Australia has the highest incidence of anterior cruciate ligament (ACL) injuries in the world, and sports injuries are now the number one reason for youth admission to hospital.

Professor David Lloyd from Griffith University’s Menzies Health Institute Queensland says the Australian Football League (AFL) has supported research to develop a range of injury prevention strategies.

“Our studies, and those of others, consistently revealed the causes of ACL injuries from which we then developed interventions,” Professor Lloyd says.

ACL ruptures commonly occur during non‐contact side stepping or when landing from a mark during AFL and other sports when stepping.

“Our laboratory studies and computer simulations have shown that specific technique and aggressive balance training prevent knee injury.

Training programs to prevent ACL

“Using this evidence we have developed training programs to prevent ACL and lower limb joint injuries in community level Australian Football. In a randomised placebo control trial in over 1600 Australian Football players we were able to reduce the relative risk of these in‐game knee injuries by 50 per cent.”

Training programs to prevent ACL

Training programs to prevent ACL

Queensland orthopaedic surgeon, chair of the AOA Youth Sports Injury Prevention Working Group and knee specialist Associate Professor Christopher Vertullo, says ACL injury patients are at risk of developing premature knee osteoarthritis (OA) and resultant later severe disability, despite it being a highly preventable injury.

“Direct health costs from ACL injury include reconstruction surgery, non‐operative osteoarthritis management and eventual knee replacement. The most popular Australian sports such as AFL, rugby league, rugby union, touch football and netball are all high risk for knee injury.”

Associate Professor Vertullo says over 50 per cent of ACL injuries are preventable by a regular supervised neuromuscular agility training program, consisting of 20 minutes exposure three times per week.

“A National Youth Sports Injury Prevention Program would be a fantastic health and sports Federal Government initiative that would not only save money, but also prevent kids hurting themselves and getting severe knee osteoarthritis in the future. Worldwide, it is increasingly recognised that youth injury is not just bad luck, but in fact highly preventable.

“Our research has suggested that an Australian youth injury prevention program targeting ACL injury via a neuromuscular agility training program targeting all 12‐17 year olds and high risk 17- 25 year olds, will result in future public health cost savings of $120 million over four years.

“This doesn’t include the total society costs of decrease sports participation, and lost work,” Associate Professor Vertullo says.

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