What’s in an ACL Injury Prevention Program?

What’s in an ACL Injury Prevention Program?

In a study conducted by members of Scottish Rite’s sports medicine research team, we have found that one in five parents are not aware of injury prevention programs that can reduce the risk of anterior cruciate ligament (ACL) injuries. This is alarming because studies show that these injuries can take an athlete out of sports for at least nine to 12 months and increase the risk of a second injury and knee problems as an adult. Many say they would participate in these programs if they knew how. Here are three elements of day-to-day training that align with sport-related injury prevention and can be implemented individually or as a team.

    1. Wake Up Your Brain and Muscle Connection

    This step is called muscle activation and is focused on waking up small but very important muscles that maintain core stability during activity. From planks to squats, controlled movements that engage specific abdominal, spinal, shoulder and hip muscles are a key to a safe start for practice or competition. This step is rooted in principles of neuromuscular coordination, and with repetition, it is believed to improve stability and reduce injury risk during activities.

    1. Warm Up Your Muscles

    Now that your brain and muscles are talking, you need to get the blood flowing into those muscles and move them through their full range of motion. Athletes are familiar with dynamic warm-up exercises like soldier walks and knee hugs, and learning ways to maximize these exercises can help improve the effectiveness and reduce the time needed for the warm-up. Make sure you’re warm before you take off at full speed or make large movements with force like jumping, throwing a long distance or kicking a ball.

    Physical therapist Jessica Penshorn has put together a great easy to follow program for basketball players that combines mobility, activation and dynamic warm-up. Watch the short video, or read a summary of the program and download a handout here.

    1. Wind-down

    After the training or competition session is over, abruptly stopping can leave muscles confused and angry. Post-activity recovery strategies like foam rolling, contrast baths and gentle stretching can reduce the onset of muscle soreness and setting the body up for a quick turnaround to activity the next day.
    Email bridgeprogram@tsrh.org to sign up for our Athlete Development program for group training sessions that use all of these strategies to build solid foundations and strength, power and speed for high performance.

    1. Warm Up Your Muscles

    Now that your brain and muscles are talking, you need to get the blood flowing into those muscles and move them through their full range of motion. Athletes are familiar with dynamic warm-up exercises like soldier walks and knee hugs, and learning ways to maximize these exercises can help improve the effectiveness and reduce the time needed for the warm-up. Make sure you’re warm before you take off at full speed or make large movements with force like jumping, throwing a long distance or kicking a ball.

    If you want to learn more about injury prevention programs for your young athlete, check out these resources:

    *Sparagana, P., Selee, B., Ellis, H., Ellington, M., Beck, J., Carsen, S., Crepeau, A., Cruz, A., Heyworth, B., Mayer, S., Niu, E., Patel, N., Pennock, A., VandenBerg, C., Vanderhave, K., Williams, B., & Stinson, Z. (2023). Parental Awareness and Attitudes Towards ACL Injury Prevention Programs in Youth Athletes: Original Research. Journal of the Pediatric Orthopaedic Society of North America, 5(4).

    Physical Therapy Treatment for Scoliosis

    Physical Therapy Treatment for Scoliosis

    Scoliosis is one of the most common pediatric conditions our experts treat and presents very differently depending on the patient. Our team is committed to providing the best possible care to each child, making sure that the treatment plan helps get them back to doing what they love.

    Scoliosis specific exercise (SSE) is a treatment provided by a trained physical therapist. Several of our physical therapists have completed extensive training in one approach called the Schroth method. A child will be evaluated by one of our pediatric orthopedic spine specialists to diagnose the type and magnitude of their curve. For many patients, a physical therapist will teach proper form for the exercises and progress the movements over time. 

    Like other SSE, the Scroth method lengthens muscles and ligaments to increase mobility, activates and strengthens muscles, improves resting posture and teaches how to perform daily movements in improved posture. Benefits of Schroth method include:

    • Improves pain
    • Prevent/limits curve progression
    • Improves lung capacity

    Important information about the Schroth method:

    • Most effective for children who are still growing.
    • It can serve as a stand-alone treatment, but is also used in conjunction with other care, such as bracing.

    Courtney Warren, a physical therapist at our Frisco campus, says that it is very rewarding to hear patients report that their work is paying off when dance instructors and coaches notice their ability to perform activities in a new posture.

    Learn more about the care and treatment of scoliosis.

