Effective Prevention and Rehabilitation Strategies to Mitigate Non-Contact Anterior Cruciate Ligament Injuries: A Narrative Review

被引:0
|
作者
Franco, Domenico [1 ,2 ]
Ambrosio, Luca [1 ,2 ]
Za, Pierangelo [1 ,2 ]
Maltese, Girolamo [1 ,2 ]
Russo, Fabrizio [1 ,2 ]
Vadala, Gianluca [1 ,2 ]
Papalia, Rocco [1 ,2 ]
Denaro, Vincenzo [1 ]
机构
[1] Fdn Policlin Univ, Operat Res Unit Orthopaed & Trauma Surg, Campus Biomed, I-00128 Rome, Italy
[2] Univ Campus Biomed Roma, Dept Med & Surg, Res Unit Orthopaed & Trauma Surg, I-00128 Rome, Italy
来源
APPLIED SCIENCES-BASEL | 2024年 / 14卷 / 20期
关键词
anterior cruciate ligament; ACL; ACL tear; ACL injury; non-contact; injury risk; ACL reconstruction; rehabilitation; prevention; plyometrics; neuromuscular; risk factors; sports medicine; CLOSED-KINETIC-CHAIN; BLOOD-FLOW RESTRICTION; ARTHROGENIC MUSCLE INHIBITION; QUADRICEPS STRENGTH ASYMMETRY; LOWER-EXTREMITY BIOMECHANICS; ACL RECONSTRUCTION; STOP-JUMP; ELECTROMYOGRAPHIC ACTIVITY; ELECTRICAL-STIMULATION; NEUROMUSCULAR CONTROL;
D O I
10.3390/app14209330
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Non-contact anterior cruciate ligament injuries (NC-ACLs) represent a significant concern in sports medicine, particularly among athletes and physically active individuals. These injuries not only result in immediate functional impairment but also predispose individuals to long-term issues such as recurrent instability and early-onset osteoarthritis. This narrative review examines the biomechanical, neuromuscular, and environmental factors that contribute to the high incidence of NC-ACLs and evaluates the effectiveness of current prevention and rehabilitation strategies. The review identifies key risk factors, including improper landing mechanics, deficits in neuromuscular control, and muscle imbalances, which are pivotal in the etiology of NC-ACLs. Prevention programs that incorporate plyometric exercises, strength training, and neuromuscular education have shown efficacy in reducing injury rates. Rehabilitation protocols that emphasize a gradual return to sport, focusing on pain management, restoration of range of motion, and progressive strengthening, are critical for successful recovery and prevention of re-injury. The evidence suggests that an integrated approach, combining prevention and rehabilitation strategies tailored to the individual, is essential for minimizing NC-ACL risk and improving outcomes in affected populations.
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页数:20
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