Limited positive effects on jump-landing technique in girls but not in boys after 8 weeks of injury prevention exercise training in youth football

Knee Surg Sports Traumatol Arthrosc. 2020 Feb;28(2):528-537. doi: 10.1007/s00167-019-05721-x. Epub 2019 Sep 20.

Abstract

Purpose: To evaluate changes in jump-landing technique in football-playing boys and girls after 8 weeks of injury prevention training.

Methods: Four boys' and four girls' teams (mean age 14.1 ± 0.8 years) were instructed to use either the original Knee Control injury prevention exercise programme (IPEP) or a further developed IPEP, Knee Control + , at every training session for 8 weeks. Baseline and follow-up testing of jump-landing technique included drop vertical jumps (DVJ), assessed subjectively and with two-dimensional movement analysis, and tuck jump assessment (TJA).

Results: Only minor differences in intervention effects were seen between the two IPEPs, and results are therefore presented for both intervention groups combined. At baseline 30% of the boys showed good knee control during the DVJ, normalised knee separation distances of 77-96% (versus hip) and a median of 3 flaws during the TJA. Among girls, 22% showed good knee control, normalised knee separation distances of 67-86% and a median of 4 flaws during the TJA. At follow-up, boys and girls performed significantly more jumps during TJA. No changes in jump-landing technique were seen in boys, whereas girls improved their knee flexion angle at initial contact in the DVJ (mean change + 4.7°, p < 0.001, 95% CI 2.36-6.99, d = 0.7) and their TJA total score (- 1 point, p = 0.045, r = - 0.4).

Conclusion: The study showed small positive effects on jump-landing technique in girls, but not in boys, after 8 weeks of injury prevention training.

Level of evidence: Level II.

Trial registration: Clinical Trials gov identifier: NCT03251404.

Keywords: Effect mechanisms; Movement quality; Neuromuscular training.

MeSH terms

  • Adolescent
  • Anterior Cruciate Ligament Injuries / prevention & control*
  • Exercise
  • Exercise Movement Techniques / methods*
  • Female
  • Humans
  • Knee Joint
  • Male
  • Movement
  • Range of Motion, Articular / physiology
  • Risk Factors
  • Sex Factors
  • Soccer / injuries*

Associated data

  • ClinicalTrials.gov/NCT03251404