Document Type : Review Article
Authors
1
Department of Corrective Exercise and Sport Injuries, Faculty of Physical Education and Sport Science, Allameh Tabatabaei University, Tehran, Iran
2
Assistant Professor, Department of Sport Biomechanics, Faculty of Sports Sciences, University of Birjand, Birjand, Iran
3
H
10.22037/sjrm.2025.117452.3365
Abstract
Background and Aims: The anterior cruciate ligament (ACL) is one of the key structures responsible for maintaining the mechanical and functional stability of the knee joint. Since ACL tears do not heal spontaneously, even its reconstruction using allografts or autografts fails to restore the reinnervation of mechanoreceptors. The aim of this systematic review was to compare postural control in individuals with and without anterior cruciate ligament (ACL) reconstruction one year after surgery.
Materials and Methods: Relevant articles on this topic were extracted from reputable databases, including PubMed, MEDLINE, Sport Discus, EMBASE, CINAHL, and AMED, using keywords such as ACL, anterior cruciate ligament, reconstruction, rehabilitation, injury, surgery, motor control, motor learning, balance, stability, proprioception, angle, moment, control, perturbation, neuromuscular, and biomechanics. The search was conducted with a focus on publications from 2008 to 2025. Only articles that assessed motor control in individuals up to 12 months after ACL reconstruction and compared them with an active control group were included.
Results: The initial search yielded 6,207 relevant research papers. After reviewing titles and abstracts, 334 articles were selected for further examination. Ultimately, 33 studies were deemed eligible for final analysis based on inclusion and exclusion criteria.
Conclusion: The results of this study indicate that ACL reconstruction has a negative impact on double-leg and single-leg stability, muscular strength, coordination, and biomechanical movement patterns. These findings may help identify weaknesses in the rehabilitation process and inform the design of improved rehabilitation programs.
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