Dynamic Perturbation Training System for ACL Rehabilitation

 描述（由申请人提供）： 前交叉韧带（ACL）损伤是运动员的一个重要问题，由于女性参与体育运动的人数增加了10倍，其患病率呈指数级增长。尽管通过使用神经肌肉训练计划证明了降低损伤率的能力，但由于这些计划在传统力量和性能训练程序中的采用和后续整合较差，ACL损伤的发生率仍然很高。理想情况下，预防性训练计划应包含解决与ACL损伤风险相关的内在和外在因素的训练特征，而不增加运动员训练时间、监督或专门训练 对教练的要求。特别是，扰动训练已被证明能引起感觉运动系统的适应和正常神经肌肉协调的恢复，从而改善动态姿势稳定性、姿势控制和增强肌肉激活模式，从而在意外运动期间主动稳定膝关节。迄今为止，扰动训练的采用受到限制，因为它需要专门的设备、额外的训练时间和额外的资源。该阶段IIB SBIR项目的主要目标是完成产品开发，并证明具有成本效益的全自动扰动平台在该领域的可用性，该平台可改善运动员因意外扰动引起的神经肌肉反应，以预防ACL损伤。

 DESCRIPTION (provided by applicant): Anterior cruciate ligament (ACL) injuries are a significant problem for athletes, and the prevalence has increased exponentially due to the 10-fold increase in sports participation by women. Despite demonstrated ability to decrease injury rates through the use of neuromuscular training programs, the incidence of ACL injuries remains high due to poor adoption, and subsequent integration, of these programs into traditional strength and performance training routines. Ideally, a prophylactic training program would incorporate training features that address both intrinsic and extrinsic factors associated with ACL injury risk without increasing athlete training time, supervision, or specialized training requirements for the coach. Perturbation training, in particular, has been shown to cause adaptation in the sensorimotor system and restoration of normal neuromuscular coordination that results in improved dynamic postural stability, postural control, and enhanced muscle activation patterns that actively stabilize the knee during unanticipated movements. To date, adoption of perturbation training has been limited because it requires specialized equipment, additional training time, and additional resources. The Principal Objective of this Phase IIB SBIR project is to complete product development and demonstrate usability in the field of a cost-effective and fully automated perturbation platform that improves an athlete's neuromuscular response due to unanticipated perturbations for the prevention of ACL injuries.