Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure

Abstract Background Anterior cruciate ligament injury arises when the knee anterior ligament fibers are stretched, partially torn, or completely torn. Operated patients either end up re-injuring their reconstructed anterior cruciate ligament or majority develop early osteoarthritis regardless of the...

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Autores principales:	Balázs Sonkodi, Endre Varga, László Hangody, Gyula Poór, István Berkes
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anterior cruciate ligament reconstruction Rehabilitation Anterior cruciate ligament re-injury Early osteoarthritis Stationary cycling Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/f69723a3b6fc4ef7bcf49a373a70cb99
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spelling	oai:doaj.org-article:f69723a3b6fc4ef7bcf49a373a70cb992021-11-28T12:37:55ZFinishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure10.1186/s13102-021-00377-y2052-1847https://doaj.org/article/f69723a3b6fc4ef7bcf49a373a70cb992021-11-01T00:00:00Zhttps://doi.org/10.1186/s13102-021-00377-yhttps://doaj.org/toc/2052-1847Abstract Background Anterior cruciate ligament injury arises when the knee anterior ligament fibers are stretched, partially torn, or completely torn. Operated patients either end up re-injuring their reconstructed anterior cruciate ligament or majority develop early osteoarthritis regardless of the remarkable improvements of surgical techniques and the widely available rehabilitation best practices. New mechanism theories of non-contact anterior cruciate ligament injury and delayed onset muscle soreness could provide a novel perspective how to respond to this clinical challenge. Main body A tri-phasic injury model is proposed for these non-contact injuries. Mechano-energetic microdamage of the proprioceptive sensory nerve terminals is suggested to be the first-phase injury that is followed by a harsher tissue damage in the second phase. The longitudinal dimension is the third phase and that is the equivalent of the repeated bout effect of delayed onset muscle soreness. Current paper puts this longitudinal injury phase into perspective as the phase when the long-term memory consolidation and reconsolidation of this learning related neuronal injury evolves and the phase when the extent of the neuronal regeneration is determined. Reinstating the mitochondrial energy supply and ‘breathing capacity’ of the injured proprioceptive sensory neurons during this period is emphasized, as avoiding fatigue, overuse, overload and re-injury. Conclusions Extended use, minimum up to a year or even longer, of a current rehabilitation technique, namely moderate intensity low resistance stationary cycling, is recommended preferably at the end of the day. This exercise therapeutic strategy should be a supplementation to the currently used rehabilitation best practices as a knee anti-aging maintenance effort.Balázs SonkodiEndre VargaLászló HangodyGyula PoórIstván BerkesBMCarticleAnterior cruciate ligament reconstructionRehabilitationAnterior cruciate ligament re-injuryEarly osteoarthritisStationary cyclingSports medicineRC1200-1245ENBMC Sports Science, Medicine and Rehabilitation, Vol 13, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anterior cruciate ligament reconstruction Rehabilitation Anterior cruciate ligament re-injury Early osteoarthritis Stationary cycling Sports medicine RC1200-1245
spellingShingle	Anterior cruciate ligament reconstruction Rehabilitation Anterior cruciate ligament re-injury Early osteoarthritis Stationary cycling Sports medicine RC1200-1245 Balázs Sonkodi Endre Varga László Hangody Gyula Poór István Berkes Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
description	Abstract Background Anterior cruciate ligament injury arises when the knee anterior ligament fibers are stretched, partially torn, or completely torn. Operated patients either end up re-injuring their reconstructed anterior cruciate ligament or majority develop early osteoarthritis regardless of the remarkable improvements of surgical techniques and the widely available rehabilitation best practices. New mechanism theories of non-contact anterior cruciate ligament injury and delayed onset muscle soreness could provide a novel perspective how to respond to this clinical challenge. Main body A tri-phasic injury model is proposed for these non-contact injuries. Mechano-energetic microdamage of the proprioceptive sensory nerve terminals is suggested to be the first-phase injury that is followed by a harsher tissue damage in the second phase. The longitudinal dimension is the third phase and that is the equivalent of the repeated bout effect of delayed onset muscle soreness. Current paper puts this longitudinal injury phase into perspective as the phase when the long-term memory consolidation and reconsolidation of this learning related neuronal injury evolves and the phase when the extent of the neuronal regeneration is determined. Reinstating the mitochondrial energy supply and ‘breathing capacity’ of the injured proprioceptive sensory neurons during this period is emphasized, as avoiding fatigue, overuse, overload and re-injury. Conclusions Extended use, minimum up to a year or even longer, of a current rehabilitation technique, namely moderate intensity low resistance stationary cycling, is recommended preferably at the end of the day. This exercise therapeutic strategy should be a supplementation to the currently used rehabilitation best practices as a knee anti-aging maintenance effort.
format	article
author	Balázs Sonkodi Endre Varga László Hangody Gyula Poór István Berkes
author_facet	Balázs Sonkodi Endre Varga László Hangody Gyula Poór István Berkes
author_sort	Balázs Sonkodi
title	Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
title_short	Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
title_full	Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
title_fullStr	Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
title_full_unstemmed	Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
title_sort	finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f69723a3b6fc4ef7bcf49a373a70cb99
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Finishing stationary cycling too early after anterior cruciate ligament reconstruction is likely to lead to higher failure

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