Abstract

The effectiveness of mental imagery exercises as a neurocognitive-based approach after ACLR: A systematic review

Highlights

  • Anterior Cruciate Ligament (ACL) is one of the most important stabilizing ligaments in the knee joint

  • Our results showed that some authors suggested a significant improvement in muscle strength and pain reduction after Mental imagery exercise, while other investigators provided results regarding a lack of significance in these variables

  • In conclusion, the effectiveness of mental imagery exercise after Anterior Cruciate Ligament Reconstruction could be considered as evidence-based practice in physical therapy and rehabilitation protocol

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Summary

Introduction

Anterior Cruciate Ligament (ACL) is one of the most important stabilizing ligaments in the knee joint. Pain, swelling, limited range of motion, progressive muscle weakness, instability, and inability to return to play are the most important clinical outcomes of ACL injury [4]. Studies that have considered biomechanics, identified three main kinematic consequences of the injury like loss of control of anterior translation of the tibia, a modification of the axis of rotation in the knee joint, and poor synchronization between the lateral femoral condyle and tibia [5]. Surgical intervention for ACL reconstruction have been recommended as the first choice [6] alongside with physical therapy and rehabilitation strategies which could deeply influence the outcomes [7]. The role of physical therapy began from the earliest possible phase by using modalities and in particular exercise therapy [8]

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