Volume 33, Issue 10 (2-2026)
JSSU 2026, 33(10): 9456-9471 |
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Aali S, Rezazade F, Imani F, Moradzadeh N, Rezaee Erfan F. Effect of Neuromuscular Training on Biomechanical Variables of Athletes with a History of Anterior Cruciate Ligament Injury During Transitional Movements: A Systematic Review. JSSU 2026; 33 (10) :9456-9471
URL: http://jssu.ssu.ac.ir/article-1-6439-en.html
URL: http://jssu.ssu.ac.ir/article-1-6439-en.html
Abstract: (10 Views)
Introduction: Anterior Cruciate Ligament (ACL) injury is one of the most common sports injuries that often leads to disruption of biomechanical variables of transitional movements. This systematic review aimed to investigate the effect of neuromuscular training on improving these variables in athletes with a history of ACL injury.
Methods: This systematic review was conducted following the PRISMA guidelines and involved searching PubMed, Scopus, Web of Science, SID, Noormags, and Google Scholar search engine from January 2005 to February 2025. Out of the 869 identified articles, 10 studies that fulfilled the inclusion criteria (clinical trials, semi-experimental and/or cohort studies) with a minimum of 6 weeks of intervention were selected, and quality was assessed using the Down and Black questionnaire.
Results: This systematic review examined only 10 studies that fulfilled the inclusion criteria. Neuromuscular and cross-training exercises for 6 to 12 weeks, conducted 3 times per week, resulted in significant improvements in neuromuscular control (increased muscle electrical activity, reduced knee proprioception error, and improved jumping mechanics), motor function, and knee biomechanics.
Conclusion: Neuromuscular training improved biomechanical variables in athletes with ACL injuries by improving neuromuscular coordination, dynamic balance, and proprioception. It was also effective in preventing re-injury by reducing knee flexion angle and destructive torques, although heterogeneity of protocols and individual differences limited the generalizability of the results.
Methods: This systematic review was conducted following the PRISMA guidelines and involved searching PubMed, Scopus, Web of Science, SID, Noormags, and Google Scholar search engine from January 2005 to February 2025. Out of the 869 identified articles, 10 studies that fulfilled the inclusion criteria (clinical trials, semi-experimental and/or cohort studies) with a minimum of 6 weeks of intervention were selected, and quality was assessed using the Down and Black questionnaire.
Results: This systematic review examined only 10 studies that fulfilled the inclusion criteria. Neuromuscular and cross-training exercises for 6 to 12 weeks, conducted 3 times per week, resulted in significant improvements in neuromuscular control (increased muscle electrical activity, reduced knee proprioception error, and improved jumping mechanics), motor function, and knee biomechanics.
Conclusion: Neuromuscular training improved biomechanical variables in athletes with ACL injuries by improving neuromuscular coordination, dynamic balance, and proprioception. It was also effective in preventing re-injury by reducing knee flexion angle and destructive torques, although heterogeneity of protocols and individual differences limited the generalizability of the results.
Keywords: Anterior cruciate ligament injury, Motor function, Neuromuscular training, Systematic review.
Type of Study: Review article |
Subject:
Exercise Physiology
Received: 2025/05/6 | Accepted: 2025/07/7 | Published: 2026/02/4
Received: 2025/05/6 | Accepted: 2025/07/7 | Published: 2026/02/4
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