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Recent research shows that OKC exercises, when combined with closed kinetic chain exercises, improve strength without compromising graft integrity, though careful monitoring for knee pain and effusion is essential. Neurocognitive training, targeting reaction times, visual attention and dual\u2010tasking, is promising for reducing reinjury risk but remains underutilized. Similarly, psychological responses, often assessed via patient\u2010reported outcomes, are a critical part of the recovery process after ACLR, but how to address these responses for the individual patient remains unclear, emphasizing the need for individualized support. The European Society for Sports Traumatology, Knee Surgery, and Arthroscopy (ESSKA) is developing an ACL rehabilitation consensus to integrate these insights into actionable, evidence\u2010based guidelines, ensuring tailored, patient\u2010centered care that optimizes recovery and reduces reinjury risks.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12600","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:04:14Z","timestamp":1739232254000},"page":"1178-1182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Anterior cruciate ligament reconstruction rehabilitation: Decades of change"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0998-1453","authenticated-orcid":false,"given":"Nicky","family":"van Melick","sequence":"first","affiliation":[{"name":"Sports &amp; Orthopedics Research Center, Anna TopSupport Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Hamrin","family":"Senorski","sequence":"additional","affiliation":[{"name":"Sahlgrenska Sports Medicine Center Gothenburg Sweden"},{"name":"Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Kr\u00f3likowska","sequence":"additional","affiliation":[{"name":"Physiotherapy Research Laboratory, University Centre of Physiotherapy and Rehabilitation, Faculty of Physiotherapy Wroclaw Medical University Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Prill","sequence":"additional","affiliation":[{"name":"Center of Orthopaedics and Traumatology University Hospital Brandenburg\/Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel Germany"},{"name":"Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane Brandenburg an der Havel 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