10Incorporate PEP program into training ~You may need to work on specific areas of the Program
11Does it Work ?Other studies (3),(4) implemented various programmes incorporating a combination of the PEP program concepts and results are promising.74%- 89% decrease in lower limb injury incidenceNoncontact injuries decreased by 1/3.Re-occurence of lower limb injury was 5x more likely in the control groups.6-8 weeks required for the Program to have neuromuscular effectEmphasis on technique:- landing softly on the forefoot engaging hip and knee flexion + avoid knee collapsing inward- Deceleration techniques
12Key Points Consider + incorporate PEP components into training Avoid poor techniques + vulnerable positionsIncrease FlexibilityIncrease StrengthInclude PlyometricsInclude Agilities and ProprioceptionIdentify “at risk” players - Previous Incidence of Injury is the best predictor of reinjury!
13EducateIncrease awarenessDemonstrate and reassessIndividualise when necessaryModify for age
15References Murphy J, O’Malley E, Gissane C, Blake C (2012) American Journal of Sports Medicine , vol. 40, No.9Silvers H, Mandelbaum B (2011)SportOrtho Trauma 27, 18-26Alentorn-Geli E, Myer G, Silvers H, Samitier G (2009)Prevention of non contact ACL injuries in Athletes : A review of prevention programs aimed at modifying risk factors and reducing injury rates.Knee surgery and sports traumatology 17:Griffin E, Letha Y (2003)Clinical Orthopaedics and Related Research vol. 409; 53-60