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

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 r...

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Vydáno v:Applied sciences Ročník 14; číslo 20; s. 9330
Hlavní autoři: Franco, Domenico, Ambrosio, Luca, Za, Pierangelo, Maltese, Girolamo, Russo, Fabrizio, Vadalà, Gianluca, Papalia, Rocco, Denaro, Vincenzo
Médium: Journal Article
Jazyk:angličtina
Vydáno: Basel MDPI AG 01.10.2024
Témata:
ACL
ACL injury
ACL tear
Analysis
anterior cruciate ligament
Athletes
Biomechanics
Care and treatment
Fatigue
Females
Injuries
injury risk
Joint and ligament injuries
Knee
Legs
non-contact
Osteoarthritis
Pain
Prevention
Prevention programs
Proprioception
Rehabilitation
Risk factors
Sports injuries
Sports training
Strength training
Training
Weight training
Womens sports
Work-related injuries
ISSN:2076-3417, 2076-3417
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Shrnutí: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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ISSN:2076-3417
2076-3417
DOI:10.3390/app14209330