Co-creation of a sport-specific anterior cruciate ligament injury risk reduction program for women: A concept mapping approach

A M Bruder; K M Crossley; A B Mosler; B Patterson; M Haberfield; A Donaldson

doi:10.1016/j.jsams.2019.10.019

Co-creation of a sport-specific anterior cruciate ligament injury risk reduction program for women: A concept mapping approach

J Sci Med Sport. 2020 Apr;23(4):353-360. doi: 10.1016/j.jsams.2019.10.019. Epub 2019 Nov 1.

Authors

A M Bruder¹, K M Crossley², A B Mosler², B Patterson³, M Haberfield³, A Donaldson⁴

Affiliations

¹ School of Allied Health, Human Services and Sport, La Trobe University, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Australia. Electronic address: a.bruder@latrobe.edu.au.
² School of Allied Health, Human Services and Sport, La Trobe University, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Australia.
³ La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Australia.
⁴ Centre for Sport and Social Impact, La Trobe University, Australia.

PMID: 31734167
DOI: 10.1016/j.jsams.2019.10.019

Abstract

Objectives: To engage physiotherapists experienced in female elite sport and athletes to co-create a sport-specific anterior cruciate ligament (ACL) injury risk reduction program.

Design: Concept Mapping.

Methods: The Concept Systems Global MAX™ web platform was used to collect and analyse data from 27 context and content experts (22 physiotherapists, 5 athletes). Participants brainstormed statements representing the critical elements that should be included in an ACL injury risk reduction program for women playing elite Australian Football (AF).

Results: Twenty-two participants brainstormed 56 statements that were synthesised and edited to 62 statements. Statements were sorted into clusters by twenty-three participants and rated on importance and feasibility using six-point scales. Multidimensional scaling and cluster analysis identified a 5-cluster solution as follows: Football-specific preparation (15 statements); Movement skills (17 statements); Strength and conditioning (15 statements); Individual preparation (7 statements); and Education (8 statements). Calculation of mean ratings for each cluster and statement identified the Movement skills cluster as most important (mean=3.61 out of 5) and the Football-specific preparation cluster as most feasible (3.75 out of 5). By contrast, the Individual preparation cluster was rated the least important (mean=2.9 out of 5), and the least feasible (3.12 out of 5), to include in the program.

Conclusions: The five clusters of critical elements to include in an ACL injury risk reduction program for women playing elite AF, in order of most to least importance were: movement skills, football-specific preparation, education, strength and conditioning and individual preparation.

Keywords: Athlete; Co-create; End-user; Knee injuries; Prevention and control; Sports.

MeSH terms

Anterior Cruciate Ligament Injuries* / prevention & control
Athletic Injuries* / prevention & control
Female
Humans
Program Development*
Sports