Effectiveness of On-Field Training in Anterior Cruciate Ligament (ACL) Injury Rehabilitation
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Anterior cruciate ligament (ACL) injuries are among the most common and debilitating injuries sustained by athletes, often resulting in prolonged time away from sport and significant physical and psychological challenges. Rehabilitation is essential to restore function, prevent re-injury, and optimize return-to-sport readiness. While clinic-based rehabilitation has traditionally been the mainstay of recovery, on-field training has gained recognition as a crucial component in the late stages of rehabilitation. This paper evaluates the effectiveness of on-field training (OFT) in ACL rehabilitation, highlighting its impact on pain reduction, functional improvement, psychological readiness, and return-to-sport outcomes. Findings suggest that OFT accelerates recovery and enhances sport-specific performance without increasing re-injury risk, making it an essential adjunct to clinic-based therapy
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References
Zhou, H., et al. (2025). Exercise therapy efficacy in ACL surgery rehab: A meta-analysis. Frontiers in Physiology. https://doi.org/10.3389/fphys.2025.1501458
Forelli, F. (2025). Introducing open kinetic chain post-ACL reconstruction: Criteria-based approach. Sports Medicine – Open. https://doi.org/10.1186/s40798-025-00843-8
Zhang, T. (2025). ACL repair vs. reconstruction in proximal ruptures: Meta-analysis. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993930/
Elabd, O. M. (2024). Accelerated rehab protocol in amateur athletes post-ACL reconstruction. Journal of Rehabilitation Medicine – Sweden.
Fontanier, V. (2025). Open kinetic chain exercises during early ACL rehab: A clinical trial.
Nuno, S. L., et al. (2025). Functional asymmetries post-ACL reconstruction in athletes. PMC. https://www.ncbi.nlm.nih.gov/articles/PMC12208779/
Gardner, E. C. (2024). Telerehabilitation addressing ACL recovery gaps. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927236/
Van Haren, I. E. P. M. (2025). Prognostic factors for return to sport after ACLR. Procedia Digital Medicine.
Waldron, K. (2022). Rehab and return-to-sport after ACL injury: Review of practices.
Filbay, S. R., et al. (2025). Clinician decision-making in ACL injury treatment: A mixed-methods study.
Wang, K., et al. (2024). Tele-rehabilitation vs. self-rehabilitation after ACLR: RCT findings.
Franco, D. (2024). Prevention and rehab strategies for non-contact ACL injuries: Narrative review. Applied Sciences.
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