• Sharp N
• Pollard H

• Adult
• Anterior Cruciate Ligament Injuries / rehabilitation
• Female
• Knee Injuries / rehabilitation
• Neurological Rehabilitation
• Open Access Document
• Soccer / injuries
• Sports Chiropractic / Australia

Background: This case study underscores a sports chiropractor's comprehensive rehabilitation approach, integrating neurological rehabilitation into the post-surgical recovery of an ACL (anterior cruciate ligament) repair. Through the incorporation of neurocognitive training, specifically directed at enhancing visual processing and anticipatory reactions, the primary objective is to mitigate motor errors and minimise the susceptibility to secondary injuries.

Conventional protocols for managing ACL injuries may neglect the on-field neurocognitive demands imposed on athletes. Inadequate cognitive training may render athletes less equipped to manage biomechanical stresses and navigate the dynamic environment of a match, potentially resulting in compensatory movements and an elevated risk of reinjury.

Case Presentation: The patient, a 35-year-old female semi-elite soccer player, sustained a left knee injury during a game. Despite a normal orthopedic examination, subsequent MRI revealed extensive damage, including a complete ACL rupture, leading to successful ACL reconstructive surgery. The objective of this case study is to illustrate how the integration of biomechanical and neurocognitive rehabilitation can diminish the likelihood of reinjury and facilitate a successful return to high-level athletic performance.

Conclusion: The rehabilitation program prioritised incremental biomechanical loading and neurocognitive training, employing an external focus of control to mitigate compensatory movements. Throughout the intervention, the patient's capabilities were consistently evaluated using the BalanceTrackS system, enabling adjustments to the rehabilitation plan. Standardised questionnaires were also administered at various intervals (one week, one month, three months, and six months) to assess progress and determine readiness for a secure return to play.

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