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Movement Retraining using Real-time Feedback of Performance

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Published on: January 17, 2013

Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled

Jeffrey B Taylor¹, Anh-Dung Nguyen², Mark V Paterno³

¹Department of Physical Therapy, Congdon School of Health Sciences, High Point University, High Point, NC, 27268, USA. jtaylor@highpoint.edu.

BMC Musculoskeletal Disorders

|February 9, 2017

Summary

This summary is machine-generated.

Hip-focused biofeedback may enhance neuromuscular training for female athletes, potentially reducing anterior cruciate ligament (ACL) injury risk by improving biomechanics. This study investigates its efficacy compared to knee-focused or sham biofeedback.

Keywords:

Anterior cruciate ligament Biofeedback Hip extensor Injury prevention Knee abduction

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Area of Science:

Sports Medicine
Biomechanics
Injury Prevention

Background:

Anterior cruciate ligament (ACL) injuries are prevalent in female athletes, leading to significant physical, financial, and psychosocial consequences.
Current prevention programs, while promising, face challenges in widespread implementation.
Targeting hip extensor strength and utilization may be more effective than traditional knee-focused approaches for preventing ACL injuries in adolescent females.

Purpose of the Study:

To evaluate the impact of hip-focused versus knee-focused biofeedback on knee abduction moments during dynamic movements in adolescent female athletes.
To determine if biofeedback can enhance the effectiveness of neuromuscular prophylactic interventions for ACL injury prevention.
To assess the long-term retention of improved biomechanics following the intervention.

Main Methods:

A randomized control trial involving 150 adolescent female soccer players (ages 9-19).
Participants received 3x/week neuromuscular training and 1x/week biofeedback (hip-focused, knee-focused, or sham).
Knee abduction moments were measured during landings and cutting, with assessments before, immediately after, and 6 months post-intervention.

Main Results:

The study aims to assess the primary biomechanical predictor of future ACL injury: knee abduction moments.
Secondary aims include evaluating changes in hip and core strength, power, and agility.
The influence of maturation on biofeedback efficacy will also be examined.

Conclusions:

The ROBUST trial results are expected to complement existing ACL injury prevention strategies.
Findings may inform the development of clinician-friendly biofeedback methods for broader adoption in training practices.
This research could lead to more effective interventions for reducing ACL injuries in female athletes.