Thornton Laura, Goodloe J Brett, Groseclose Inga, Cross Kevin, Diduch David R
Department of Physical Therapy and Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
Video J Sports Med. 2023 Jul 27;3(4):26350254231180637. doi: 10.1177/26350254231180637. eCollection 2023 Jul-Aug.
Reinjury rates following anterior cruciate ligament (ACL) reconstruction remain high, and the cause is often multifactorial. There is growing literature supporting asymmetric biomechanical deficits leading to increased risk of reinjury. Neuromuscular training during postoperative rehabilitation may mitigate risk of reinjury by addressing these biomechanical deficits.
Neuromuscular training is supported in the literature to reduce primary ACL injury risk and modify biomechanical risk factors. Incorporating neuromuscular training into postoperative rehabilitation following ACL reconstruction may reduce the risk of reinjury.
The Landing Error Scoring System, or LESS test, is an assessment tool utilized to detect biomechanical asymmetries following ACL reconstruction. Video analysis allows for observation of subtle biomechanical differences. Neuromuscular training programs help improve these deficits through stepwise gradual and individualized progressions that are specific to each patient's needs and desired athletic return.
A patient who participates in neuromuscular training as a component of postoperative rehabilitation should demonstrate improvements in their individual biomechanical deficits at the completion of the program described.
DISCUSSION/CONCLUSION: Biomechanical assessment following ACL reconstruction, such as the LESS test, can identify deficits that may increase risk of reinjury. Neuromuscular training following ACL reconstruction can address these deficits and potentially mitigate risk of reinjury.
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
前交叉韧带（ACL）重建术后的再损伤率仍然很高，其原因通常是多因素的。越来越多的文献支持不对称生物力学缺陷会导致再损伤风险增加。术后康复期间的神经肌肉训练可能通过解决这些生物力学缺陷来降低再损伤风险。
文献支持神经肌肉训练可降低原发性ACL损伤风险并改变生物力学风险因素。将神经肌肉训练纳入ACL重建术后的康复过程中可能会降低再损伤风险。
落地误差评分系统（LESS测试）是一种用于检测ACL重建术后生物力学不对称性的评估工具。视频分析有助于观察细微的生物力学差异。神经肌肉训练计划通过逐步渐进且个性化的进展来帮助改善这些缺陷，这些进展是针对每个患者的需求和期望的运动恢复情况而定的。
作为术后康复一部分参与神经肌肉训练的患者，在所述计划完成时应显示其个体生物力学缺陷有所改善。
讨论/结论：ACL重建术后的生物力学评估，如LESS测试，可以识别可能增加再损伤风险的缺陷。ACL重建术后的神经肌肉训练可以解决这些缺陷，并有可能降低再损伤风险。
作者证明已获得本出版物中出现的任何患者的同意。如果个体可能被识别，作者已随本投稿附上患者的豁免声明或其他书面批准形式以供发表。
