Contact Information

Department of Family Medicine

Uniformed Services University of the Health Sciences
Department of Family Medicine
4301 Jones Bridge Road, A1038
Bethesda, Maryland 20814-4799

Injury Prevention Research Lab: Current Protocols

Preventing Lower-Extremity Injuries in Adolescent Soccer Players

Study Overview and Design

The Study is designed to model a partnership between a community soccer league and the Uniformed Services University Injury Prevention Research Laboratory (IPRL) to allow injury data collection, injury prevention program instruction, and coach/player/parent education regarding the prevention of injuries in recreational sports.

The protocol calls for teams in the league to adopt one of two proven injury prevention warm-up routines. These routines will be taught to players and coaches by IPRL personnel. Players will have the opportunity to enroll in an injury surveillance protocol and differences in injury rates between the two prevention programs will be monitored. IPRL personnel will interface with team coaches/trainers to ensure that prevention programs are performed properly and as prescribed. IPRL personnel will also interface with coaches/parents/managers to record and monitor player injuries. Pre-season and post-season assessments will be used to determine the dose-effect and duration of action for changes in player motor control patterns, strength, and jump-landing strategies.

Enrollment for this study is now closed. Please contact Courtney Salgado, Project Manager, for more information.

(301)295-9460 or


  • PI: Anthony Beutler, MD, Maj, USAF, MC

Exercise Programs

Participating Soccer Leagues

Related Articles

  • Influence of Age, Sex, Technique, and Exercise Program on Movement Patterns After an Anterior Cruciate Ligament Injury Prevention Program in Youth Soccer Players. (2009)

Preventing Lower Extremity Injuries in Military Academies

Study Design and Overview

This feasibility pilot study is a cluster-randomized controlled trial designed to compare the effectiveness of an injury prevention program versus a traditional academy warmup. Our primary research objective is to evaluate the effects of a neuromuscular warmup program on the subsequent rate of lower extremity injury in military institutions. The secondary research objective for our study is to compare biomechanical changes between those utilizing the neuromuscular warmup program and those completing a usual warmup.

We hypothesize that performing a neuromuscular warmup will result in both reduced rates of lower extremity injury and greater beneficial change in movement patterns compared with a traditional warmup.

Data collection took place from August 2009 through December 2009. Data analysis and publication are pending.


  • PI: Tomas Virgets, PhD (US Naval Academy)
  • AI: Anthony Beutler, MD, Maj, USAF, MC (USUHS)
  • AI: Sarah de la Motte, PhD, ATC (USUHS)
  • AI: Steve Marshall, PhD (UNC-Chapel Hill)

JUMP-ACL: Joint Undertaking to Monitor and Prevent ACL Injury

Study Overview and Design

JUMP-ACL is a collaborative multi-site prospective cohort study of neuromuscular risk factors for Anterior Cruciate Ligament (ACL) Injury. The study is based at the US Military Academy (West Point, NY), the US Naval Academy (Annapolis, MD) and the US Air Force Academy (Colorado Spring, CO). When cadets or midshipmen arrive during the summer to begin their officer training, some of them are enrolled in the study. Enrollment was completed in 2009 and the cohort comprises over 6,000 subjects. Almost half of the subjects are female.

Enrollees undergo a baseline assessment including motion analysis during a jump-landing task, strength assessment, postural alignment assessment, and an injury history questionnaire. Subjects are then followed prospectively throughout their academy careers for incident ACL injury. ACL Injuries are diagnosed by the participating clinicians at the academies.

This study aims to determine: the association between neuromuscular risk factors, including poor jump-landing technique, and the rate of ACL injury; the association between selected non-neuromuscular risk factors (gender, anatomical factors, hormonal factors) and the rate of ACL injury; and the quantifiable differences in neuromuscular risk factors between men and women.

This study is carried out in collaboration with Duke University, Orthopedics Center in Rockville, MD, Plymouth State University, Virginia Commonwealth University, Old Dominion University, and the University of Minnesota.


  • CDR Scott Pyne, MD, United States Naval Academy
  • CDR David Keblish, MD, United States Naval Academy
  • MAJ Anthony Beutler, MD, Andrews Air Force Base
  • Stephen W. Marshall, Ph.D University of North Carolina, Chapel Hill
  • Darin Padua, Ph.D University of North Carolina, Chapel Hill

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