AAOS 2025: Training to Stay in the Game .
Training to Stay in the Game: A Systematic Review and Meta-Analysis of ACL Injury Prevention Programs
Eighteen studies including 25,166 athletes with no prior ACL rupture were included in this systematic review and meta-analysis comparing ACL injury prevention programs vs. no intervention. Pooled outcomes of interest included overall ACL rupture rate, subgroup risk based on age, sex, sport, and type of neuromuscular training used. Athletes in prevention programs had a significantly lower risk of ACL rupture (RR = 0.46; P < 0.01). Subgroup analysis showed risk reduction in athletes over age 18 and those using balance boards. These findings suggest neuromuscular ACL injury prevention programs are effective in reducing ACL ruptures in athletes.
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