Unexpected-Disturbance Program for Rehabilitation of High-Performance Athletes

J Sport Rehabil. 2016 May;25(2):126-32. doi: 10.1123/jsr.2014-0280. Epub 2015 Feb 6.

Abstract

Context: The Unexpected-Disturbance Program (UDP) promotes exercises in response to so-called involuntary short- to midlatency disturbances.

Objective: This study investigated the effectiveness of the UDP in the last 6 wk of rehabilitation.

Design: Pre-post study with 2-tailed paired t tests for limited a priori comparisons to examine differences.

Setting: National Sports Institute of Malaysia.

Participants: 24 Malaysian national athletes.

Interventions: 7 sessions/wk of 90 min with 3 sessions allocated for 5 or 6 UDP exercises.

Main outcomes: Significant improvements for men and women were noted. Tests included 20-m sprint, 1-repetition-maximum single-leg press, standing long jump, single-leg sway, and a psychological questionnaire.

Results: For men and women, respectively, average strength improvements of 22% (d = 0.96) and 29% (d = 1.05), sprint time of 3% (d = 1.06) and 4% (d = 0.58), and distance jumped of 4% (d = 0.59) and 6% (d = 0.47) were noted. In addition, athletes reported improved perceived confidence in their abilities. All athletes improved in each functional test except for long jump in 2 of the athletes. Mediolateral sway decreased in 18 of the 22 athletes for the injured limb.

Conclusion: The prevention training with UDP resulted in improved conditioning and seems to decrease mediolateral sway.

MeSH terms

  • Adult
  • Anterior Cruciate Ligament Injuries / rehabilitation*
  • Anterior Cruciate Ligament Injuries / surgery
  • Anterior Cruciate Ligament Reconstruction / rehabilitation*
  • Athletic Injuries / rehabilitation*
  • Athletic Injuries / surgery
  • Athletic Performance / physiology
  • Exercise Test
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Male
  • Muscle Strength / physiology
  • Postural Balance / physiology
  • Running / physiology
  • Treatment Outcome
  • Young Adult