Assessment of Quadriceps Corticomotor and Spinal-Reflexive Excitability in Individuals with a History of Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

Rush, Justin L.; Glaviano, Neal R.; Norte, Grant E.

doi:10.1007/s40279-020-01403-8

Cited by 35 publications

(43 citation statements)

References 68 publications

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“…Despite quadriceps strengthening is the main focus of post ACLr rehabilitation programs ( Cavanaugh and Powers, 2017 ; Andrade et al, 2020 ), strength deficits often continue to exceed pre-operative levels even years following a surgery ( Palmieri-Smith et al, 2008 ). Later imply that current rehabilitation practice needs to be revisited, whereas new and innovative therapeutic tools targeting central neural system i.e., higher centers of motor control should be examined and implemented ( Rush et al, 2021 ). Such strategies were recognized through cognitive practice that has been able to improve the physical function of both symptomatic ( Marusic et al, 2018 ; Paravlic et al, 2020a ) and asymptomatic population ( Paravlic et al, 2018 ).…”

Section: Neurostructural Correlates Of Strength Decrease In Healthy A...mentioning

confidence: 99%

Motor Imagery and Action Observation as Appropriate Strategies for Home-Based Rehabilitation: A Mini-Review Focusing on Improving Physical Function in Orthopedic Patients

Paravlić

2022

Front. Psychol.

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Dynamic stability of the knee and weakness of the extensor muscles are considered to be the most important functional limitations after anterior cruciate ligament (ACL) injury, probably due to changes at the central (cortical and corticospinal) level of motor control rather than at the peripheral level. Despite general technological advances, fewer contraindicative surgical procedures, and extensive postoperative rehabilitation, up to 65% of patients fail to return to their preinjury level of sports, and only half were able to return to competitive sport. Later, it becomes clear that current rehabilitation after knee surgery is not sufficient to address the functional limitations after ACL reconstruction even years after surgery. Therefore, new therapeutic tools targeting the central neural system, i.e., the higher centers of motor control, should be investigated and integrated into current rehabilitation practice. To improve motor performance when overt movement cannot be fully performed (e.g., due to pain, impaired motor control, and/or joint immobilization), several techniques have been developed to increase physical and mental activation without the need to perform overt movements. Among the most popular cognitive techniques used to increase physical performance are motor imagery and action observation practices. This review, which examines the available evidence, presents the underlying mechanisms of the efficacy of cognitive interventions and provides guidelines for their use at home.

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Section: Neurostructural Correlates Of Strength Decrease In Healthy A...mentioning

confidence: 99%

Motor Imagery and Action Observation as Appropriate Strategies for Home-Based Rehabilitation: A Mini-Review Focusing on Improving Physical Function in Orthopedic Patients

Paravlić

2022

Front. Psychol.

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“…Changes within the spinal cord are commonly measured using the Hoffmann Reflex (H-Reflex) which assesses the integrity of Ia afferent synaptic transmission contributing to the alpha motor neuron pool of the quadriceps within the anterior horn of the spinal cord. 19,20 THE WHOLE-BRAIN & COGNITION On two occasions, Diekfuss et al 16,21 have demonstrated prospectively that athletes who sustain ACL injuries have altered cortical connectivity via fMRI between regions responsible for sensorimotor processing and error correction compared to healthy athletes. This literature begins to suggest that a neural biomarker may exist for those at risk for sustaining an ACL injury.…”

Section: Nervous System Consequences Associated With Acl Injury and Reconstructionmentioning

confidence: 99%

“…17,18,22 Furthermore, metrics of corticospinal tract contributions to quadriceps function have been evaluated with TMS and demonstrate lingering alterations bilaterally after ACLR. 19,20 Thus, despite rehabilitation efforts, both whole brain and efferent drive to the quadriceps may be altered.…”

