Real-time biofeedback to target risk of anterior cruciate ligament injury: a technical report for injury prevention and rehabilitation

J Sport Rehabil. 2015 May 20;24(2):2013-0138. doi: 10.1123/jsr.2013-0138. Print 2015 May 1.

Abstract

Context: Biofeedback training enables an athlete to alter biomechanical and physiological function by receiving biomechanical and physiological data concurrent with or immediately after a task.

Objective: To compare the effects of 2 different modes of real-time biofeedback focused on reducing risk factors related to anterior cruciate ligament injury.

Design: Randomized crossover study design.

Setting: Biomechanics laboratory and sports medicine center.

Participants: Female high school soccer players (age 14.8 ± 1.0 y, height 162.6 ± 6.8 cm, mass 55.9 ± 7.0 kg; n = 4).

Intervention: A battery of kinetic- or kinematic-based real-time biofeedback during repetitive double-leg squats.

Main outcome measures: Baseline and posttraining drop vertical jumps were collected to determine if either feedback method improved high injury risk landing mechanics.

Results: Maximum knee abduction moment and angle during the landing was significantly decreased after kinetic-focused biofeedback (P = .04). The reduced knee abduction moment during the drop vertical jumps after kinematic-focused biofeedback was not different (P = .2). Maximum knee abduction angle was significantly decreased after kinetic biofeedback (P < .01) but only showed a trend toward reduction after kinematic biofeedback (P = .08).

Conclusions: The innovative biofeedback employed in the current study reduced knee abduction load and posture from baseline to posttraining during a drop vertical jump.

Keywords: biofeedback training; ACL injury prevention; knee abduction biomechanics; female athlete; valgus posture.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Anterior Cruciate Ligament / physiology
  • Anterior Cruciate Ligament Injuries*
  • Biofeedback, Psychology / methods*
  • Biomechanical Phenomena
  • Cross-Over Studies
  • Female
  • Humans
  • Kinetics
  • Knee Injuries / etiology
  • Knee Injuries / physiopathology
  • Knee Injuries / prevention & control*
  • Knee Injuries / rehabilitation
  • Knee Joint / physiology*
  • Posture
  • Risk Factors
  • Soccer / injuries*
  • Soccer / physiology
  • Treatment Outcome
  • Weight-Bearing