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Cited by 114Knee injuries and reconstruction techniquesSport Psychology and PerformanceSports and Physical Education Research

Feedback techniques to target functional deficits following anterior cruciate ligament reconstruction: implications for motor control and reduction of second injury risk

Open access
Gokeler, Alli, Benjaminse, Anne, Hewett, Timothy E., Paterno, Mark V., Ford, Kevin R., Otten, Egbert, Myer, Gregory D.·2013·Sports Medicine
DOI 10.1007/s40279-013-0095-0PMC PMC4166506
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Abstract

Primary anterior cruciate ligament (ACL) injury prevention training has been shown to reduce the risk of injury. Less is known about the effect of prevention on second injury after ACL reconstruction (ACLR). Given recent findings that second injury rates exceed 20 % in only the first year following the return to sport, it is imperative that rehabilitation after ACLR is scrutinized so that second injury preventative strategies can be optimized. A potential limitation of current rehabilitative processes following ACLR could be a deficiency in the transition from conscious awareness achieved during rehabilitation sessions to unexpected and automatic movements required for athletic activities on the field. Learning strategies with an internally directed focus have traditionally been utilized but may be less suitable for acquisition of control of complex motor skills required for sport reintegration. Conversely, an externally focused rehabilitation strategy may enhance skill acquisition more efficiently and increase the potential to transfer to competitive sport. This article presents new insights gained from the motor learning domain that may improve neuromuscular training programmes via increased retention from improved techniques and may ultimately reduce the incidence of second ACL injuries.

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  • The double-leg squat is commonly used in ACL prevention programs.

    “A common exercise, the double-leg squat, is commonly used in ACL prevention programs.14, 25.”

    From Injury Risk Factors Integrated Into Self-Guided Real-Time Biofeedback Improves High-Risk Biomechanics (2019) · cites this paper as [25]

    Section 4.1, “Clinical Examples of Real-Time Feedback” (page unavailable), says a bilateral squat is often used for feedback in patients with side-to-side asymmetries after ACL injury. It does not establish that double-leg squats are commonly used in ACL prevention programs generally. (LLM, conf=0.84)

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Research works printed but not linked: 2

  1. [41]Hewett TE Di Stasi SL Myer GD Current concepts for injury prevention in athletes after anterior cruciate ligament reconstruction Am J Sports Med 2013 41 1 216 224 23041233 PMC3592333
  2. [55]Ford KR DiCesare C Myer GD Real-time biofeedback for ACL injury prevention 2012 Gainesville American Society of Biomechanics Annual Meeting

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Authors
Gokeler, A., Benjaminse, A., Hewett, T. E., Paterno, M. V., Ford, K. R., Otten, E., & Myer, G. D.
Affiliations
  • University Medical Center Groningen (NL)
  • Cincinnati Children's Hospital Medical Center (US)
  • High Point University (US)
Corresponding author
Gokeler, Alli
ORCID
Venue
Sports Medicine
Publisher
Springer Science and Business Media LLC
Published
2013-09-24
Volume
43
Issue
11
Pages
1065-1074
ISSN
  • 0112-1642 (ISSN-L)
  • 1179-2035
DOI
10.1007/s40279-013-0095-0
PMC
PMC4166506
OpenAlex
W2048097582
Cited by
114
References
58
Citations by year
2026: 4 · 2025: 9 · 2024: 4 · 2023: 10 · 2022: 9 · 2021: 17 · 2020: 13 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 7 · 2015: 8 · 2014: 5 · 2012: 1
FWCI
6.57
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR05563, R01AR049735, R01AR055563, R01AR056259)
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Sports and Physical Education Research
Keywords
anterior cruciate ligament reconstruction, second ACL injury, injury prevention training, external focus, internal focus, motor learning, motor control, neuromuscular training, rehabilitation, skill transfer, return to sport, motor skill retention
MeSH terms
Anterior Cruciate Ligament Injuries, Athletic Injuries, Biomechanical Phenomena, Postural Balance, Exercise Therapy, Feedback, Humans, Knee Injuries, Learning, Motor Skills, Movement, Sports, Anterior Cruciate Ligament Reconstruction

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