REHABILITATION-INDUCED FUNCTIONAL RECONSTITUTION IN INDIVIDUALS UNDERGOING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTIVE INTERVENTIONS
DOI:
https://doi.org/10.53555/krrpcq74Keywords:
Anterior cruciate ligament reconstruction, physiotherapy rehabilitation, functional recovery, neuromuscular performance, sports medicineAbstract
Anterior cruciate ligament (ACL) ruptures constitute one of the most debilitating musculoskeletal pathologies affecting athletes and physically active populations. Although anterior cruciate ligament reconstruction (ACLR) re-establishes mechanical knee stability, the trajectory of optimal postoperative recovery is profoundly dependent on structured physiotherapeutic intervention. Targeted rehabilitative modalities including progressive strength training, proprioceptive recalibration, neuromuscular re-education, and mobility restoration have been increasingly recognized as pivotal determinants of postoperative functional reintegration. A prospective cohort design was employed involving adults undergoing primary ACLR who subsequently initiated a standardized postoperative physiotherapy regimen. Functional evaluations were conducted at baseline, 6 weeks, and 12 weeks using validated outcome metrics: International Knee Documentation Committee (IKDC) scores, Lysholm scores, single-leg hop limb symmetry indices, joint range of motion, quadriceps and hamstring strength profiles, and postural sway assessments. Across the 12-week period, participants demonstrated consistent and significant advances in functional indices, indicative of enhanced knee stability and attenuation of symptomatic limitations. Progressive restoration of quadriceps and hamstring strength paralleled improvements in joint mobility and mitigation of extension deficits. Neuromuscular function showed continual refinement, reflected through superior hop-test symmetry and diminished balance perturbations. Findings suggest that a criterion-based, systematically structured physiotherapy program substantially accelerates functional, neuromuscular, and mobility-related recovery following ACLR, facilitating safer readiness for return-to-activity benchmarks. Future investigations should encompass broader patient cohorts and diverse rehabilitation paradigms to refine evidence-based protocols and optimize clinical decision-making.
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