Reducing the risk

    Primary and secondary ACL prevention

    Strength, technique, warm-up, and progressive exposure before a first injury as well as after returning.

    Last updated

    Editorial responsibility : Content prepared and reviewed by the Kiné Genou Luxembourg editorial team.

    Safety guidepost

    This content is for information only and is not a diagnosis or personalised recommendation. It does not replace an examination by a doctor, surgeon, or physiotherapist. In an emergency or if symptoms worsen, contact a healthcare professional promptly.

    Before a first injury

    The best-supported programs regularly combine strength, balance, jumping, landing, deceleration, changes of direction, and running. Their effectiveness depends on adherence and the quality of implementation.

    A structured warm-up is a gateway, not a guarantee.

    After a rupture: maintain, do not just succeed in the return

    Secondary prevention incorporates these components while taking into account the knee's history, deficits, and the sport. Strengthening and quality exposures continue after competition is regained.

    A variation in symptoms, a giving way, or a lasting drop in capacity justifies a re-evaluation.

    Frequently asked question

    Can every recurrence be prevented?

    No. A consistent preparation can reduce the risk at the group level, without guaranteeing an individual result.

    References

    1. Webster KE, Hewett TE. Meta-analysis of meta-analyses of anterior cruciate ligament injury reduction training programs.

      Accessed August 30, 2026

    2. Silvers-Granelli H et al. Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player.

      Accessed August 30, 2026

    3. Grindem H et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study.

      Accessed August 30, 2026