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https://www.readbyqxmd.com/read/29667429/quadriceps-function-knee-pain-and-self-reported-outcomes-in-patients-with-anterior-cruciate-ligament-reconstruction
#1
Adam S Lepley, Brian Pietrosimone, Marc L Cormier
CONTEXT:   Interactions among muscle strength, pain, and self-reported outcomes in patients with anterior cruciate ligament reconstruction (ACLR) are not well understood. Clarifying these interactions is of clinical importance because improving physical and psychological function is thought to optimize outcomes after ACLR. OBJECTIVE:   To examine the relationships among neuromuscular quadriceps function, pain, self-reported knee function, readiness to return to activity, and emotional response to injury both before and after ACLR...
April 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29584523/brain-behavior-mechanisms-for-the-transfer-of-neuromuscular-training-adaptions-to-simulated-sport-initial-findings-from-the-train-the-brain-project
#2
Dustin R Grooms, Adam W Kiefer, Michael A Riley, Jonathan D Ellis, Staci Thomas, Katie Kitchen, Christopher DiCesare, Scott Bonnette, Brooke Gadd, Kim D Barber Foss, Weihong Yuan, Paula Silva, Ryan Galloway, Jed Diekfuss, James Leach, Kate Berz, Gregory D Myer
CONTEXT: A limiting factor for reducing anterior cruciate ligament (ACL) injury risk is ensuring that the movement adaptions made during the prevention program transfer to sport-specific activity. Virtual reality provides a mechanism to assess transferability and neuroimaging provides a means to assay the neural processes allowing for such skill transfer. OBJECTIVE: To determine the neural mechanisms for injury risk reducing biomechanics transfer to sport after ACL injury prevention training...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29558161/clinical-efficacy-of-jump-training-augmented-with-body-weight-support-after-acl-reconstruction-a-randomized-controlled-trial
#3
Audrey R C Elias, Kari J Harris, Paul C LaStayo, Ryan L Mizner
BACKGROUND: Limited knee flexion and increased muscle co-contraction during jump landing are believed to diminish outcomes after anterior cruciate ligament (ACL) reconstruction. The efficacy of jump training to improve patients' mechanical and neuromuscular deficits is understudied. HYPOTHESIS: Jump training will improve functional, mechanical, and neuromuscular outcomes and higher repetition training augmented by body weight support will result in better retention of gains...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29544359/altered-lower-extremity-joint-mechanics-occur-during-the-star-excursion-balance-test-and-single-leg-hop-after-acl-reconstruction-in-a-collegiate-athlete
#4
Michael A Samaan, Stacie I Ringleb, Sebastian Y Bawab, Eric K Greska, Joshua T Weinhandl
The effects of ACL-reconstruction on lower extremity joint mechanics during performance of the Star Excursion Balance Test (SEBT) and Single Leg Hop (SLH) are limited. The purpose of this study was to determine if altered lower extremity mechanics occur during the SEBT and SLH after ACL-reconstruction. One female Division I collegiate athlete performed the SEBT and SLH tasks, bilaterally, both before ACL injury and 27 months after ACL-reconstruction. Maximal reach, hop distances, lower extremity joint kinematics and moments were compared between both time points...
March 15, 2018: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/29484243/maximal-hip-and-knee-muscle-strength-are-not-related-to-neuromuscular-pre-activity-during-sidecutting-maneuver-a-cross-sectional-study
#5
Rasmus S Husted, Jesper Bencke, Per Hölmich, Lars L Andersen, Kristian Thorborg, Thomas Bandholm, Bjørn Gliese, Hanne B Lauridsen, Grethe Myklebust, Per Aagaard, Mette K Zebis
Background: Reduced lower extremity muscle strength as well as reduced lower extremity muscle pre-activity (defined as muscular activity just prior to initial ground contact) during high-risk movements are factors related to increased risk of non-contact ACL injury in adolescent female athletes. A strong relationship exists between muscle strength and muscle activity obtained during an isometric contraction, however, whether these two measures are related when muscle activity is obtained during a movement associated with a high risk of non-contact ACL injury is not known...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29433043/increased-movement-variability-in-one-leg-hops-about-20-years-after-treatment-of-anterior-cruciate-ligament-injury
#6
Divya Srinivasan, Eva Tengman, Charlotte K Häger
BACKGROUND: Recent studies highlight the need for understanding movement control of adjacent joints when evaluating knee function following anterior cruciate ligament (ACL) injury. However, while short-term adaptations to lower-extremity joint coupling have been studied, little is known about any potential long-term adaptations in neuromuscular control displayed by ACL-injured individuals. The aim of our study was to determine whether coordination variability of the hip-knee joint couplings during the one-leg hop is altered about 20 years after injury in two ACL-injured groups compared to healthy knee controls...
March 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29373984/the-effect-of-targeted-exercise-on-knee-muscle-function-in-patients-with-persistent-hamstring-deficiency-following-acl-reconstruction-study-protocol-for-a-randomized-controlled-trial
#7
Bo Bregenhof, Uffe Jørgensen, Per Aagaard, Nis Nissen, Mark W Creaby, Jonas Bloch Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, functional capacity and hamstring muscle-tendon morphology in ACL-reconstructed patients with persistent hamstring muscle-strength deficiency compared with controls...
