Reduction of Risk Factors for ACL Re-injuries using an Innovative Biofeedback Approach: Rationale and Design

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dc.contributor.authorQueen, Robin M.en
dc.contributor.authorPeebles, Alexander T.en
dc.contributor.authorMiller, Thomas K.en
dc.contributor.authorSavla, Jyoti S.en
dc.contributor.authorOllendick, Thomas H.en
dc.contributor.authorMessier, Stephen P.en
dc.contributor.authorWilliams, DS Blaise IIIen
dc.contributor.departmentBiomedical Engineering and Mechanicsen
dc.contributor.departmentVirginia Tech Carilion School of Medicineen
dc.contributor.departmentHuman Development and Family Scienceen
dc.contributor.departmentPsychologyen
dc.date.accessioned2021-08-05T17:42:50Zen
dc.date.available2021-08-05T17:42:50Zen
dc.date.issued2021-06en
dc.date.updated2021-08-05T17:42:45Zen
dc.description.abstractNearly 1 in 60 adolescent athletes will suffer anterior cruciate ligament (ACL) injuries with 90% of these athletes electing to undergo an ACL reconstruction (ACLR) at an estimated annual cost of $3 billion. While ACLR and subsequent rehabilitation allow these athletes to return to sports, they have a 15-fold increased risk of second ACL injuries. The modification of post-operative rehabilitation to improve movement and loading symmetry using visual and tactile biofeedback could decrease the risk factors for sustaining a second ACL injury. Participants included 40 adolescent ACLR patients who were intending to return to full sport participation. This preliminary randomized controlled trial (RCT) examined the changes in knee extension moment symmetry, a known risk factor for second ACL injuries, during landing from a stop-jump task between the following time-points: pre-intervention, immediate post-intervention, and subsequent follow-up 6-weeks post-intervention. Participants met twice per week for six-weeks (12-session). The intervention included bilateral squat biofeedback (visual and tactile); the attention control group attended weekly educational sessions. This RCT enrolled and randomize 40 participants over a two-and-a-half-year period. All participants were greater than 4.5 months post-op from a primary, unilateral ACLR and were released to participate by their treating physician. The findings from this pilot biofeedback RCT will provide critical effect size estimates for use in subsequent larger clinical trials.en
dc.description.versionPublished versionen
dc.format.extentPages 100769en
dc.format.mimetypeapplication/pdfen
dc.identifier100769 (Article number)en
dc.identifier.doihttps://doi.org/10.1016/j.conctc.2021.100769en
dc.identifier.eissn2451-8654en
dc.identifier.issn2451-8654en
dc.identifier.orcidSavla, Jyoti [0000-0001-7142-3770]en
dc.identifier.orcidQueen, Robin [0000-0001-5181-9049]en
dc.identifier.otherPMC8100073 (pmc)en
dc.identifier.otherS2451-8654(21)00070-3 (PII)en
dc.identifier.pmid33997461 (pubmed)en
dc.identifier.urihttp://hdl.handle.net/10919/104584en
dc.identifier.volume22en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/33997461en
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectACLen
dc.subjectBiofeedbacken
dc.subjectReconstructionen
dc.subjectTactile feedbacken
dc.subjectVisual feedbacken
dc.titleReduction of Risk Factors for ACL Re-injuries using an Innovative Biofeedback Approach: Rationale and Designen
dc.title.serialContemporary Clinical Trials Communicationsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherresearch-articleen
dc.type.otherJournal Articleen
dcterms.dateAccepted2021-04-08en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Engineeringen
pubs.organisational-group/Virginia Tech/University Research Institutesen
pubs.organisational-group/Virginia Tech/University Research Institutes/Fralin Life Sciencesen
pubs.organisational-group/Virginia Tech/Engineering/Biomedical Engineering and Mechanicsen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Engineering/COE T&R Facultyen
pubs.organisational-group/Virginia Tech/University Research Institutes/Fralin Life Sciences/Durelle Scotten
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciencesen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/Human Development and Family Scienceen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/CLAHS T&R Facultyen

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