Integrative neuromuscular training protects juvenile female athletes from knee injury

doi:10.3969/j.issn.2095-4344.2017.32.005

Abstract

Abstract:

BACKGROUND: Compared with single proprioceptive training and simple neuromuscular training in the trunk and hip, the integrative neuromuscular training possesses comprehensive effect, which not only prevents sport-induced knee injury, but also improves the athletes’ sport ability.
OBJECTIVE: To validate whether the integrative neuromuscular training can enhance sport quality of juvenile female athletes and improve biomechanical pattern of the lower limb when jumping.
METHODS: Eighteen juvenile female tennis athletes were selected and randomized into experimental and control groups. The athletes in the experimental group received 8-week integrative neuromuscular training and technical training involving the strength of the lower limb, core stability, plyometrice training, dynamic equilibrium, agility and
speed. Those controls were subjected to 8-week traditional physical training and technical training. The vertical jump, dynamic equilibrium, agility and biomechanics of the lower limb were measured at 1 week before intervention and 7 weeks after intervention to quantize the effect of integrative neuromuscular training on the sport ability and prevention of knee injury.
RESULTS AND CONCLUSION: The vertical jump, agility, overall stability index, the knee extension angle as well as knee adduction and abduction moment in the experimental group were significantly improved (P < 0.05). Integrative neuromuscular training cannot only enhance the explosive strength of the lower limb, dynamic equilibrium, and agility when juvenile female athletes exercising, but also improve the biomechanics of the lower limb when jumping, increase the knee extension angle, and reduce knee adduction and abduction moment

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Proprioception, Sports Medicine, Biomechanics, Tissue Engineering

CLC Number:

R318

Zhao Xiang1, 2, Zhan Jian-guo1, Xu Bin1. Integrative neuromuscular training protects juvenile female athletes from knee injury[J]. Chinese Journal of Tissue Engineering Research, 2017, 21(32): 5108-5114.

Figures/Tables 1

References

[1] Faigenbaum AD,Myer GD.Resistance training among young athletes:safety, efficacy and injury prevention effects. Br J Sports Med. 2010;44(1):56-63.

[2] Myer GD, Faigenbaum AD,Ford KR,et al.When to Initiate Integrative Neuromuscular Training to Reduce Sports-Related Injuries and Enhance Health in Youth.Current Sports Medicine Reports.2011;10(3):157-166.

[3] Myer GD, Sugimoto D, Thomas S, et al. The Influence of Age on the Effectiveness of Neuromuscular Training to Reduce Anterior Cruciate Ligament Injury in Female Athletes; A Meta-Analysis. Am J Sports Med. 2013;41(1):203-215.

[4] Emery CA, Roy TO, Whittaker JL, et al. Neuromuscular training injury prevention strategies in youth sport: a systematic review and meta-analysis.Br J Sports Med.2015；49(13):865-870.

[5] Fort VA, Romero RD, Lloyd RS, et al.Integrative Neuromuscular Training in Youth Athletes.Part II:Strategies to Prevent Injuries and Improve Performance.Strength Condition J.2016;38(4):9-27.

[6] Kraemer WJ,Hakkinen K,Triplett NT, et al. Physiological changes with periodized resistance training in women tennis players. Med Sci Sports Exerc.2003;35(5):889.

[7] Jatin PA, Lindsey MM, Shane VC,et al.Relationships between core endurance, hip strength, and balance in collegiate female athletes.Int J Sports Phys Ther.2014; 9(5):604-616.

[8] Mendiguchia J, Martinez R E, Morin JB, et al. Effects of hamstring-emphasized neuromuscular training on strength and sprinting mechanics in football players. Scand J Med Sci Sports. 2015;25(6):e621-629.

[9] Ford KR, Shapiro R, Myer GD, et al. Longitudinal sex differences during landing in knee abduction in young athletes. Med Sci Sports Exerc.2010;42(10):1923-1931.

[10] Hewett TE, Myer GD, Ford KR.Decrease in Neuromuscular Control About the Knee with Maturation in Female Athletes. J Bone Joint Surg Am. 2004;86-A(8):1601-1608.

[11] Schmitz RJ, Shultz SJ, Nguyen A.Dynamic valgus alignment and functional strength in males and females during maturation. J Athl Train. 2009;44(1):26-32.

[12] Yu B,McClure SB,Onate JA,et al.Age and Gender Effects on Lower Extremity Kinematics of Youth Soccer Players in a Stop-Jump Task. Am J Sports Med. 2005;33(9):1356-1364.

[13] Yaniv M, Becker T, Goldwirt M, et al. Prevalence of Bowlegs Among Child and Adolescent Soccer Players. Clin J Sport Med. 2006 ;16(5):392-396.

[14] Myer GD, Ford KR, Palumbo JP, et al. Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. J Strength Cond Res. 2005;19(1):51-60.

[15] Naclerio F,Faigenbaum A.Integrative neuromuscular training for youth.Revista Kronos.2011;10(1):49-56.

