4.6 Article

Neuromuscular responses in individuals with anterior cruciate ligament repair

Journal

CLINICAL NEUROPHYSIOLOGY
Volume 122, Issue 5, Pages 997-1004

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.clinph.2010.09.002

Keywords

Neuromuscular control; Single leg squat; Weight bearing; Reflexes

Funding

  1. NIH [R01-NR-010285-05]

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Objective: Knee surgery may alter the neuromuscular response to unexpected perturbations during functional, dynamic tasks. Long latency reflexes (LLR) follow a transcortical pathway and appear to be modifiable by task demands, potentially giving them a role in neuromuscular performance. We examined LLRs of the quadriceps and hamstrings in response to unexpected perturbations in individuals with a repaired anterior cruciate ligament (ACLR) during a weight-bearing task. We also investigated the anticipatory and volitional muscle activity that preceded and followed the LLR to quantify possible reflex adaptations associated with surgical repair. Methods: Twelve females with ACLR and 12 healthy female controls performed a single leg squat maneuver, tracking a sinusoidal target. Random perturbations at the start of the flexion phase yielded tracking errors (overshoot errors) and triggered compensatory reflex activity. Results: ACLR subjects demonstrated greater overshoot error and knee velocity during unexpected perturbations, increased LLR responses, and reduced absolute anticipatory, short-latency reflex, and voluntary quadriceps activity. Conclusions: ACLR subjects showed impaired response to perturbation and a distinct EMG profile during a dynamic single leg weight-bearing task. Future research will determine the cause of neural adaptations in those with ACLR. Significance: Neuromuscular adaptations may be a viable target for post-ACL injury rehabilitation interventions. (C) 2010 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

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