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Journal Article

Citation

Heering T, Lander N, Barnett LM, Duncan MJ. Phys. Ther. Sport 2023; 61: 37-44.

Copyright

(Copyright © 2023, Elsevier Publishing)

DOI

10.1016/j.ptsp.2023.02.007

PMID

36863189

Abstract

OBJECTIVE: Anterior cruciate ligament (ACL) injuries are an emerging health problem in children. Acknowledging considerable gaps in knowledge, the aim of this study was to examine the current knowledge on childhood ACL injury, and to explore risk assessment and reduction strategies, with experts in the research community.

DESIGN: Qualitative study; semi-structured expert interviews.

METHODS: Interviews with seven international, multidisciplinary academic experts were conducted from February until June 2022. A thematic analysis approach organized verbatim quotes into themes using Nvivo Software.

RESULTS: Gaps in knowledge on the actual injury mechanism, and influence of physical activity behaviours, constrain targeted risk assessment and reduction strategies in childhood ACL injuries. Strategies to examine and reduce the risk of ACL injury included: examining an athletes' whole-body performance, moving from constraint (e.g., squat) to less constraint (e.g., single-leg) tasks, making assessments into children's context, building a movement repertoire at young age, performing risk reduction programs, multiple sports, and prioritising rest.

CONCLUSION: Research is urgently warranted on the actual injury mechanism, reasons for ACL injuries in children, and potential risk factors to update risk assessment and reduction strategies. Further, educating stakeholders on risk reduction strategies could be essential to address the increasing occurrence of childhood ACL injuries.


Language: en

Keywords

Paediatrics; ACL tears; Primary prevention; Semi-structured interviews

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