The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation

Anterior Cruciate Ligament (ACL) injuries are common in athletic populations and there are many factors that contribute to a return to play decision. Human movement is diverse and variable, and it is important for patients recovering from an ACL injury to develop a variety of movement strategies fo...

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Autores principales:	Timothy Machan, Kody Krupps
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/5aabebd5f973444f82d8e62311fc1cc4
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spelling	oai:doaj.org-article:5aabebd5f973444f82d8e62311fc1cc42021-12-02T16:01:46ZThe Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation10.26603/001c.236792159-2896https://doaj.org/article/5aabebd5f973444f82d8e62311fc1cc42021-06-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/23679-the-neuroplastic-adaptation-trident-model-a-suggested-novel-framework-for-acl-rehabilitation.pdfhttps://doaj.org/toc/2159-2896Anterior Cruciate Ligament (ACL) injuries are common in athletic populations and there are many factors that contribute to a return to play decision. Human movement is diverse and variable, and it is important for patients recovering from an ACL injury to develop a variety of movement strategies for athletic performance. Variability of movement during sport may help to decrease injury risk by preparing the individual to handle many different situations and improve problem solving. ACL injuries result in neurophysiological dysfunction due to a disruption of the afferent information from the native mechanoreceptors in the ligament. Following injury, the brain enters a neuroplastic state and can adapt and change positively or negatively based on the rehabilitation or lack thereof. This commentary presents a novel framework for rehabilitation called the Neuroplastic Adaptation Trident Model that takes into account respected methods for attempting to achieve positive neuroplastic changes. This structured framework provides clinicians with reproducible methods to employ as part of the rehabilitation process to maximize motor control and motor learning. Suggested dosage and implementation are proposed to lead to a consistent and gradually progressive challenge throughout the entire rehabilitation process that takes advantage of the time from surgery until return to play. The purpose of this clinical commentary is to describe the Neuroplastic Adaptation Trident model and provide examples for clinical implementation. This method should be studied further to determine true effectiveness; currently, it is presented as a theoretical model based on best current evidence regarding ACL injury and rehabilitation of neurophysiologic dysfunction. # Level of Evidence 5Timothy MachanKody KruppsNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Timothy Machan Kody Krupps The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
description	Anterior Cruciate Ligament (ACL) injuries are common in athletic populations and there are many factors that contribute to a return to play decision. Human movement is diverse and variable, and it is important for patients recovering from an ACL injury to develop a variety of movement strategies for athletic performance. Variability of movement during sport may help to decrease injury risk by preparing the individual to handle many different situations and improve problem solving. ACL injuries result in neurophysiological dysfunction due to a disruption of the afferent information from the native mechanoreceptors in the ligament. Following injury, the brain enters a neuroplastic state and can adapt and change positively or negatively based on the rehabilitation or lack thereof. This commentary presents a novel framework for rehabilitation called the Neuroplastic Adaptation Trident Model that takes into account respected methods for attempting to achieve positive neuroplastic changes. This structured framework provides clinicians with reproducible methods to employ as part of the rehabilitation process to maximize motor control and motor learning. Suggested dosage and implementation are proposed to lead to a consistent and gradually progressive challenge throughout the entire rehabilitation process that takes advantage of the time from surgery until return to play. The purpose of this clinical commentary is to describe the Neuroplastic Adaptation Trident model and provide examples for clinical implementation. This method should be studied further to determine true effectiveness; currently, it is presented as a theoretical model based on best current evidence regarding ACL injury and rehabilitation of neurophysiologic dysfunction. # Level of Evidence 5
format	article
author	Timothy Machan Kody Krupps
author_facet	Timothy Machan Kody Krupps
author_sort	Timothy Machan
title	The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
title_short	The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
title_full	The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
title_fullStr	The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
title_full_unstemmed	The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation
title_sort	neuroplastic adaptation trident model: a suggested novel framework for acl rehabilitation
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/5aabebd5f973444f82d8e62311fc1cc4
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The Neuroplastic Adaptation Trident Model: A Suggested Novel Framework for ACL Rehabilitation

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