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Feedback cues improve the alignment and technique of children performing ACL injury prevention exercises

ObjectivesThe appropriateness of neuromuscular training exercises across different age groups has not yet been investigated, particularly in younger children. The purpose of this study was to determine which neuromuscular training exercises can be performed with proper neutral alignment in various a...

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Bibliographic Details
Published in:Journal of ISAKOS 2021-01, Vol.6 (1), p.3-7
Main Authors: Ling, Daphne I, Boyle, Caroline, Janosky, Joseph, Chang, Brenda, Roselaar, Naomi, Kinderknecht, James, Marx, Robert G
Format: Article
Language:English
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Summary:ObjectivesThe appropriateness of neuromuscular training exercises across different age groups has not yet been investigated, particularly in younger children. The purpose of this study was to determine which neuromuscular training exercises can be performed with proper neutral alignment in various age groups.MethodsSeven exercises were selected for evaluation in children ranging from 8 to 17 years of age who were recruited from schools and youth sports organisations. Participants completed two trials of each exercise and were judged on maintaining neutral body alignment after receiving visual/verbal instruction on the first trial and feedback cues on the second trial. Three evaluators judged each exercise, which was deemed as correct when at least two evaluators agreed that neutral alignment was maintained. Comparisons were made across ages and between sex using the χ² test or Fisher’s exact test. The proportions of participants who performed the exercise correctly were also compared before and after feedback cues were provided.ResultsA total of 360 participants were evaluated (8–11 years: 165, 54% female; 12–15 years: 136, 40% female, 16–17 years: 59, 53% female). There were no significant differences in performance across ages and sex for nearly all exercises. The majority of children were not able to complete the exercises with proper alignment. The use of feedback cues significantly increased the proportion of participants who correctly completed the exercise (p
ISSN:2059-7754
2059-7762
DOI:10.1136/jisakos-2020-000475