January 26, 2018: Trials
https://www.readbyqxmd.com/read/29329889/exploring-individual-adaptations-to-an-anterior-cruciate-ligament-injury-prevention-programme
#8
Aaron S Fox, Jason Bonacci, Scott G McLean, Natalie Saunders
BACKGROUND: Individual responses to anterior cruciate ligament injury prevention programmes (ACL IPPs) have received little attention. This study examined the effects of an ACL IPP on neuromuscular control and lower limb biomechanics during landing at the group and individual levels. METHODS: Sixteen female athletes were randomly allocated to training (n=8) or control (n=8) groups. Electromyography, and three-dimensional kinematic and kinetic data were collected during landing at two testing sessions...
January 2018: Knee
https://www.readbyqxmd.com/read/29314903/national-athletic-trainers-association-position-statement-prevention-of-anterior-cruciate-ligament-injury
#9
Darin A Padua, Lindsay J DiStefano, Timothy E Hewett, William E Garrett, Stephen W Marshall, Grace M Golden, Sandra J Shultz, Susan M Sigward
OBJECTIVE:   To provide certified athletic trainers, physicians, and other health care and fitness professionals with recommendations based on current evidence regarding the prevention of noncontact and indirect-contact anterior cruciate ligament (ACL) injuries in athletes and physically active individuals. BACKGROUND:   Preventing ACL injuries during sport and physical activity may dramatically decrease medical costs and long-term disability. Implementing ACL injury-prevention training programs may improve an individual's neuromuscular control and lower extremity biomechanics and thereby reduce the risk of injury...
January 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29290539/is-acl-reconstruction-a-prerequisite-for-the-patients-having-recreational-sporting-activities
#10
Emrah Kovalak, Tolga Atay, Cem Çetin, I Meltem Atay, Mustafa Onur Serbest
OBJECTIVE: Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only. METHODS: We retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years...
January 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29172648/prevention-of-knee-and-anterior-cruciate-ligament-injuries-through-the-use-of-neuromuscular-and-proprioceptive-training-an-evidence-based-review
#11
Lucas Dargo, Kelsey J Robinson, Kenneth E Games
Reference/Citation:  Donnell-Fink LA, Klara K, Collins JE, et al. Effectiveness of knee injury and anterior cruciate ligament tear prevention programs: a meta-analysis. PLoS One. 2015;10(12)e0144063. CLINICAL QUESTION:   Is neuromuscular and proprioceptive training effective in preventing knee and anterior cruciate ligament (ACL) injuries? DATA SOURCES:   The authors searched CINAHL, Cochrane Central Register of Controlled Trials, MEDLINE/EMBASE, PubMed, and Web of Science databases from 1996 through December 2014 and limited the results to peer-reviewed manuscripts published in English...
December 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29169096/neuromuscular-compensatory-strategies-at-the-trunk-and-lower-limb-are-not-resolved-following-an-acl-reconstruction
#12
Grant Boggess, Kristin Morgan, Darren Johnson, Mary Lloyd Ireland, Jeffrey A Reinbolt, Brian Noehren
BACKGROUND: Following anterior cruciate ligament reconstruction (ACLR), patients present with greater trunk ipsilateral lean, which may affect knee kinetics and increase re-injury risk. However, there has been little research into neuromuscular factors controlling the trunk and their relation to the knee between healthy and ACLR subjects. This is critical to establish in order to develop more directed and effective interventions. HYPOTHESIS: As compared to healthy control subjects, ACLR subjects will demonstrate increased erector spinae and rectus abdominis co-contraction, greater rectus abdominis force and greater hamstring force that is correlated to increased forward trunk lean...
November 13, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29163219/neuromuscular-training-improves-lower-extremity-biomechanics-associated-with-knee-injury-during-landing-in-11-13-year-old-female-netball-athletes-a-randomized-control-study
#13
Amanda J Hopper, Erin E Haff, Christopher Joyce, Rhodri S Lloyd, G Gregory Haff
The purpose of this study was to examine the effects of a neuromuscular training (NMT) program on lower-extremity biomechanics in youth female netball athletes. The hypothesis was that significant improvements would be found in landing biomechanics of the lower-extremities, commonly associated with anterior cruciate ligament (ACL) injury, following NMT. Twenty-three athletes (age = 12.2 ± 0.9 years; height = 1.63 ± 0.08 m; mass = 51.8 ± 8.5 kg) completed two testing sessions separated by 7-weeks and were randomly assigned to either a experimental or control group...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/29083355/neuromuscular-recovery-in-acl-reconstruction-with-bone-tendon-patellar-bone-and-semitendinosus-gracilis-autograft
#14
Andrea Pasquini, Marco Jacopetti, Francesco Pogliacomi, Ileana Ramazzina, Cosimo Costantino
OBJECTIVE: Several different types of grafts have been used in ACL rupture. The purpose of the study was to compare the recovery of lower limbs muscle strength and proprioception in athletes, who underwent ACL reconstruction with Bone-Patellar-Tendon-Bone (BPTB) versus semitendinosus and gracilis (HS) autografts. METHODS: We enrolled 30 male amateur athletes. Each patient was evaluated by isokinetic test, triaxial accelerometer test and balance test with stabilometric platform...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29059108/neuromuscular-electrical-stimulation-superimposed-on-movement-early-after-acl-surgery
#15
Luciana Labanca, Jacopo Emanuele Rocchi, Luca Laudani, Rita Guitaldi, Alessandro Virgulti, Pier Paolo Mariani, Andrea Macaluso
PURPOSE: Quadriceps weakness and asymmetrical loading of lower limbs are two major issues following anterior cruciate ligament reconstruction (ACLR). The aim of this study was to evaluate the effectiveness of a 6-week training protocol involving neuromuscular electrical stimulations (NMES) of the quadriceps muscle superimposed on repeated sit-to-stand-to-sit exercises (STSTS), as an additional treatment to standard rehabilitation, from the 15th to the 60th day following ACLR. METHODS: Sixty-three ACLR patients were randomly allocated to one of the three treatment groups: NMES superimposed on STSTS (NMES+STSTS), STSTS only, or no additional treatment (NAT) to standard rehabilitation...
