06/15/2019
Millions of people saw Klay Thompson devastating left knee ACL injury as he landed during the last three minutes of the third quarter of the NBA on ESPN finals. As a sports medicine surgeon, the question often arises: is it possible to completely prevent an ACL injury?
Simple answer, no. However, it is possible to substantially lower your odds. This requires three building blocks: (1) optimizing core function and overall flexibility, (2) maximizing muscle strength of individual muscle groups, and (3) maybe the most important one, sport specific training - improving the way all the muscle groups work together in a synergistic manner to maintain the ideal balance, form, agility, and speed that is right for your sport. This has to be balanced with a recovery strategy including deep sleep and diet that fits the athlete.
Many of the olympic, college, and professional athletes I have had the privilege to work with over the years know this already. Thanks to some amazing physical therapists, trainers, nutritionists and coaches who work tirelessly with them, these concepts are dialed in.
There is no formula that works for every athlete. Consider that ACL injuries usually happen in the first 50 milliseconds after landing. The tear happens before you realize it has happened. Any kind of injury prevention program needs to consider the specific demands of the sport.
Years ago, I spent some time with the US Womens Soccer team. Some days they had intense strength or conditioning routines. Other days, they worked on sport specific training. I was amazed at how creative their training exercises were. The exercises combined core stabilization with endurance, single and double legged jump/lands at the same time handling a soccer ball.
So once your strength, flexibility, conditioning are where they need to be, focus on training specific to the skill sets of your sport. It helps to have someone to give feedback, especially when it comes to landing and maintaining proper balance, keeping your joints in the proper alignment to minimize the risk of knee injury.