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Can ACL Injuries be Prevented? The Role of Injury Prevention Programs

In the world of sports and physical activity, injuries like anterior cruciate ligament (ACL) tears can be devastating for athletes. The physical, social, and economic costs are astronomical; according to the Medical Journal of Australia, the direct costs of ACL reconstruction surgery in Australia in 2014-15 was $142 million.

With this in mind, there has been significant research conducted to investigate potential strategies to minimise the risk of ACL injury. In this blog post, we'll explore the importance of these programs, highlight findings from contemporary studies, and discuss specific prevention strategies implemented in Australian sports, such as netball.

Understanding ACL Injuries

The ACL is one of the key ligaments that stabilize the knee joint during movements like pivoting, jumping, and sudden changes in direction. In sports that involve these movements, such as football, basketball, and netball, ACL injuries are unfortunately quite common. These injuries often lead to significant stints on the sidelines and can also impact an athlete's long-term health, performance and career.

The Role of Prevention Programs

Prevention programs for ACL injuries typically focus on improving strength, balance, agility, and neuromuscular control. According to a meta-analysis published in the British Journal of Sports Medicine, these programs have been shown to reduce ACL injury rates by up to 50% among athletes who participate in high-risk sports (Gagnier et al., 2015). This significant risk reduction underscores the effectiveness of structured prevention strategies.

Evidence from Contemporary Studies

Recent studies have further reinforced the benefits of ACL injury prevention programs. For instance, a study by Hewett and colleagues (2016) demonstrated that neuromuscular training programs, which include exercises targeting core stability, balance, and lower limb strength, can effectively decrease ACL injury rates among female athletes by 52%.

Moreover, a longitudinal study conducted by Sugimoto et al. (2020) highlighted the sustained impact of these programs, showing that athletes who consistently participated in structured neuromuscular training had a lower incidence of ACL injuries over several competitive seasons compared to those who did not participate.

Implementation in Australian Sports: Netball Case Study

In Australia, where sports like netball are immensely popular, ACL injury prevention programs have been integrated into training regimens to safeguard athletes' health and performance. Netball involves rapid changes in direction and jumping, making players susceptible to ACL injuries. To mitigate this risk, organizations such as Netball Australia have adopted tailored injury prevention protocols.

These protocols typically include:

- Warm-Up Routines: Dynamic stretching and activation exercises to prepare muscles and joints for the demands of training and competition.

- Strength and Conditioning: Specific exercises targeting the muscles around the knee joint, emphasizing stability and control.

- Neuromuscular Training: Drills focusing on proper landing techniques, balance, and proprioception to enhance body awareness and reduce the risk of ACL injuries during gameplay.


ACL injury prevention programs represent a crucial component of modern sports medicine, offering athletes a proactive approach to safeguarding their knee health and enhancing performance longevity. Supported by evidence from various studies, including those conducted in Australia within sports like netball, these programs highlight the importance of integrating structured training regimens that prioritize neuromuscular control, strength, and agility.

As physiotherapists continue to refine and tailor these programs based on the latest research findings, the future looks promising for reducing the incidence of ACL injuries and supporting athletes in achieving their full potential on and off the field.

For more information on how to incorporate ACL injury prevention strategies into your training routine, consult with our experienced physiotherapy team at Physio on

Patterson. Together, we can help you stay injury-free and perform at your best.



- Gagnier JJ, et al. (2015). "Effect of injury prevention programs on anterior cruciate ligament injury rates in female athletes: A systematic review and meta-analysis." *British Journal of Sports Medicine*.

- Hewett TE, et al. (2016). "Prevention of anterior cruciate ligament injuries in female athletes: A systematic review." *British Journal of Sports Medicine*.

- Sugimoto D, et al. (2020). "The effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: A prospective cohort study." *American Journal of Sports Medicine*.

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