October 20, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28979857/osteoarthritis-action-alliance-consensus-opinion-best-practice-features-of-anterior-cruciate-ligament-and-lower-limb-injury-prevention-programs
#16
Thomas Trojian, Jeffrey Driban, Rathna Nuti, Lindsay Distefano, Hayley Root, Cristina Nistler, Cynthia LaBella
AIM: To identify best practice features of an anterior cruciate ligament (ACL) and lower limb injury prevention programs (IPPs) to reduce osteoarthritis (OA). METHODS: This consensus statement started with us performing a systematic literature search for all relevant articles from 1960 through January 2017 in PubMed, Web of Science and CINAHL. The search strategy combined the Medical Subject Heading (MeSH) and keywords for terms: (1) ACL OR "knee injury" OR "anterior cruciate ligament"; (2) "prevention and control" OR "risk reduction" OR "injury prevention" OR "neuromuscular training"; and (3) meta-analysis OR "systematic review" OR "cohort study" OR randomized...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28969821/editorial-commentary-increased-risk-of-second-ruptures-and-poorer-outcomes-after-anterior-cruciate-ligament-injury-and-reconstruction-in-hypermobile-athletes-a-potential-synergism-of-passive-ligamentous-and-active-muscular-control-of-dynamic-knee-stability
#17
EDITORIAL
Timothy E Hewett
Graft failure rates were higher and inferior subjective outcomes were observed after anterior cruciate ligament reconstruction in patients with generalized hypermobility. This is a clear and corroborative finding that is highly consilient with other reports of similar studies from the published literature. However, controversy remains regarding other potentially predictive and confounding variables. For example, age, activity level, sex, and dynamic neuromuscular control were not considered in this interesting, important, and potentially impactful study...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28886823/update-on-anterior-cruciate-ligament-rupture-and-care-in-the-female-athlete
#18
REVIEW
Jeremy M Burnham, Vonda Wright
As female athlete sports participation has continued to increase, the rate of anterior cruciate ligament (ACL) rupture in female athletes has also increased. Individualized, patient-specific treatment is crucial to achieving optimal outcomes; ACL reconstruction must accurately restore native ACL anatomy and address any concomitant injury to secondary stabilizers. Rehabilitation programs should target hip, core, and trunk neuromuscular control; allow adequate time for graft ligamentization; and address the psychosocial needs of the athlete...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28872400/what-is-the-most-effective-training-approach-for-preventing-noncontact-acl-injuries-in-high-school-aged-female-athletes
#19
Erica M Willadsen, Andrea B Zahn, Chris J Durall
CLINICAL SCENARIO: The high prevalence of noncontact anterior cruciate ligament (ACL) injuries in adolescent female athletes is thought to originate from hormonal, neuromuscular, and structural differences between sexes.(1) Although hormonal and structural factors are non-modifiable, neuromuscular control can be altered with training. A variety of training approaches have been adopted in ACL prevention programs including neuromuscular control training, core stability training, balance training, and plyometric exercise...
September 5, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28872396/whole-body-vibration-on-performance-of-quadriceps-after-acl-reconstruction-a-blinded-randomized-controlled-trial
#20
Karinna Sonálya Aires da Costa, Daniel Tezoni Borges, Liane de Brito Macedo, Caio Alano de Almeida Lins, Jamilson Simões Brasileiro
CONTEXT: Whole body vibration (WBV) has been widely used in clinical and sport practice. These devices produce constant vibrations originating symmetrical waves that move along the vertical axis. It is suggested that mechanical stimuli produced by high vibration can be an alternative to improve neuromuscular performance and balance in different populations. However, there is still a lack of consensus in the literature regarding neurophysiological responses in the skeletal muscle immediately after the use of WBV, specifically in individuals subjected to ACL reconstruction...
September 5, 2017: Journal of Sport Rehabilitation
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