Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons.


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Abstract

OBJECTIVETo assess the effect of a neuromuscular training program on the incidence of anterior cruciate ligament injuries in female team handball players.METHODSThe number of anterior cruciate ligament injuries during the three seasons and compliance with the program.RESULTSThere were 29 anterior cruciate ligament injuries during the control season, 23 injuries during the first intervention season (OR, 0.87; CI, 0.50-1.52; p = 0.62), and 17 injuries during the second intervention season (OR, 0.64; CI, 0.35-1.18; p = 0.15). In the elite division, there were 13 injuries during the control season, six injuries during the first intervention season (OR, 0.51; CI, 0.19-1.35; p = 0.17), and five injuries in the second intervention season (OR, 0.37; CI, 0.13-1.05; p = 0.06). For the entire cohort, there was no difference in injury rates during the second intervention season between those who complied and those who did not comply (OR, 0.52; CI, 0.15-1.82; p = 0.31). In the elite division, the risk of injury was reduced among those who completed the anterior cruciate ligament injury prevention program (OR, 0.06; CI, 0.01-0.54; p = 0.01) compared with those who did not.CONCLUSIONSThis study shows that it is possible to prevent anterior cruciate ligament injuries with specific neuromuscular training.

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