Neurophysiology of ACL Injury

Review
Autori
M. Stańczak, B. Swinnen, B. Kacprzak, A. Pacek, J. Surmacz
Rivista
Orthopedic Reviews - vol. 17 (2025)
Editore
Open Medical Publishing
DOI
10.52965/001c.129173

Anterior cruciate ligament (ACL) injuries do not simply represent a mechanical failure of the knee joint, but constitute a complex disruption of the sensorimotor system, involving profound changes in neural connectivity, sensory processing, and motor control. Traditional rehabilitation methods, which focus exclusively on strengthening the musculature around the knee, often overlook the critical role of the central nervous system in coordinating the dynamic stability of the joint. Neuroplastic-neurocognitive therapy offers a comprehensive solution that addresses both the neuromuscular and neurocognitive deficits associated with ACL injuries.

Results

By engaging the central nervous system through targeted exercises that progressively challenge visual, proprioceptive, and reflex control, this approach increases neural plasticity, improves motor learning, and accelerates the restoration of dynamic stability.

Through the systematic integration of these tools into the various stages of rehabilitation, neuroplastic-neurocognitive therapy not only promotes the re-establishment of stable and automatic motor patterns, but also prepares athletes for the chaotic and unpredictable nature of the sporting environment.

This advanced approach ensures that athletes can return to sport with a higher level of competence, greater confidence, and a reduced risk of re-injury, ultimately optimizing long-term outcomes and athletic performance.

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