The Effect of Cognitive-Based Neuromuscular Exercises on Reaction Time, Joint Position Sense, Proprioceptive Force Sense and Balance in Individuals Who Had Anterior Cruciate Ligament Surgery

Launched by ERTUĞRUL DEMIRDEL · Dec 24, 2024

Keywords

ClinConnect Summary

Anterior Cruciate Ligament (ACL) injuries are among the most common knee injuries, occurring due to both contact and non-contact mechanisms, such as sudden deceleration, changes in direction, or landing after jumping, and leading to disruptions in knee stability and biomechanics. In the United States, it is estimated that there are between 100,000 and 200,000 cases annually, while the global incidence of ACL ruptures approaches 2 million cases per year. Treatment for ACL injuries can be either conservative or surgical. Conservative treatment is considered a viable option for specific popula...

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Eligibility criteria

• Inclusion Criteria:
• • Having sustained a unilateral isolated anterior cruciate ligament injury,
• • Having undergone anterior cruciate ligament reconstruction using a hamstring graft by a surgeon at least 8 weeks ago,
• • Having completed the early phase of the postoperative criterion-based rehabilitation protocol and met the criteria for progression to the intermediate phase of the rehabilitation program (1- pain between 0-2 on the numeric pain scale, 2- no effusion in the knee, 3- no limitation in passive knee extension, 4- passive knee flexion of at least 120°, 5- full quadriceps activation (patient able to perform 10 repetitions of a single-leg raise exercise), and 6- normalized gait pattern without assistance).
• Exclusion Criteria:
• • Having a partial ACL tear,
• • Having sustained bilateral ACL injuries,
• • Having additional injuries accompanying the ACL injury,
• • Having undergone ACL revision surgery,
• • Having a history of complex knee surgery,
• • Having any neurological, orthopedic, or systemic disease that may contraindicate exercise.