Section: Nervous System Consequences Associated With Acl Injury and Reconstructionmentioning

confidence: 99%

“…20 Therefore, the literature suggests that prolonged quadriceps activation deficits are mediated by the supraspinal level (corticospinal tract excitability) in the chronic stages of injury recovery. 19,20 Ia afferent contributions to quadriceps activation deficits are difficult to quantify clinically, as they require expensive equipment (recording and stimulating electrodes, stimulator), time, and expertise to complete and interpret. 40 The spinal cord with integration from cortical/subcortical regions is also critical for proprioception, pain (at rest), and vibration pain thresholds which continue to be impaired years after ACLR.…”

Section: Nervous System Consequences Associated With Acl Injury and Reconstructionmentioning

confidence: 99%

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A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Nervous System

Chaput

Ness

Lucas

et al. 2022

International Journal of Sports Physical Therapy

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Postoperative rehabilitation of anterior cruciate ligament (ACL) reconstruction mainly focuses on the restoration of strength and range of motion with a long-term goal to return athletes to their prior level of activity. Of those wanting to return to sport, many are either unable and/or experience protracted recovery despite extensive rehabilitation. To holistically care for patients recovering from ACL reconstructions, reframing rehabilitation to consider a comprehensive systems approach (including musculoskeletal, cardiovascular, endocrine, and neurologic systems) may help improve treatment outcomes. The American Physical Therapy Association has adopted a vision statement that embraces the concept of a 'movement system,' but validation of the movement system has been challenging. Application of a multi-physiologic systems approach may provide a unique perspective to better understand the nervous system and its interactions after ACL reconstruction. The purpose is to focus on the nervous system contributions to a multi-physiologic system approach to rehabilitation from ACL reconstruction.

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“…Evidence further indicates that individuals with ACL reconstruction (ACLR) have lesser bilateral corticospinal excitability than those without injury, which may have a detrimental effect on muscle recovery. 4 The initial trauma and potential surgical reconstruction causes loss of neural elements such as Golgi tendon organ-like receptors 5 . These receptors contribute with afferent information to the central nervous system (CNS) regarding proprioceptive sensations such as movement and position 6 .…”

Section: Introductionmentioning

confidence: 99%

Brain Response To A Knee Proprioception Task Among Persons With Anterior Cruciate Ligament Reconstruction And Controls

Strong

Grip

Boraxbekk

et al. 2021

Preprint

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Knee proprioception deficits and neuroplasticity have been indicated following injury to the anterior cruciate ligament (ACL). Evidence is however scarce regarding brain response to knee proprioception tasks and the impact of ACL injury. Twenty-one persons with unilateral ACL reconstruction (mean 23 months post-surgery) of either the right (n = 10) or left (n = 11) knee, as well as 19 controls (CTRL) matched for sex, age, height, weight and current activity level, performed a knee joint position sense (JPS) test during simultaneous functional magnetic resonance imaging (fMRI). Integrated motion capture recorded knee kinematics. Recruited brain regions included somatosensory cortices, prefrontal cortex and insula. Neither brain response nor JPS errors differed between groups, but across groups significant correlations revealed that greater errors were associated with greater ipsilateral response in the anterior cingulate (r = 0.476, P = 0.009), supramarginal gyrus (r = 0.395, P = 0.034) and insula (r = 0.474, P = 0.008). This is the first study to capture brain response using fMRI in relation to quantifiable knee JPS. Activated brain regions have previously been associated with sensorimotor processes, body schema and interoception. Our innovative paradigm can help to guide future research investigating brain response to lower limb proprioception.

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Assessment of Quadriceps Corticomotor and Spinal-Reflexive Excitability in Individuals with a History of Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

Cited by 35 publications

References 68 publications

Motor Imagery and Action Observation as Appropriate Strategies for Home-Based Rehabilitation: A Mini-Review Focusing on Improving Physical Function in Orthopedic Patients

Motor Imagery and Action Observation as Appropriate Strategies for Home-Based Rehabilitation: A Mini-Review Focusing on Improving Physical Function in Orthopedic Patients

A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Nervous System

Brain Response To A Knee Proprioception Task Among Persons With Anterior Cruciate Ligament Reconstruction And Controls

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