{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:55:54Z","timestamp":1791302154520,"version":"4.1.0"},"reference-count":73,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82372492"],"award-info":[{"award-number":["82372492"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To categorize landing tasks in electromyography (EMG) studies and compare muscle activity during landing between patients with anterior cruciate ligament reconstruction (ACLR) reported as having returned to sport and healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We systematically searched seven databases (PubMed, Embase, Web of Science, Cochrane Library, Scopus, CINAHL, SPORTDiscus) from inception to 10 December 2025. Studies using EMG to assess muscle activity during landing tasks were included when they compared the reconstructed limb of ACLR patients reported as having returned to sport with limbs from healthy controls. Random\u2010effects meta\u2010analyses evaluated between\u2010group differences using standardized mean differences (SMDs) with 95% confidence intervals (CIs), with findings categorized using an internal evidence classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two studies were included, comprising 556 individuals with ACLR from return\u2010to\u2010sport cohorts and 501 healthy controls. Thirteen landing tasks were analysed, involving fifteen lower\u2010limb muscles and four EMG outcome measures. Each pooled comparison included 2\u20135 studies. Three findings were classified as moderate evidence: greater activation of the medial hamstrings during the reactive phase of single\u2010leg drop landing (based on five studies, SMD\u2009=\u20090.35, 95% CI [0.01, 0.69],\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%), greater gluteus maximus activation during the reactive phase of single\u2010leg drop vertical jump (based on three studies, SMD\u2009=\u20090.63, 95% CI [0.22, 1.03],\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%) and earlier rectus femoris onset in single\u2010leg hop for distance (based on three studies, SMD\u2009=\u2009\u22120.64, 95% CI [\u22121.13, \u22120.14],\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200919%). Most other findings showed no between\u2010group differences or were classified as limited or very limited evidence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ACLR patients reported as having returned to sport may exhibit task\u2010specific alterations in muscle activation patterns compared with healthy controls, and these alterations may be more readily detected during certain single\u2010leg landing tasks. Further prospective and interventional studies are needed to clarify their clinical relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70637","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:11:39Z","timestamp":1791299499000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent alterations in muscle activation patterns during landing tasks after anterior cruciate ligament reconstruction in return\u2010to\u2010sport cohorts: A systematic review and meta\u2010analysis of electromyography studies"],"prefix":"10.1002","author":[{"given":"Yuchen","family":"Han","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zikun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsz Yuen Frank","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Kinesphere Laboratory, Department of Kinesiology University of California Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Exercise and Health Shanghai University of Sport Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao'ao","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"},{"name":"Institute for Intelligent Medical Rehabilitation and Translational Research, Jiangwan Hospital of Hongkou District Shanghai University of Medicine and Health Sciences Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0247-7852","authenticated-orcid":false,"given":"Yinghui","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1055\/a-1171-1900","article-title":"Landing evaluation in soccer players with or without anterior cruciate ligament reconstruction","volume":"41","author":"Alanazi A","year":"2020","journal-title":"Int J Sports Med"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1136\/bjsports-2013-093398","article-title":"Fifty\u2010five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta\u2010analysis including aspects of physical functioning and contextual factors","volume":"48","author":"Ardern CL","year":"2014","journal-title":"Br J Sports Med"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1136\/bjsm.2010.076364","article-title":"Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta\u2010analysis of the state of play","volume":"45","author":"Ardern CL","year":"2011","journal-title":"Br J Sports Med"},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1177\/036354659502300611","article-title":"Knee injury patterns among men and women in collegiate basketball and soccer. 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