PMID- 22064608 OWN - NLM STAT- MEDLINE DCOM- 20120529 LR - 20220408 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 40 IP - 2 DP - 2012 Feb TI - Retention of movement pattern changes after a lower extremity injury prevention program is affected by program duration. PG - 300-6 LID - 10.1177/0363546511425474 [doi] AB - BACKGROUND: Changes in movement patterns have been repeatedly observed immediately after completing a lower extremity injury prevention program. However, it is not known if movement pattern changes are maintained after discontinuing the training program. HYPOTHESIS: The ability to maintain movement pattern changes after training has ceased may be influenced by the program's duration. The authors hypothesized that among individuals who completed either a 3-month or 9-month training program and who demonstrated immediate movement pattern changes, only those who completed the 9-month training program would maintain movement pattern changes after a 3-month period of no longer performing the exercises. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A total of 140 youth soccer athletes from 15 separate teams volunteered to participate. Athletes' movement patterns were assessed using the Landing Error Scoring System (LESS) at pretest, posttest, and 3 months after ceasing the program (retention test). Eighty-four of the original 140 participants demonstrated improvements in their LESS scores between pretest and posttest (change in LESS score >0) and were included in the final analyses for this study (n = 84; 20 boys and 64 girls; mean age, 14 +/- 2 years; age range, 11-17 years). Teams performed 3-month (short-duration group) and 9-month (extended-duration group) injury prevention programs. The exercises performed were identical for both groups. Teams performed the programs as part of their normal warm-up routine. RESULTS: Although both groups improved their total LESS scores from pretest to posttest, only the extended-duration training group retained their improvements 3 months after ceasing the injury prevention program (F(2,137) = 3.38; P = .04). CONCLUSION: Results suggest that training duration may be an important factor to consider when designing injury prevention programs that facilitate long-term changes in movement control. FAU - Padua, Darin A AU - Padua DA AD - Department of Exercise and Sports Science, Sports Medicine Research Laboratory, University of North Carolina, Chapel Hill, 27599, USA. dpadua@email.unc.edu FAU - DiStefano, Lindsay J AU - DiStefano LJ FAU - Marshall, Stephen W AU - Marshall SW FAU - Beutler, Anthony I AU - Beutler AI FAU - de la Motte, Sarah J AU - de la Motte SJ FAU - DiStefano, Michael J AU - DiStefano MJ LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20111107 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Adolescent MH - *Anterior Cruciate Ligament Injuries MH - Child MH - Double-Blind Method MH - Exercise MH - Female MH - Humans MH - Knee Injuries/etiology/*prevention & control MH - Male MH - Motor Skills MH - *Movement MH - Physical Education and Training/*methods MH - Soccer/*injuries MH - Time Factors EDAT- 2011/11/09 06:00 MHDA- 2012/05/30 06:00 CRDT- 2011/11/09 06:00 PHST- 2011/11/09 06:00 [entrez] PHST- 2011/11/09 06:00 [pubmed] PHST- 2012/05/30 06:00 [medline] AID - 0363546511425474 [pii] AID - 10.1177/0363546511425474 [doi] PST - ppublish SO - Am J Sports Med. 2012 Feb;40(2):300-6. doi: 10.1177/0363546511425474. Epub 2011 Nov 7.