This case study highlights a sports chiropractor's multimodal rehabilitation approach, incorporating neurological rehabilitation for a post-surgical ACL repair. By integrating neurocognitive training, specifically targeting visual processing and anticipatory reactions, the aim is to reduce motor errors and minimise the risk of secondary injuries.

 

Current best practice protocols for ACL injuries may overlook the on-field neurocognitive demands. Athletes may lack adequate cognitive training to handle biomechanical loads and process the dynamic environment of a match, potentially leading to compensatory movements and a higher reinjury risk.

 

The purpose of this case study is to demonstrate how biomechanical and neurocognitive rehabilitation can be integrated to reduce reinjury likelihood and facilitate a successful return to high-level play. The patient, a 35-year-old female semi-elite soccer player, suffered a left knee injury during a game. Despite a normal orthopaedic examination, subsequent MRI revealed extensive damage, including a complete ACL rupture. ACL reconstructive surgery was performed successfully.

 

The rehabilitation program focused on progressive biomechanical loading and neurocognitive training, incorporating an external focus of control to minimisecompensatory movements. Throughout the process, the patient's abilities were regularly assessed using the BalanceTrackS system, allowing adjustments to the rehabilitation plan. Standard questionnaires were also administered to evaluate progress and readiness for a safe return to play at various intervals (one week, one month, three months, and six months).

 

KEY WORDS:

Sports Chiropractic, multimodal, post-surgical, rehabilitation, neurocognitive, ACL