Effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction

Shim, Jæ Kwang; Choi, Ho-Suk; Shin, Jaewook

doi:10.1589/jpts.27.3613

Cited by 15 publications

(13 citation statements)

References 25 publications

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“…Consequently, atrophy of these muscles could exacerbate functional disability. 10 Currently, there is no literature reporting the association between neuromuscular disorder and the event of elbow subluxation or dislocation. Still, we postulate that the failure of dynamic stabilizers following muscles weakness can also occur equally across the elbow joint.…”

Section: Orthopedic Reviewsmentioning

confidence: 99%

Arthroscopic Lateral Collateral Ligament Repair for the Acute Elbow Dislocation in Primary Lateral Sclerosis Patient: A Case Report

2022

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Management and outcomesWe performed an arthroscopic lateral collateral ligament repair. At 6 months postoperative, her elbow gained stability and a painless full range of motion. ConclusionPeriarticular muscles are crucial in joint congruity maintenance when the static stabilizers are disrupted. However, in neuromuscular diseases, the dynamic stabilizers are inadequate in providing stability for ligament healing, causing elbow instability. Osteoligamentous stabilizers restoration is the key to joint stability in a paralytic limb. An arthroscopy is a good option restoring collateral ligaments by reducing damage to surrounding muscles.

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Section: Orthopedic Reviewsmentioning

confidence: 99%

Arthroscopic Lateral Collateral Ligament Repair for the Acute Elbow Dislocation in Primary Lateral Sclerosis Patient: A Case Report

2022

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“…In addition, Shim et al, (2015) reported another benefit of neuromuscular training is that it reduces the anterior tibial displacement of the affected knee joints during standing, which, in turn, reduces ACL strain. Finally, neuromuscular training evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus, all of which may improve functional joint stability [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of a neuromuscular training program using external focus attention cues in male athletes with anterior cruciate ligament reconstruction: a randomized clinical trial

Ghaderi

Letafatkar

Thomas

et al. 2021

BMC Sports Sci Med Rehabil

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Background Athletes who have undergone anterior cruciate ligament (ACL) reconstruction often exhibit persistent altered biomechanics and impaired function. Neuromuscular training programs appear to be effective for reducing high-risk landing mechanics and preventing primary ACL injuries; however, there have been few attempts to examine their effects in athletes who have undergone ACL reconstruction. The purpose of our study was to examine the effects of a neuromuscular training program that emphasizes external focus of attention cuing on biomechanics, knee proprioception, and patient-reported function in athletes who had undergone ACL reconstruction and completed conventional post-operative rehabilitation. Methods Twenty-four male athletes who had undergone primary, unilateral, hamstring autograft ACL reconstruction and completed conventional post-operative rehabilitation were randomly allocated to an experimental group (n = 12) who took part in an 8-week neuromuscular training program or a control group (n = 12) who continued a placebo program. The neuromuscular training program included lower extremity strengthening and plyometric exercises, balance training, and movement pattern re-training. Biomechanics during single-leg landing, knee proprioception, and patient-reported function were assessed before and after the 8-week training period. Results Athletes in the experimental group demonstrated increased trunk, hip, and knee flexion angles and decreased knee abduction, internal rotation angles and knee valgus during landing following the intervention. Further, the experimental group decreased their peak knee extension and abduction moments and vertical ground reaction force on landing post-intervention. International Knee Documentation Committee questionnaire (IKDC) scores increased in the experimental group following training. The control group demonstrated no changes in any variable over the same time period. Conclusions Neuromuscular training with external focus of attention cueing improved landing biomechanics in patients after ACL reconstruction. Neuromuscular training programs beneficially mitigate second ACL injury risk factors and should be emphasized during and after traditional post-operative rehabilitation. Trial registration Current Controlled Trials using the IRCT website with ID number of, IRCT20180412039278N1 “Prospectively registered” at 21/12/2018.

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“…Reconstructive techniques have been recently improved to achieve better stabilization of the knee joint and other joints to gain better functional recovery 5 ) . The lack of full recovery of knee functions after ACL reconstruction is due to sensory and motor behavior deficits.…”

Section: Introductionmentioning

confidence: 99%

Immediate effects of neuromuscular joint facilitation intervention after anterior cruciate ligament reconstruction

Wang

2016

J Phys Ther Sci

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[Purpose] The aim of this study was to examine the immediate effects of neuromuscular joint facilitation (NJF) on the functional activity level after rehabilitation of anterior cruciate ligament (ACL) reconstruction. [Subjects and Methods] Ten young subjects (8 males and 2 females) who underwent ACL reconstruction were included in the study. The subjects were divided into two groups, namely, knee joint extension muscle strength training (MST) group and knee joint extension outside rotation pattern of NJF group. Extension strength was measured in both groups before and after the experiment. Surface electromyography (sEMG) of the vastus medialis and vastus lateralis muscles and joint position error (JPE) test of the knee joint were also conducted. [Results] JPE test results and extension strength measurements in the NJF group were improved compared with those in the MST group. Moreover, the average discharge of the vastus medialis and vastus lateralis muscles on sEMG in the NJF group was significantly increased after MST and NJF treatments. [Conclusion] The obtained results suggest that NJF training in patients with ACL reconstruction can improve knee proprioception ability and muscle strength.

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Effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction

Cited by 15 publications

References 25 publications

Arthroscopic Lateral Collateral Ligament Repair for the Acute Elbow Dislocation in Primary Lateral Sclerosis Patient: A Case Report

Arthroscopic Lateral Collateral Ligament Repair for the Acute Elbow Dislocation in Primary Lateral Sclerosis Patient: A Case Report

Effects of a neuromuscular training program using external focus attention cues in male athletes with anterior cruciate ligament reconstruction: a randomized clinical trial

Immediate effects of neuromuscular joint facilitation intervention after anterior cruciate ligament reconstruction

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