Post-surgical kinetic rehabilitation of the anterior cruciate ligament in athletes aged 20 to 25 years of age
DOI:
https://doi.org/10.71112/mkq4z695Keywords:
rehabilitation, kinesthetics, postoperative, anterior cruciate ligament, soccerAbstract
This study evaluates postoperative anterior cruciate ligament (ACL) kinesthetic rehabilitation in soccer players, focusing on the early and return-to-sport phases. The results indicate high adherence to passive and active exercises to improve range of motion, but with limitations in full knee extension, achieved by only 19% of the players. Quadriceps activation also presented difficulties, with only 44% showing an adequate response. In the advanced phase, greater adherence to muscle strengthening and walking exercises was observed, although proprioception was insufficient, with only 13% of the players performing them. In the return-to-sport phase, 100% of the players showed a progressive increase in running and biometric exercises were performed, suggesting successful rehabilitation for return to sport. However, adjustments are required in key areas such as muscle strengthening and proprioception to optimize recovery.
Downloads
References
Abush Torton, S., & Atri Levy, J. (2012). Reconstrucción del ligamento cruzado anterior en pacientes mayores de 41 años: Resultados utilizando aloinjerto de hueso-tendón rotuliano. Anales Médicos de México, 57(2), 104–111. Disponible en: Medigraphic
Adams, D., Logerstedt, D., Hunter-Giordano, A., Axe, M. J., & Snyder-Mackler, L. (2012). Current concepts for anterior cruciate ligament reconstruction: A criterion-based rehabilitation progression. Journal of Orthopaedic & Sports Physical Therapy, 42(7), 601–614. https://doi.org/10.2519/jospt.2012.3871:contentReference[oaicite:21]{index=21} DOI: https://doi.org/10.2519/jospt.2012.3871
Adravanti, P., D’Antoni, A. V., & Khanduja, V. (2020). Anterior cruciate ligament reconstruction: Current concepts and controversies. Journal of Clinical Orthopaedics and Trauma, 11(5), 785–792. https://doi.org/10.1016/j.jcot.2020.04.010:contentReference[oaicite:28]{index=28}
Álvarez, A., & García, Y. (2015). Lesiones del ligamento cruzado anterior. Revista Archivo Médico Camagüey, 19(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552015000100014:contentReference[oaicite:38]{index=38}
Anderson, A. F., Arnoczky, S. P., Bach, B. R., Barber-Westin, S. D., Burks, R. T., Carpenter, J. E., et al. (1994). The ACL-deficient knee. American Academy of Orthopaedic Surgeons. https://doi.org/10.5435/00124635-200602000-00001:contentReference[oaicite:42]{index=42}
Burgi, C. R., Peters, S., Ardern, C. L., Magill, J. R., Gomez, C. D., Sylvain, J., & Reiman, M. P. (2019). Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. British Journal of Sports Medicine, 53(18), 1154–1161. https://doi.org/10.1136/bjsports-2018-099982:contentReference[oaicite:49]{index=49} DOI: https://doi.org/10.1136/bjsports-2018-099982
Chomiak, J., Junge, A., Peterson, L., & Dvorak, J. (2000). Severe injuries in football players: Influencing factors. American Journal of Sports Medicine, 28(5 Suppl), S58–S68. https://doi.org/10.1177/28.suppl_5.s-58:contentReference[oaicite:56]{index=56} DOI: https://doi.org/10.1177/28.suppl_5.s-58
Dragoo, J. L., & Braun, H. J. (2010). The effect of playing surface on injury rate. Sports Medicine, 40(11), 981–990. https://doi.org/10.2165/11535910-000000000-00000:contentReference[oaicite:63]{index=63} DOI: https://doi.org/10.2165/11535910-000000000-00000
Emory Healthcare. (s.f.). 3–4 Month Phase – Post-Surgery Goals – Emory ACL Rehabilitation. Recuperado el 9 de mayo de 2025, de https://www.emoryhealthcare.org/centers-programs/acl-program/return-to-play/months-3-4:contentReference[oaicite:67]{index=67}
Escamilla, R. F., & Macleod, T. D. (2017). Anterior cruciate ligament reconstruction: Return to sport and prevention of future injury. Sports Medicine and Arthroscopy Review, 25(3), 117–122. https://doi.org/10.1097/JSA.0000000000000164:contentReference[oaicite:74]{index=74}