    Get to Know our SRH Staff: Laura Saleem, PT and Therapy Services Manager of our Frisco Campus

    Get to Know our SRH Staff: Laura Saleem, PT and Therapy Services Manager of our Frisco Campus

    Meet Laura Saleem, Sports Physical Therapist and Therapy Services Manager of our Frisco Campus. Recently, Laura gave us a tour of the new sports therapy gym at our Frisco facility, Scottish Rite for Children Orthopedic and Sports Medicine Center, on #SRHaccess Facebook LIVE. Watch her segment of #SRHaccess on Facebook. Learn more about Laura in our #SRHstaff Spotlight below:

    What’s your favorite part of your job?
    Working with the kiddos and seeing their progress from Day 1 to discharge. My patients know I sing like Beyonce, dance like no one is watching and tell super cheesy jokes. My job is anything but boring, which allows me to constantly evolve. The wonderful medical staff here allow us to guide our patients along the path to return to participation without pain or restrictions. We are trusted providers for the community we serve.
     
    What’s your favorite thing about the hospital?
    The mission. You won’t find another hospital in the area that will take care of your child the way we will.  The staff buys into this mission at orientation and will bend over backwards to serve our patients the best we can.

    Describe a typical day.
    I work with patients and coworkers, focusing on plans of care and specific exercises the patients need in order to stay on track towards their/my goals for therapy. I wrap up with patients around 6:00PM, and then I pick up my daughter from daycare and begin the normal evening routine.
     
    How long have you worked here?
    Since 1/11/16, all at the Sports Medicine Center.

    How did you find out about the hospital?
    My co-worker Lorenzo Vite mentioned that there was an opportunity for me to join the hospital. He had nothing but wonderful things to say and had a great vision for what the realm of outpatient pediatric sports therapy could be.
     
    What makes you want to work here?
    I have found my niche and my people. I have been given a voice to help build a department we are proud of. The staff and work make it fun.
     
    What skills do you need for your job?
    I like to say that I am a Ninja. Spend a day with me, you’ll know what I mean. I work extremely hard to get my patients back to activity participation.
     
    What was your first job? What path did you take to get here?
    I originally knew I wanted to help people, but didn’t know how. My brother was involved in a single-car accident and sustained injuries that required extensive hospital stays and resources. Through his journey, I was able to find physical therapy. His subacute rehab therapist ended up being one of my clinical instructors, which was really cool to see everything come full circle. I attended to Maryville University in St. Louis and obtained a Master’s Degree in Physical therapy while playing basketball full-time. College was the best experience I could have asked for! I moved to Dallas after graduation and started working at Medical Center of McKinney. I have worked in Inpatient, Outpatient and Rehab settings of hospitals, private practice (2 blocks from the beach in San Diego!), skilled nursing and long-term acute care. I’ve worked extremely hard as a PRN therapist, so I could pay off my student loans as quickly as possible. In total, I have a full 10 years of experience in physical therapy and genuinely know that this is what I was made to do. I was extremely happy to be promoted this July to manager. I love it here and hope to retire here one day.
     
    What is your favorite…

    • Hospital event: Holiday Party
    • Food in the cafeteria:  Sad to say, I’ve never eaten there.  I’ll never forget the welcome luncheon at orientation though!
    • Place in the hospital:  Atrium

     
    What’s your favorite…

    • Place to travel:  Paris or European countries
    • Type of food:  I will never turn down pizza.
    • TV show:  Not huge on shows, but I love sports. I love European Football, especially Chelsea FC from EPL, St. Louis Cardinals Baseball, Basketball, etc.

     
    If you could have a super power, what would it be?
    It would be great to be in multiple places at the same time. Such as, when I’m at work, but also eating pizza in Italy AND playing at the park with my daughter, dog and husband AND on tour with Beyoncé AND surfing in the Pacific Ocean.
     
    What did you want to be when you grew up?
    An Entertainer…didn’t work out.
     
    What’s the most adventurous thing you’ve ever done?
    Zip-lined in Jamaica, parasailed in the French Mediterranean, and started my own baking business.
     
    What’s the last book you read?
    Chicka Chicka Boom Boom…Skit skat skoodle doot!  Good wisdom in that one.
     
    What kind of animal would you be?
    I just took the spirit animal quiz:  I’m a Wolf. 
     
    How long is your commute? What do you do on the drive?
    My commute to Frisco is 20 minutes. I listen to NPR, GO PUBLIC!
     
    What is something people don’t know about you?
    I am a band nerd (Alto saxophone) and I hate sweet tea.
     
    What’s your go-to karaoke song?
    Proud Mary by Tina Turner