Knee Surgery Sports Traumatology Arthroscopy· 2025Q1
Anterior cruciate ligament reconstruction rehabilitation: Decades of change
- 31citations
- Q1SCImago
- 2025year
Short summary
Current ACL reconstruction rehabilitation guidelines are outdated, failing to integrate advances in open kinetic chain (OKC) quadriceps strengthening, neurocognitive training, and psychological interventions, despite evidence showing their benefits for strength, reinjury risk reduction, and patient-centered care.
AI-generated from the title and abstract; the full text is not read.
Key points
- Current ACL reconstruction rehab guidelines lack updates on OKC quadriceps strengthening, neurocognitive training, and psychological interventions.
- Combining OKC and closed kinetic chain exercises improves strength with careful monitoring for pain and effusion.
- Neurocognitive training can reduce reinjury risk by improving reaction times and attention but is underutilized.
- Psychological responses are critical but strategies for individualized support remain unclear.
- An ESSKA consensus is underway to integrate these insights into evidence-based, patient-centered guidelines.
AI-generated from the title and abstract; the full text is not read.
Abstract
Current anterior cruciate ligament reconstruction (ACLR) rehabilitation practice guidelines lack updates in key areas: open kinetic chain (OKC) quadriceps strengthening, neurocognitive training and psychological interventions. Recent research shows that OKC exercises, when combined with closed kinetic chain exercises, improve strength without compromising graft integrity, though careful monitoring for knee pain and effusion is essential. Neurocognitive training, targeting reaction times, visual attention and dual-tasking, is promising for reducing reinjury risk but remains underutilized. Similarly, psychological responses, often assessed via patient-reported outcomes, are a critical part of the recovery process after ACLR, but how to address these responses for the individual patient remains unclear, emphasizing the need for individualized support. The European Society for Sports Traumatology, Knee Surgery, and Arthroscopy (ESSKA) is developing an ACL rehabilitation consensus to integrate these insights into actionable, evidence-based guidelines, ensuring tailored, patient-centered care that optimizes recovery and reduces reinjury risks.
The authors' abstract, as published at the source. Knee Surgery Sports Traumatology Arthroscopy, 2025 · DOI ↗
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Field: Surgery
SurgeryMedicine