The Effects of Proprioceptive Training on Lower-Limb Kinematics, Kinetics, and Muscle Activity Following Anterior Cruciate Ligament Reconstruction: A Systematic Review.

Document Type : Review Article

Authors

1 Associate Professor, Department of Sport Sciences, University of Birjand, Birjand

2 university of Birjand

10.22037/sjrm.2026.117564.3448

Abstract

Abstract

Anterior cruciate ligament (ACL) injury is a common sports-related condition that often leads to persistent biomechanical deficits, even following reconstruction (ACLR). Proprioceptive training is proposed as a potential intervention to address these deficits. This systematic review aimed to evaluate the effect of proprioceptive training on kinematic, kinetic, and neuromuscular parameters in patients post-ACLR. A systematic search was conducted across PubMed, ScienceDirect, Scopus, and Web of Science. Inclusion criteria comprised studies investigating the effects of proprioceptive training on biomechanical outcomes (kinematics, kinetics, and EMG) in ACLR patients. Case reports, conference papers, and studies with additional pathologies were excluded. Six studies involving 244 participants (aged 18–50 years) met the inclusion criteria. The findings suggest that proprioceptive training may be associated with improvements in knee kinematics (e.g., joint angles), kinetics (e.g., center of pressure, joint moments), and neuromuscular symmetry as measured by EMG. Current evidence suggests that proprioceptive training may have a positive impact on biomechanical parameters post-ACLR. However, given the limited number of studies and methodological heterogeneity, these findings should be interpreted with caution. Future research with more standardized clinical trials is warranted to confirm these effects and provide robust evidence for rehabilitation protoco Anterior cruciate ligament, proprioceptive training, kinematics, kinetic, muscle activity

Keywords

Anterior Cruciate Ligament Reconstruction (ACLR); Proprioceptive Training; Kinematics; Kinetics; Neuromuscular Control.

Keywords

Main Subjects



Articles in Press, Accepted Manuscript
Available Online from 01 June 2026
  • Receive Date: 19 February 2026
  • Revise Date: 27 May 2026
  • Accept Date: 01 June 2026
  • First Publish Date: 01 June 2026