knee Institute have studied the effects of Sportsmetrics for over 20 years.  The program has been scientifically proven to significantly improve lower extremity muscle strength and imbalances, decreased valgus knee moments, improved lower limb alignment, and increased knee flexion angles.  The program is also successful in decreasing ACL injuries in female athletes who complete the program by 72%.

Read the AAOS Press Release here.

  1. Noyes FR, Barber-Westin SD: ACL injury prevention training in female athletes. A systematic review of injury reduction and results of athletic performance tests. Sports Health 4: 36-46, 2012.
  2. Mandelbaum BR et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005;33(7):1003-1010.
  3. Myer GD, Ford KR, Brent JL, Hewett TE. The effects of plyometric vs. dynamic stabilization and balance training on power, balance, and landing force in female athletes. J Strength Cond Res. 2006;20(2):345-353.
  4. Myer GD, Stroube BW, DiCesare CA, et al. Augmented feedback supports skill transfer and reduces high-risk injury landing mechanics: a double-blind, randomized controlled laboratory study. Am J Sports Med. 2013;41(3):669-677.
  5. Noyes FR, Barber-Westin SD. Neuromuscular retraining intervention programs: do they reduce noncontact anterior cruciate ligament injury rates in adolescent female athletes? Arthroscopy. 2014;30(2):245-255.
  6. Labella CR et al. Effect of Neuromuscular Warm-up on Injuries in Female Soccer and Basketball Athletes in Urban Public High Schools: Cluster Randomized Controlled Trial. Arch Pediatr Adolesc Med. 2011;165(11):1033-1040.

 

Assessment of Lower Limb Neuromuscular Control in Prepubescent Athletes

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Background: Although neuromuscular indices have been extensively studied in adolescents and adults, limited data exist for prepubescent children.

Hypothesis: No differences exist between prepubescent boys and girls in lower limb strength, symmetry on single-legged hop testing, and limb alignment during drop-jump testing.

Study Design: Cross-sectional study (prevalence); Level of evidence, 1.

Methods: The authors tested 27 female and 25 male athletes who were aged 9 to 10 years and matched for both body mass index and years of organized sports participation. In a drop-jump screening test, the distance between the right and left hips, knees, and ankles was measured as an indicator of lower limb axial alignment in the coronal plane. The distance between the knees and ankles was normalized by the hip separation distance. Quadriceps and hamstrings strengths were measured isokinetically at 180 deg/s. Lower limb symmetry was determined from 2 single-legged hop function tests.

Results: Boys demonstrated greater mean absolute and normalized knee and ankle separation distances on the drop-jump test. Even so, 76% of boys had a normalized knee separation distance of 60% or less of the hip separation distance, as did 93% of girls, indicating a distinctly valgus alignment. There were no differences between the sexes in quadriceps and hamstrings peak torques, hamstrings/quadriceps ratio, time to peak torque, total work, or lower limb symmetry values.

Conclusions: A high percentage of the prepubescent athletes studied had a distinctly valgus lower limb alignment during the drop-jump test and a lack of lower limb symmetry during the hop tests. These same indices have been hypothesized to increase the risk for knee ligament injuries in older athletes. Neuromuscular training may be needed to address these issues in children.

Neuromuscular Retraining in Female Adolescent Athletes: Effect on Athletic Performance Indices and Noncontact Anterior Cruciate Ligament Injury Rates

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Abstract: While many anterior cruciate ligament (ACL) prevention programs have been

published, few have achieved significant reductions in injury rates and improvements in

athletic performance indices; both of which may increase compliance and motivation of

athletes to participate. A supervised neuromuscular retraining program (18 sessions) was

developed, aimed at achieving both of these objectives. The changes in neuromuscular indices

were measured after training in 1000 female athletes aged 13–18 years, and the noncontact

ACL injury rate in 700 of these trained athletes was compared with that of 1120 control

athletes. There were significant improvements in the drop-jump test, (p < 0.0001, effect size

[ES] 0.97), the single-leg triple crossover hop (p < 0.0001, ES 0.47), the t-test

(p < 0.0001, ES 0.64), the multi-stage fitness test (p < 0.0001, ES 0.57), hamstring strength

(p < 0.0001), and quadriceps strength (p < 0.01). The trained athletes had a significant

reduction in the noncontact ACL injury incidence rate compared with the controls (1 ACL

injury in 36,724 athlete-exposures [0.03] and 13 ACL injuries in 61,244 exposures [0.21],

respectively, p = 0.03). The neuromuscular retraining program was effective in reducing

noncontact ACL injury rate and improving athletic performance indicators.

Factors Used to Determine Return to Unrestricted Sports Activity After ACL Reconstruction

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Purpose: Anterior cruciate ligament (ACL) reconstruction is commonly performed in athletes, with

the goal of return to sports activities. Unfortunately, this operation may fail, and the rates of either

reinjuring an ACL-reconstructed knee or sustaining an ACL rupture to the contralateral knee range

from 3% to 49%. One problem that exists is a lack of information and consensus regarding the

appropriate criteria for releasing patients to unrestricted sports activities postoperatively. The purpose

of this study was to determine the published criteria used to allow athletes to return to unrestricted

sports activities after ACL reconstruction. Methods: A systematic search was performed to identify

the factors investigators used to determine when return to athletics was allowed after primary ACL

reconstruction. Inclusion criteria were English language, publication within the last 10 years, clinical

trial, all adult patients, primary ACL reconstruction, original research investigation, and minimum 12

months’ follow-up. Results: Of 716 studies identified, 264 met the inclusion criteria. Of these, 105

