Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR
Background: Reinjury rates following anterior cruciate ligament (ACL) reconstruction remain high, and the cause is often multifactorial. There is growing literature supporting asymmetric biomechanical deficits leading to increased risk of reinjury. Neuromuscular training during postoperative rehabil...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-06-01
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| Series: | Video Journal of Sports Medicine |
| Online Access: | https://doi.org/10.1177/26350254231180637 |
| _version_ | 1797771102887346176 |
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| author | Laura Thornton PT, DPT, OCS, FAAOMPT J. Brett Goodloe MD Inga Groseclose PT, DPT Kevin Cross PhD, PT, ATC David R. Diduch MD |
| author_facet | Laura Thornton PT, DPT, OCS, FAAOMPT J. Brett Goodloe MD Inga Groseclose PT, DPT Kevin Cross PhD, PT, ATC David R. Diduch MD |
| author_sort | Laura Thornton PT, DPT, OCS, FAAOMPT |
| collection | DOAJ |
| description | Background: Reinjury rates following anterior cruciate ligament (ACL) reconstruction remain high, and the cause is often multifactorial. There is growing literature supporting asymmetric biomechanical deficits leading to increased risk of reinjury. Neuromuscular training during postoperative rehabilitation may mitigate risk of reinjury by addressing these biomechanical deficits. Indications: Neuromuscular training is supported in the literature to reduce primary ACL injury risk and modify biomechanical risk factors. Incorporating neuromuscular training into postoperative rehabilitation following ACL reconstruction may reduce the risk of reinjury. Technique Description: The Landing Error Scoring System, or LESS test, is an assessment tool utilized to detect biomechanical asymmetries following ACL reconstruction. Video analysis allows for observation of subtle biomechanical differences. Neuromuscular training programs help improve these deficits through stepwise gradual and individualized progressions that are specific to each patient’s needs and desired athletic return. Results: A patient who participates in neuromuscular training as a component of postoperative rehabilitation should demonstrate improvements in their individual biomechanical deficits at the completion of the program described. Discussion/Conclusion: Biomechanical assessment following ACL reconstruction, such as the LESS test, can identify deficits that may increase risk of reinjury. Neuromuscular training following ACL reconstruction can address these deficits and potentially mitigate risk of reinjury. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication. |
| first_indexed | 2024-03-12T21:32:42Z |
| format | Article |
| id | doaj.art-9256b453bcbd4e35b7195e99836ea3c0 |
| institution | Directory Open Access Journal |
| issn | 2635-0254 |
| language | English |
| last_indexed | 2024-03-12T21:32:42Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Video Journal of Sports Medicine |
| spelling | doaj.art-9256b453bcbd4e35b7195e99836ea3c02023-07-27T16:33:21ZengSAGE PublishingVideo Journal of Sports Medicine2635-02542023-06-01310.1177/26350254231180637Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLRLaura Thornton PT, DPT, OCS, FAAOMPT0J. Brett Goodloe MD1Inga Groseclose PT, DPT2Kevin Cross PhD, PT, ATC3David R. Diduch MD4Department of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USADepartment of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USADepartment of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USADepartment of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USADepartment of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USABackground: Reinjury rates following anterior cruciate ligament (ACL) reconstruction remain high, and the cause is often multifactorial. There is growing literature supporting asymmetric biomechanical deficits leading to increased risk of reinjury. Neuromuscular training during postoperative rehabilitation may mitigate risk of reinjury by addressing these biomechanical deficits. Indications: Neuromuscular training is supported in the literature to reduce primary ACL injury risk and modify biomechanical risk factors. Incorporating neuromuscular training into postoperative rehabilitation following ACL reconstruction may reduce the risk of reinjury. Technique Description: The Landing Error Scoring System, or LESS test, is an assessment tool utilized to detect biomechanical asymmetries following ACL reconstruction. Video analysis allows for observation of subtle biomechanical differences. Neuromuscular training programs help improve these deficits through stepwise gradual and individualized progressions that are specific to each patient’s needs and desired athletic return. Results: A patient who participates in neuromuscular training as a component of postoperative rehabilitation should demonstrate improvements in their individual biomechanical deficits at the completion of the program described. Discussion/Conclusion: Biomechanical assessment following ACL reconstruction, such as the LESS test, can identify deficits that may increase risk of reinjury. Neuromuscular training following ACL reconstruction can address these deficits and potentially mitigate risk of reinjury. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.https://doi.org/10.1177/26350254231180637 |
| spellingShingle | Laura Thornton PT, DPT, OCS, FAAOMPT J. Brett Goodloe MD Inga Groseclose PT, DPT Kevin Cross PhD, PT, ATC David R. Diduch MD Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR Video Journal of Sports Medicine |
| title | Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR |
| title_full | Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR |
| title_fullStr | Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR |
| title_full_unstemmed | Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR |
| title_short | Biomechanical Assessment and Neuromuscular Training to Mitigate Risk of Reinjury After ACLR |
| title_sort | biomechanical assessment and neuromuscular training to mitigate risk of reinjury after aclr |
| url | https://doi.org/10.1177/26350254231180637 |
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