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Sports Performance

P4 ACL Preventive Sports Medicine Program

OSU Sports Medicine Research Director Timothy Hewett PhD and his colleagues at Ohio State University and Cincinnati Children’s Hospital have been involved in the prevention and treatment of ACL injuries for over 15 years. Our goal is to enhance the athlete’s full body ability to safely perform the jumping, deceleration and cutting maneuvers demanded by his or her sport.

If you are an athlete who…
  • Demonstrates faulty jumping biomechanics
  • Participates in running and cutting sports, including soccer, basketball, volleyball, football or lacrosse
  • Is female (four to six times greater risk of ACL injury compared to males)
  • Has previously had a general knee or ACL injury


You may be at risk for an ACL Injury, resulting in:
  • Muscle weakness and significant loss of function
  • Loss of playing time and possible loss of scholarship
  • Inability to return to your sport at the same level of competition
  • High risk to develop early osteoarthritis
OSU Sports Medicine’s P4 ACLTM Program can reduce ACL injury risk by 45-65%

Athletes are individually tested at the beginning and end of the program to assess jumping mechanics and hamstring and quadriceps strength. The program is then tailored to each athlete's specific needs to include twelve 45-60 minute individualized neuromuscular training sessions over a 4-6 week period, designed to correct biomechanical risk factors associated with ACL injury by:

  • Training participants on the proper jump-landing mechanics
  • Emphasizing repeatable techniques and cues that participants will remember after they leave the program
  • Focusing on tasks which can improve participants' trunk control

All sessions are conducted and supervised by licensed physical therapists, athletic trainers and certified strength and conditioning specialists who specialize in ACL injury prevention. The athlete is educated on proper biomechanics of jumping and landing. Workouts include a variety of plyometric, balance and trunk and leg strengthening exercises.

Examples of Pre- and Post-Testing

Call OSU Sports Medicine Physical Therapy at 614-293-2422 or email us at P4ACL@osumc.edu to sign up.


How effective is the P4 ACLTM Injury Prevention Program?

Mark Fishaut MD, a soccer coach from Friday Harbor, Washington offers this testimonial:

“I took your course back in 2005 and have followed your programs with some minimal variation when I became head coach of the girls’ varsity soccer team at Friday Harbor High School in Friday Harbor Washington in 2006. We followed the core and balanced weight training program combined with plyometrics as well as interval training. We did some activity all through the season each practice day as we always had to wait for football to leave the field. A JV program was added in 2010 and these girls were included in the program.

The data set included 88 players and 110 games over the six seasons; obviously the amount of playing time per player varied greatly. I am pleased to say that there were zero ACL injuries during my tenure. There were three knee injuries during that time -- two were proximal tibial fractures secondary to flagrant kicking fouls and one was a deep laceration when a keeper hit an old square goal post with her knee. All recovered without long term problems.

All other schools against who we competed in that time had at least one player with a significant ACL injury.

Anyway, on behalf of all I trained and coached thanks for the education and your commitment to injury prevention.”