نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی تهران
2 گروه بیومکانیک و آسیب‌شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: Anterior cruciate ligament (ACL) tears not only compromise knee stability and function despite surgical reconstruction and rehabilitation, but also predispose patients to long‐term osteoarthritis, reduced activity levels, and persistent neuromuscular deficits. Incorporating targeted neuromuscular training into post‐ACL reconstruction programs may optimize sensorimotor control, correct aberrant biomechanics, and thereby enhance performance and reduce the risk of reinjury. Therefore, the aim of this study was to investigate the effect of neuromuscular training on moments and knee angles in single-leg landing and kinesiophobia in individuals with ACL reconstruction.
Methodology: In this study, 30 people with ACL reconstruction participated and were randomly divided into two control and experimental groups and only the experimental group received the neuromuscular training program. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK), which has 17 items pertaining to the fear of movement and reinjury. Kinetic and kinematic data were measured using force plate and motion analysis. The neuromuscular training program consisted of 9 different exercises in 16 sessions (2 sessions per week for 8 weeks, each session lasting approximately 1 hour) that focused on increasing and coordinating dynamic flexion of lower limb joints, increasing trunk stability, and optimizing landing mechanics. A repeated measures ANOVA was used to examine the effect of the training.
Results: The results showed that neuromuscular training had a significant effect on knee flexion angle, knee flexion torque, knee abduction angle, knee abduction torque, knee internal rotation angle, knee internal rotation torque, ground reaction force during single-leg landing, and kinesophobia in subjects with ACL reconstruction (p < 0.05).
Conclusion: Neuromuscular training improves landing biomechanics and kinesiophobia in patients after ACL reconstruction. Neuromuscular training beneficially reduces risk factors for ACL re-injury and should be emphasized during and after traditional postoperative rehabilitation.
کلیدواژه‌ها [English]
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