[16] Tran ST, Thomas S, DiCesare C, et al.A pilot study of biomechanical assessment before and after an integrative training program for adolescents with juvenile fibromyalgia.Pediatr Rheumatol Online J.2016;14(1):43.

[17] Wiggins AJ, Grandhi RK, Schneider DK, et al. Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.Am J Sports Med.2016;l44(7):1861-1876.

[18] Faigenbaum AD, Farrell A, Fabiano M, et al. Effects of integrative neuromuscular training on fitness performance in children. Pediatr Exerc Sci. 2011 ;23(4):573-584.

[19] Faigenbaum AD, Myer GD, Farrell A, et al.Integrative neuromuscular training and sex-specific fitness performance in 7-year-old children: an exploratory investigation. J Athl Train. 2014;49(2):145-153.

[20] Myer GD, Faigenbaum AD. Exercise is sports medicine in youth: Integrative neuromuscular training to optimize motor development and reduce risk of sports related injury.Revista Kronos.2011;10(1): 39-48.

[21] Pfile KR, Gribble PA, Buskirk GE, et al.Sustained Improvements in Dynamic Balance and Landing Mechanics After a 6-Week Neuromuscular Training Program in College Women's Basketball Players. J Sport Rehabil. 2016;25(3):233-240.

[22] Stockbrugger BA, Haennel RG. Validity and reliability of a medicine ball explosive power test. J Strength Cond Res. 2001;15(4):431-438.

[23] Martha RH. Factors Affecting Reliability of the Biodex Balance System: A Summary of Four Studies.J Sport Rehabil.2000;9(3):240.

[24] Raya MA. Comparison of three agility tests with male servicemembers: Edgren Side Step Test, T-Test, and Illinois Agility Test. J Rehabil Res Dev. 2013;50(7):951-960.

[25] Winter DA. Biomechanics and Motor Control of Human Movement.Hoboken:JOHN WILEY & SONS,2009.

[26] 王安利.运动损伤预防的功能训练[M].北京:北京体育大学出版社,2013.

[27] Fischer DV. Neuromuscular Training to Prevent Anterior Cruciate Ligament Injury in the Female Athlete.Strength Condition J. 2006;28(5):44.

[28] Faigenbaum AD, Kraemer WJ, Blimkie CJ, et al. Youth resistance training:updated position statement paper from the national strength and conditioning association. J Strength Cond Res. 2009;23(5 Suppl):S60-79.

[29] Mayhew JL, Johnson BD, LaMonte MJ, et al.Accuracy of prediction equations for determining one repetition maximum bench press in women before and after resistance training. J Strength Cond Res. 2008;22(5):1570-1577.

[30] DiStefano LJ, Padua DA, Blackburn JT, et al. Integrated Injury Prevention Program Improves Balance and Vertical Jump Height in Children.Psychiatric Hospital.2010;24(2):332-342.

[31] Kent A, John PO, Katie LO, et al.The Effect of Six Weeks of Squat, Plyometric and Squat Plyometric Training on Power Production.The Journal of Strength and Conditioning Research.1992;6(1):36.

[32] Mathisen G,Pettersen SA. Anthropometric factors related to sprint and agility performance in young male soccer players.Open Access J Sports Med.2015;10(12):337-342.

[33] Bauer T,Thayer RE,Baras G.Comparison of training modalities for power development in the lower extremity.J Applied Sport Sci Res. 1990;4(4):115-121.

[34] Mathisen G,Pettersen SA. Effect of high-intensity training on speed and agility performance in 10-year-old soccer players.J Sports Med Phys Fitness.2015;55(1-2):25-29.

[35] Sarabon N, Panjan A, Rosker J, et al. Functional and neuromuscular changes in the hamstrings after drop jumps and leg curls.J Sports Sci Med.2013;12(3):431-438.

[36] Michaelidis M, Koumantakis GA.Effects of knee injury primary prevention programs on anterior cruciate ligament injury rates in female athletes in different sports: a systematic review. Phys Ther Sport. 2014;15(3):200-210.

[37] Timothy EH, Amanda LS, Thomas AN, et al. Plyometric training in female athletes: Decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24(6):765-773.

[38] Marloes HP,Joan MD,Anne B,et al.Effect of Interventions on Potential, Modifiable Risk Factors for Knee Injury in Team Ball Sports:A Systematic Review.Sports Medi.2014;44(10):1403-1426.

[39] Borghuis J, Hof AL, Lemmink KA.The importance of sensory-motor control in providing core stability: implications for measurement and training.Sports Med.2008；38(11):893-916.

[40] Fitzgerald GK, Piva SR, Gil AB, et al.Agility and Perturbation Training Techniques in Exercise Therapy for Reducing Pain and Improving Function in People With Knee Osteoarthritis: A Randomized Clinical Trial.Physical Therapy.2011; 91(4):452-469.

[41] Jae HY, Bee OL, Mina H,et al.A meta-analysis of the effect of neuromuscular training on the prevention of the anterior cruciate ligament injury in female athletes. Knee Surg Sports Traumatol Arthrosc 2010;18(6):824-830.