Exercise Based Knee and ACL Injury Prevention CPG

Question 1

ACL prevention CPG: Evidence for exercise based knee injury prevention programs

Answer 1

A level: recommend use of ACL prevention programs.

Question 2

ACL prevention CPG: ID exercise based knee injury prevention programs that are effective for specific subgroups of atheltes

Answer 2

A level: use prior to sessions/practices or games in female athletes younger than 18yo.
A level: female soccer players
B level: male and female team handball players 15-17yo

Question 3

ACL prevention CPG: Components, dosage, delivery of exercise based knee inkjury prevention programs

Answer 3

A level: should have proximal control, combo of strength and plyometrics
A level: involve training multiple times per week, training sessions longer than 20mins, and training volumes that are longer than 30min per week
A level: start in preseason and continue through regular season.
A level: ensure high compliance
B level: don’t need balance exercise, balance should NOT be sole component of program

Question 4

ACL prevention CPG: Suggestions for implementation of exercise based knee injury prevention programs

Answer 4

A level: use programs for all young athletes, not just those IDd through screening to be at high risk for ACL
A level: use programs for all athletes 12-25yo and those involved in sports with high risk of ACL injury
B level: support programs lead by coach(es) and medical professionals