New Rehabilitation Strategies in Acl Injuries: A Review

Paper ID : 1766-SPORTCONGRESS

Authors

Mohamad hossein Hoshmand * No

Abstract

Introduction: Anterior Cruciate Ligament (ACL) injury severely impairs athletic performance, particularly in high-impact sports like soccer and basketball. Traditional rehabilitation relied on fixed timelines and isolated exercises, resulting in delayed return-to-sport (RTS), reduced functional strength, and high reinjury rates. Modern sport science approaches prioritize criterion-based progression, neuromuscular training, advanced motor learning protocols, biofeedback, and artificial intelligence to optimize movement quality, dynamic control, and RTS decision-making. This review synthesizes 2023–2025 evidence to highlight innovative strategies aligned with conference themes (corrective exercises, biomechanics, psychology, and AI in sport sciences). Methods: A systematic search was conducted in Scopus, SportDiscus, and Google Scholar for studies published between 2023 and 2025. Keywords included “ACL rehabilitation,” “motor learning,” “biofeedback,” “AI in RTS,” and “functional training.” Inclusion criteria comprised randomized trials in competitive athletes post-ACLR, functional assessments (LSI, cutting, landing), and interdisciplinary interventions. Thirteen studies focusing on biomechanics, motor learning, and technology were selected for narrative synthesis. Results: Of the 13 reviewed articles: • 46% (6 studies) focused on motor learning: advanced protocols using implicit learning and variable practice retrained complex patterns (pivoting, cutting), increasing movement automaticity by up to 75% under pressure. • 31% (4 studies) emphasized biofeedback and attentional focus: reducing knee abduction moment by 25% during landing and improving hip-knee coordination in females post-ACLR. • 15% (2 studies) applied artificial intelligence: machine learning models predicted RTS readiness with 88% accuracy. • 8% (1 study) reported Cross Bracing Protocol (CBP): non-surgical healing in 80% of complete ruptures. Early open kinetic chain (OKC) and plyometric exercises improved strength symmetry to 95% within 5–6 months. These approaches achieved safe RTS rates of 85–92%. Conclusion: New ACL rehabilitation strategies in sport sciences integrate corrective exercises, biomechanics, motor learning, and AI to foster sustainable performance. Implementing these protocols enhances return-to-competition quality and highlights the need for applied research among

Keywords

ACL rehabilitation, motor learning, biofeedback, sport biomechanics, AI in RTS, return-to-sport

Status: Abstract Accepted (Poster Presentation)