
ACL injuries in American Football: Mechanisms, Diagnostic Methods, and Preventive Strategies
- 1 Beijing University of Chinese Medicine, Beijing, China
* Author to whom correspondence should be addressed.
Abstract
American football, with a history spanning nearly 200 years, is known for its high entertainment value and significant fitness benefits, particularly in North America. In recent years, the sport has seen increasing popularity in China, drawing more young athletes to participate. However, the sport's physical demands increase the danger of injury, particularly anterior cruciate ligament (ACL) injuries, which are among the most prevalent and severe. This article seeks to give a complete examination of ACL injuries in American football players by looking at their prevalence and causes. It explores key diagnostic methods used to assess ACL damage, such as the Lachman test and axial displacement test, and highlights the importance of early and accurate diagnosis. Additionally, the article discusses various prevention strategies, including strength training and neuromuscular conditioning, aimed at reducing the occurrence of ACL injuries. The review also covers post-surgical rehabilitation, outlining exercises and protocols that facilitate recovery and prevent reinjury, ensuring athletes can safely return to the field.
Keywords
American football, ACL injuries, Rehabilitation training
[1]. Li, W., Mi, J., Li, X. & Miao, X. (2006). The Process of Development and Inspiration of NFL. Journal of Beijing Sport University, 12, 1719-1721. https://doi.org/10.19582/j.cnki.11-3785/g8.2006.12.049.
[2]. Liu, Y. & Tian, Y. (2014). Feasibility analysis of promoting American flag football in universities. New West, 13, 32-34.
[3]. Zhou, C. (2022). Survival Strategy of Shanghai American Football Club from the Perspective of Structural Functionalism Survival Strategy of Shanghai American Football Club from the Perspective of Structural Functionalism. Soochow University.
[4]. Chen, Z. (2019). Investigation and Analysis of the Popularity of American Football among College Students: A Case Study of Shanghai. Contemporary Sports Technology, 10, 162-165. https://doi.org/10.16655/j.cnki.2095-2813.2019.10.162
[5]. Li, Y. (2019). Analysis of the Development Status and Prospects of American Football in China. Science & Technology of Stationery & Sporting Goods, 24, 64-65.
[6]. Fuller, C. W., Clarke, L., & Molloy, M. G. (2010). Risk of injury associated with rugby union played on artificial turf. Journal of Sports Sciences, 28(5), 563-570. https://doi.org/10.1080/02640411003629681
[7]. Dallalana, R. J., Brooks, J. H., Kemp, S. P., & Williams, A. M. (2007). The epidemiology of knee injuries in English professional rugby union. The American Journal of Sports Medicine, 35(5), 818-830. https://doi.org/10.1177/0363546506296738
[8]. Junge, A., Dvorak, J., Graf-Baumann, T., & Peterson, L. (2004). Football injuries during FIFA tournaments and the Olympic Games, 1998-2001: development and implementation of an injury-reporting system. The American Journal of Sports Medicine, 32(1_suppl), 80-89. https://doi.org/10.1177/0363546503261245
[9]. Bleakley, C., Tully, M., & O'Connor, S. (2011). Epidemiology of adolescent rugby injuries: A systematic review. Journal of Athletic Training, 46(5), 555-565. https://doi.org/10.4085/1062-6050-46.5.555
[10]. Griffin, L. Y., Albohm, M. J., Arendt, E. A., Bahr, R., Beynnon, B. D., Demaio, M., Dick, R. W., Engebretsen, L., Garrett, W. E., Hannafin, J. A., Hewett, T. E., Huston, L. J., Ireland, M. L., Johnson, R. J., Lephart, S., Mandelbaum, B. R., Mann, B. J., Marks, P. H., Marshall, S. W. ... Yu, B. (2006). Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005. The American Journal of Sports Medicine, 34(9), 1512-1532. https://doi.org/10.1177/0363546506286866
[11]. Ekstrand, J., Timpka, T., & Hägglund, M. (2006). Risk of injury in elite football played on artificial turf versus natural grass: A prospective two-cohort study. British Journal of Sports Medicine, 40(12), 975-980. https://doi.org/10.1136/bjsm.2006.027623
[12]. Colby, S., Francisco, A., Bing, Y., Kirkendall, D., Finch, M., & Garrett, W. (2000). Electromyographic and kinematic analysis of cutting maneuvers: Implications for anterior cruciate ligament injury. The American Journal of Sports Medicine, 28(2), 234-240. https://doi.org/10.1177/03635465000280021501
[13]. Gabbett, T. J. (2000). Incidence, site, and nature of injuries in amateur rugby league over three consecutive seasons. British Journal of Sports Medicine, 34(2), 98-103. https://doi.org/10.1136/bjsm.34.2.98
[14]. Weinhandl, J. T., Earl-Boehm, J. E., Ebersole, K. T., Huddleston, W. E., Armstrong, B. S., & O'Connor, K. M. (2013). Anticipatory effects on anterior cruciate ligament loading during sidestep cutting. Clinical Biomechanics, 28(6), 655-663. https://doi.org/10.1016/j.clinbiomech.2013.06.001
[15]. Cross, M. J., Gibbs, N. J., & Bryant, G. J. (1989). An analysis of the sidestep cutting manoeuvre. The American journal of sports medicine, 17(3), 363–366. https://doi.org/10.1177/036354658901700309
[16]. Griffin, L. Y., Albohm, M. J., Arendt, E. A., Bahr, R., Beynnon, B. D., Demaio, M., Dick, R. W., Engebretsen, L., Garrett, W. E., Hannafin, J. A., Hewett, T. E., Huston, L. J., Ireland, M. L., Johnson, R. J., Lephart, S., Mandelbaum, B. R., Mann, B. J., Marks, P. H., Marshall, S. W. ... Yu, B. (2006). Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005. The American Journal of Sports Medicine, 34(9), 1512-1532. https://doi.org/10.1177/0363546506286866
[17]. Hewett, T. E., Stroupe, A. L., Nance, T. A., & Noyes, F. R. (1996). Plyometric training in female athletes: Decreased impact forces and increased hamstring torques. The American Journal of Sports Medicine, 24(6), 765-773. https://doi.org/10.1177/036354659602400611
[18]. Liu, H., Wu, W., Yao, W., Spang, J. T., Creighton, R. A., Garrett, W. E., & Yu, B. (2014). Effects of knee extension constraint training on knee flexion angle and peak impact ground-reaction force. The American Journal of Sports Medicine, 42(4), 979-986. https://doi.org/10.1177/0363546513519323
[19]. Sinkjaer, T., & Arendt-Nielsen, L. (1991). Knee stability and muscle coordination in patients with anterior cruciate ligament injuries: An electromyographic approach. Journal of Electromyography and Kinesiology, 1(3), 209-217. https://doi.org/10.1016/1050-6411(91)90036-5
[20]. Myklebust, G., Engebretsen, L., Braekken, I. H., Skjølberg, A., Olsen, O. E., & Bahr, R. (2007). Prevention of noncontact anterior cruciate ligament injuries in elite and adolescent female team handball athletes. Instructional Course Lectures, 56, 407-418.
[21]. Hewett, T. E., Lindenfeld, T. N., Riccobene, J. V., & Noyes, F. R. (1999). The effect of neuromuscular training on the incidence of knee injury in female athletes. The American Journal of Sports Medicine, 27(6), 699-706. https://doi.org/10.1177/03635465990270060301
Cite this article
Zhang,H. (2024). ACL injuries in American Football: Mechanisms, Diagnostic Methods, and Preventive Strategies. Theoretical and Natural Science,64,87-91.
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