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An Anterior Cruciate Ligament (ACL) Injury Risk Screening and Reduction Program for High School Female Athletes: A
Allison Kuntz1, Olivia Peters1, Andrew Bello1
1Physical Therapy Walsh University.
International Journal of Sports Physical Therapy
|December 15, 2022
Summary
High school female athletes often have modifiable risk factors for anterior cruciate ligament (ACL) injuries. A pre-season screening program identified numerous athletes with deficits in range of motion (ROM), indicating a need for targeted training to prevent ACL tears.
Area of Science:
- Sports Medicine
- Biomechanics
- Injury Prevention
Background:
- Anterior cruciate ligament (ACL) injuries impose significant physical, mental, and financial burdens on athletes.
- Screening and educating high-risk athletes are crucial for potentially reducing future injuries.
Purpose of the Study:
- To implement a feasible community pre-season screening program for high school female athletes.
- To identify modifiable neuromuscular and biomechanical risk factors associated with non-contact ACL injuries.
Main Methods:
- A prospective study involving 15 female athletes (soccer and basketball).
- A four-station screening program assessed range of motion (ROM), jump-landing technique, strength, and balance.
- Athletes were classified as high-risk or low-risk based on established literature cutoff scores.
Main Results:
- All athletes screened positive for at least one modifiable risk factor in lower extremity ROM.
- Multiple athletes exceeded high-risk cutoff scores for more than one ROM parameter.
- Deficits in lower extremity ROM were the most prevalent finding across all tested categories.
Conclusions:
- The study successfully identified high school female athletes with multiple, addressable risk factors for ACL injury.
- Implementing pre-season screening programs is supported to identify and manage injury risk factors.
- Targeted training and exercises can address identified deficits and potentially mitigate ACL injury risk.

