1. SAFEKIDS ACL PREVENTION Derek K. Lichota MD

2. ACL PREVENTION Why is this an issue? – 500,000 injuries a year(estimate) – Athlete Pain Time lost in sports(6-18 mo.) Missed school Late arthritic issues

3. ACL PREVENTION Background – Male or Female? Both but females have about 3-5 times the incidence of occurrence

4. ACL PREVENTION Background – Contact or noncontact? Both: non-contact is at least 70% of the injuries

5. ACL PREVENTION BRACE OR NO BRACE? – No evidence to support prophylactic bracing – Is it a reasonable thing to do? – What is the cost?

6. ACL PREVENTION Brace costs $350 for off the shelf brace Marketing tool Is it indicated?

7. ACL PREVENTION FITNESS – General fitness – Sport specific fitness – Sport specific athletic skills

8. ACL PREVENTION PROPRIOCEPTION – What is it? The ability to know where the joint is, in time and space.

9. ACL PREVENTION PROPRIOCEPTION – Why is this important? We might be able to decrease the incidence of ACL injury by 50% or more Females are at a greater risk than males

10. ACL PREVENTION Conditioning Strength Flexibility Sport’s specificity

11. ACL PREVENTION Sport specific activity – Jump stop – Sudden deaccleration – Cut and pivot – Hyperextension – Jump stop – Sudden decelerat ion

12. ACL PREVENTION PEP PROGRAM – Prevent injury – Enhance Performance – Santa Monica California

13. ACL PREVENTION PEP program – 15 min three times per week – Adding plyometrics – Neuromuscular training

14. ACL PREVENTION What does it cost? – 15 minutes of warm up – No special equipment – Commitment from players, coaches, trainers, and physicians

15. ACL PREVENTION SOFT LANDINGS

16. ACL PREVENTION These programs have shown a decrease in the incidence of knee injuries by up to 70%

17. ACL PREVENTION WEB INTERACTION – ACL PREVENTION

18. ACL PREVENTION QUESTIONS?

19. ACL PREVENTION THANK YOU