ISAKOS Congress 2021

2021 ISAKOS Biennial Congress Paper

 

Coach Education Improves Implementation Of ACL Injury Prevention Programs: A Cluster-Randomized Controlled Trial

Daphne Ling, PhD, MPH, New York, NY UNITED STATES
Caroline Boyle, New York, NY UNITED STATES
Brandon Schneider, MS, New York UNITED STATES
Joseph Janosky, DrPHc, MS, PT, ATC, New York, NY UNITED STATES
James Kinderknecht, New York, NY UNITED STATES
Robert G. Marx, MD, New York, NY UNITED STATES

Hospital for Special Surgery, New York, New York, UNITED STATES

FDA Status Not Applicable

Summary

Coaches should receive in-person training on neuromuscular training and how to deliver alignment cues to their athletes while performing the injury prevention exercises.

Abstract

Introduction

Despite evidence of its efficacy, neuromuscular training (NMT) has had limited effectiveness due to poor adherence by sports coaches. Our objective was to determine the effect of an educational workshop on adherence to NMT recommendations among high school coaches.

Methods

A total of 21 teams in 8 high schools (unit of randomization) were randomized to the intervention or control group. Twelve boys’ and 9 girls’ teams in a variety of sports were enrolled. Coaches in the intervention group participated in a 60-minute education workshop to teach effective implementation of a NMT program and also received print materials. Coaches in the control group received the same print materials. Eight data collectors were trained to observe each team’s practice/game 2-3 times a week. They completed a study questionnaire to identify the NMT exercise and whether the coach 1) delivered exercise instructions and 2) provided alignment cues (both yes/no).

Results

A total of 399 practices/games were observed over 2 seasons. A greater proportion of coaches in the intervention group provided alignment cues to correct improper technique compared to the control group [difference=0.04 (95% CI: 0.01, 0.07, p=0.006]. There was a similar proportion of coaches in the intervention and control groups who provided exercise instructions [difference=0.01 (95% CI: -0.02, 0.04), p=0.44]. More coaches in the intervention group completed a full NMT program [OR=4.62 (1.22, 17.50), p=0.02].

Discussion

Coach education can improve adherence to a NMT program and delivery of alignment cues. Coaches should receive in-person training on NMT and how to deliver alignment cues to their athletes while performing the exercises.

This study was funded by an ISAKOS Clinical Outcomes Research Grant.

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