(40%) failed to provide any criteria for return to sports after ACL reconstruction. In 84 studies (32%)

the amount of time postoperatively was the only criterion provided. In 40 studies (15%) the amount

of time along with subjective criteria were given. Only 35 studies (13%) noted objective criteria

required for return to athletics. These criteria included muscle strength or thigh circumference (28

studies), general knee examination (15 studies), single-leg hop tests (10 studies), Lachman rating (1

study), and validated questionnaires (1 study). Conclusions: The results of this systematic review

show noteworthy problems and a lack of objective assessment before release to unrestricted sports

activities. General recommendations are made for quantification of muscle strength, stability,

neuromuscular control, and function in patients who desire to return to athletics after ACL reconstruction,

with acknowledgment of the need for continued research in this area. Level of Evidence:

Level IV, systematic review of Level I to IV studies.

2018 Course Dates

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2018 Course Dates

February 10-11 :  Cincinnati, OH
March 24-25:  Cincinnati, OH
May 24-25:  Hilton Head Is, SC
July 21-22:  Cincinnati, OH
November 3-4:  Cincinnati, OH (tentative)

Sportsmetrics Annual Course Hilton Head 2016

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We weren’t sure what to expect this year with the Advances on the Knee and Shoulder/Sportsmetrics courses changing locations, but the Sonesta Resort turned out to be a very pleasant surprise!  Great staff, amenities and amazing food soon won over our faculty, staff and course attendees.  They handled our course roster of 40 with ease and made it one of the best (and largest) Sportsmetrics courses.  The addition of George Davies’ presentation on current research in ACL rehabilitation was an extra bonus.  We cannot thank George enough for being such a supporter of our program.  Help us thank George and welcome our new certified instructors:

Amanda Askey, PTA, CFT:  Flex Physical Therapy, Council Bluffs, IA

Susan Berland, DPT:  Catalyst Physical Therapy, Hamilton, MT

David Brcka, MD:  North Georgia Sports Injury & Performance, Bethlehem, GA

Xavier Brewer, CPT, FMS:  X Factor Performance, Ponte Vedra, FL

Shaun Buning, DPT, ATC, C/NDT:  GeorgiaLina Physical Therapy, Evans, GA

Brent Butler, PT:  Revere Health, Provo, UT

Rachelle Callahan, DPT:  Rusk Rehabilitation at NYU Langone Medical Center

Andrew Cantrell, PTA:  The Rehab Institute-NGHS, Braselton,

David Carroll, DPT:  Southeastern Orthopedics, Greensboro, NC

Donna Chisholm, PT:  Pro Sports Physical Therapy, P.C., Oyster Bay, NY

Dylan Chisholm, CPT-NETA:  Pro Sports Physical Therapy, P.C., Oyster Bay, NY

Larry Feldman, PT:  Five Star Physical Therapy & Sports Medicine, Ponte Vedra Beach, FL

Annmarie Garis, DPT:  Florida State University- Health & Wellness Center, Tallahassee, FL

Sam Gill, PT:  Troy, MI

Whittney Gomendi-Smith, DPT:  Fremont Therapy Group, Riverton, WY

Brittney Harrell, PT, OCS:  GeorgiaLina PT Associates, Grovetown, GA

Josh Hill, PT:  The Rehab Institute- NGHS, Braselton, GA

John Hill, DPT, MS, ATC, CSCS

Yuri Jean-Baptiste:  ATC, PES, CES:  University of North Carolina, Chapel Hill, NC

Penny Jones, MPT:  DeClaire LaMacchia Orthopaedic Institute, Rochester Hills, MI

Coby Jones, DPT:  Rocky Mountain Ortho, Grand Junction, CO

Vic Kaminski, PT:  TMC Rehab, Winder, GA

Christopher Lopez, MSPT, OCS, CSCS:  Physical Solutions, Mineola, NY

Melanie Lynn, ATC:  Auburn, AL

Mary Meadows, PT:  Inova Physical Therapy, Centerville, VA

Karen Purcell, PT:  Pro Sports Physical Therapy, P.C., Huntington, NY

Katherine Quayle, DPT:  Fremont Therapy Group, Riverton, WY

Michelle Ramirez, DPT, OCS:  Florida Hospital Sports Medicine & Rehabilitation, Orlando, FL

Mark Rau,  PT, ATC:  Liberty Sports & Physical Therapy, Fredericksburg, VA

Kimberly Schall, PT:  Advantage Rehab Physical Therapy & Sports Medicine, Denton, MD

Asa Shaffer, DPT:  SERC Physical Therapy, Lees Summit, MO

Ryan Sheedy, DPT:  Furnace Brook Physical Therapy, Quincy, MA

Richard Smith, PTA:  Evangelical Physical Therapy, Lewisburg, PA

Ashley Sneed, PT, ATC:  Piedmont Orthopaedics, Greenville, SC

Lauren Sperling, PTA:  Florida Hospital Sports Medicine & Rehabilitation, Orlando, FL

Meredith Stevenson, DPT:  Self Regional Healthcare, Greenwood, SC

Jerrica Thomas, DPT:  Campbell Clinic Orthopaedics, Southaven, MS

Corey Winn, DPT:  Brunswick County, NC

Michelle Yang, DPT:  Rusk Rehabilitation at NYU Langone Medical Center, New York, NY

Hunter Yard, CSCS:  Carolinas Health Care System, Charlotte, NC

How to: Selecting the perfect wine

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