Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
10.32598/SJRM.14.5.3372
Abstract
Background and Aims Anterior cruciate ligament (ACL) tears compromise knee stability and function despite surgical reconstruction and rehabilitation and 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, this study aimed to investigate the effect of neuromuscular training on moments and knee angles during single-leg landing and kinesiophobia in individuals with ACL reconstruction. Methods In this study, 30 people with ACL reconstruction participated and were randomly divided into two groups: Control and experimental. Only the experimental group received the neuromuscular training program. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia, which has 17 items pertaining to the fear of movement and reinjury. Kinetic and kinematic data were measured using a force plate and motion analysis. The neuromuscular training program consisted of nine different exercises in 16 sessions (two sessions per week for eight weeks, each session lasting approximately one hour) that focused on increasing and coordinating dynamic flexion of lower limb joints, increasing trunk stability, and optimizing landing mechanics. A repeated measures analysis of variance (ANOVA) was used to examine the effect of 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 participants with ACL reconstruction (P<0.05). Conclusion Neuromuscular training improves landing biomechanics and kinesiophobia in patients after ACL reconstruction. Neuromuscular training reduces the risk factors for ACL re-injury and should be emphasized during and after traditional postoperative rehabilitation.
Tajdini Kakavandi, H., Khaleghi Tazji, M., & Lataftkar, A. (2025). The Effect of Neuromuscular Training on Moments and Knee Angles During Single-Leg Landing and Kinesiophobia in Individuals With Anterior Cruciate Ligament Reconstruction. The Scientific Journal of Rehabilitation Medicine, 14(5), 774-787. doi: 10.32598/SJRM.14.5.3372
MLA
Hossein Tajdini Kakavandi; Mehdi Khaleghi Tazji; Amir Lataftkar. "The Effect of Neuromuscular Training on Moments and Knee Angles During Single-Leg Landing and Kinesiophobia in Individuals With Anterior Cruciate Ligament Reconstruction". The Scientific Journal of Rehabilitation Medicine, 14, 5, 2025, 774-787. doi: 10.32598/SJRM.14.5.3372
HARVARD
Tajdini Kakavandi, H., Khaleghi Tazji, M., Lataftkar, A. (2025). 'The Effect of Neuromuscular Training on Moments and Knee Angles During Single-Leg Landing and Kinesiophobia in Individuals With Anterior Cruciate Ligament Reconstruction', The Scientific Journal of Rehabilitation Medicine, 14(5), pp. 774-787. doi: 10.32598/SJRM.14.5.3372
VANCOUVER
Tajdini Kakavandi, H., Khaleghi Tazji, M., Lataftkar, A. The Effect of Neuromuscular Training on Moments and Knee Angles During Single-Leg Landing and Kinesiophobia in Individuals With Anterior Cruciate Ligament Reconstruction. The Scientific Journal of Rehabilitation Medicine, 2025; 14(5): 774-787. doi: 10.32598/SJRM.14.5.3372
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