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Updated: May 27, 2026

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Retention of movement pattern changes after a lower extremity injury prevention program is affected by program
Darin A Padua1, Lindsay J DiStefano, Stephen W Marshall
1Department of Exercise and Sports Science, Sports Medicine Research Laboratory, University of North Carolina, Chapel Hill, 27599, USA. dpadua@email.unc.edu
Longer injury prevention programs are key for lasting movement changes in athletes. A 9-month program maintained improved movement patterns, while a 3-month program did not, after training stopped.
Area of Science:
- Sports Medicine
- Biomechanics
- Injury Prevention
Background:
- Immediate improvements in movement patterns are common after lower extremity injury prevention programs.
- Long-term maintenance of these movement changes after training cessation is not well understood.
Purpose of the Study:
- To investigate if the duration of an injury prevention program influences the maintenance of movement pattern changes.
- To test the hypothesis that a 9-month program, compared to a 3-month program, would lead to sustained movement improvements.
Main Methods:
- A cohort study involving 140 youth soccer athletes assessed using the Landing Error Scoring System (LESS).
- Participants were divided into 3-month and 9-month injury prevention program groups.
- Movement patterns were evaluated at pretest, posttest, and 3 months after program completion.
Main Results:
- Both 3-month and 9-month programs improved LESS scores immediately post-training.
- Only the 9-month (extended-duration) group maintained their improved movement patterns at the 3-month retention test.
- This difference in retention was statistically significant (F(2,137) = 3.38; P = .04).
Conclusions:
- Training program duration is a critical factor for achieving long-term changes in movement control.
- Extended-duration injury prevention programs (e.g., 9 months) are more effective for lasting benefits in athletes.
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