Flahiff, C., & Brooks, A. (1995). Biomechanical analysis of patellar tendon allografts as a function of donor age. American Journal of Sports Medicine, 23(3), 354–357. https://doi.org/10.1177/036354659502300319:contentReference[oaicite:81]{index=81} DOI: https://doi.org/10.1177/036354659502300319
Fuller, C. W., Ekstrand, J., Junge, A., Andersen, T. E., Bahr, R., Dvorak, J., ... Meeuwisse, W. H. (2006). Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scandinavian Journal of Medicine & Science in Sports, 16(2), 83–92. https://doi.org/10.1111/j.1600-0838.2006.00528.x:contentReference[oaicite:88]{index=88} DOI: https://doi.org/10.1111/j.1600-0838.2006.00528.x
Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., & Garrett, W. E. (2006). Noncontact anterior cruciate ligament injuries: Risk factors and prevention strategies. Journal of the American Academy of Orthopaedic Surgeons, 14(2), 69–77. https://doi.org/10.5435/00124635-200602000-00001:contentReference[oaicite:95]{index=95}
Grindem, H., Snyder-Mackler, L., Moksnes, H., Engebretsen, L., & Risberg, M. A. (2016). Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: The Delaware-Oslo ACL cohort study. British Journal of Sports Medicine, 50(13), 804–808. https://doi.org/10.1136/bjsports-2016-096031:contentReference[oaicite:102]{index=102} DOI: https://doi.org/10.1136/bjsports-2016-096031
Grooms, D. R., Appelbaum, G., & Onate, J. A. (2015). Neuroplasticity following anterior cruciate ligament injury: A framework for visual-motor training approaches in rehabilitation. Journal of Orthopaedic & Sports Physical Therapy, 45(5), 381–393. https://doi.org/10.2519/jospt.2015.5549:contentReference[oaicite:109]{index=109} DOI: https://doi.org/10.2519/jospt.2015.5549
Hernández Sampieri, R., Fernández Collado, C., & Baptista Lucio, P. (2008). Metodología de la investigación (4.ª ed.). McGraw-Hill Interamericana. http://187.191.86.244/rceis/registro/Metodolog%C3%ADa%20de%20la%20Investigaci%C3%B3n%20SAMPIERI.pdf:contentReference[oaicite:113]{index=113}
Herrero, N. (2014). Influencia de la superficie de juego, botas y otras variables en la producción de lesiones por mecanismo indirecto de la extremidad inferior en el fútbol.
Inga, D. (2017). Prevalencia de lesiones meniscales de rodilla mediante resonancia magnética en pacientes del Hospital Nacional Ramiro Prialé de Huancayo [Tesis de licenciatura, Universidad Alas Peruanas]. Repositorio Institucional UAP. https://hdl.handle.net/20.500.12990/2732:contentReference[oaicite:121]{index=121}
Lamb, D. (1985). Fisiología del ejercicio: Respuestas y adaptaciones. Ed. Augusto E. Pila Teleña.
Lang, P., Sugimoto, D., & Micheli, L. (2017). Prevention, treatment, and rehabilitation of anterior cruciate ligament injuries in children. Open Access Journal of Sports Medicine, 8, 133–141. https://doi.org/10.2147/OAJSM.S133940:contentReference[oaicite:132]{index=132} DOI: https://doi.org/10.2147/OAJSM.S133940
Legido Arce, J. C. (2008). Rehabilitación del paciente con lesión del ligamento cruzado anterior de la rodilla (LCA). Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 8(29), 200–210. http://hdl.handle.net/10486/3576:contentReference[oaicite:139]{index=139}
López Álvarez, C. A., & García Lorenzo, Y. C. (2017). Lesiones del ligamento cruzado posterior. Revista Archivo Médico de Camagüey, 21(6), 806–816. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552017000600014:contentReference[oaicite:146]{index=146}
Malempati, C., Jurjans, J., Noehren, B., Ireland, M., & Johnson, D. (2015). Current rehabilitation concepts for anterior cruciate ligament surgery in athletes. Orthopedics, 38(11), 689–696. https://doi.org/10.3928/01477447-20151020-03:contentReference[oaicite:153]{index=153} DOI: https://doi.org/10.3928/01477447-20151016-07
Massachusetts General Hospital. (s.f.). Rehabilitation after arthroscopic knee surgery: Phase 1. Recuperado el 9 de mayo de 2025, de https://www.massgeneral.org/assets/MGH/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-knee-arthroscopy-phase1.pdf:contentReference[oaicite:157]{index=157}
MOON Knee Group. (s.f.-a). ACL Rehabilitation Phase 2 Exercises. Recuperado el 9 de mayo
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Multidisciplinary Journal Epistemology of the Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.