{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:43:39Z","timestamp":1793313819389,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,10,14]],"date-time":"2014-10-14T00:00:00Z","timestamp":1413244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,10,14]],"date-time":"2014-10-14T00:00:00Z","timestamp":1413244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the influence of immersion in a virtual reality environment on knee biomechanics in patients after ACL reconstruction (ACLR). It was hypothesized that virtual reality techniques aimed to change attentional focus would influence altered knee flexion angle, knee extension moment and peak vertical ground reaction force (vGRF) in patients following ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty athletes following ACLR and 20 healthy controls (CTRL) performed a step\u2010down task in both a non\u2010virtual reality environment and a virtual reality environment displaying a pedestrian traffic scene. A motion analysis system and force plates were used to measure kinematics and kinetics during a step\u2010down task to analyse each single\u2010leg landing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A significant main effect was found for environment for knee flexion excursion (\n                      <jats:italic>P<\/jats:italic>\n                      = n.s.). Significant interaction differences were found between environment and groups for vGRF (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004), knee moment (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), knee angle at peak vGRF (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01) and knee flexion excursion (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.03). There was larger effect of virtual reality environment on knee biomechanics in patients after ACLR compared with controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients after ACLR immersed in virtual reality environment demonstrated knee joint biomechanics that approximate those of CTRL. The results of this study indicate that a realistic virtual reality scenario may distract patients after ACLR from conscious motor control. Application of clinically available technology may aid in current rehabilitation programmes to target altered movement patterns after ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Diagnostic study, Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-014-3374-x","type":"journal-article","created":{"date-parts":[[2014,10,13]],"date-time":"2014-10-13T11:05:33Z","timestamp":1413198333000},"page":"2280-2286","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":98,"title":["Immersive virtual reality improves movement patterns in patients after ACL reconstruction: implications for enhanced criteria\u2010based return\u2010to\u2010sport rehabilitation"],"prefix":"10.1002","volume":"24","author":[{"given":"Alli","family":"Gokeler","sequence":"first","affiliation":[{"name":"Center for Human Movement Sciences University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marsha","family":"Bisschop","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Myer","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine Cincinnati Children's Hospital Medical Center Department of Pediatrics and Orthopaedic Surgery College of Medicine University of Cincinnati Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Benjaminse","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences University Medical Center Groningen University of Groningen Groningen The Netherlands"},{"name":"School of Sport Studies Hanze University Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter U.","family":"Dijkstra","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center for Rehabilitation University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helco G.","family":"van Keeken","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos J. A. M.","family":"van Raay","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Martini Hospital Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes G. M.","family":"Burgerhof","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egbert","family":"Otten","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences University Medical Center Groningen University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2009-0497"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102696\u20104"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102034\u20102"},{"key":"e_1_2_7_5_1","unstructured":"BenjaminseA WellingW OttenB GokelerANovel methods of instruction in ACL injury prevention programs a systematic review.Phys Ther Sport(2014)"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776\u2010011\u20100118\u20103"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","unstructured":"CordeiroN CortesN FernandesO DinizA Pezarat\u2010CorreiaPDynamic knee stability and ballistic knee movement after ACL reconstruction: an application on instep soccer kick.Knee Surg Sports Traumatol Arthrosc(2014)24519621","DOI":"10.1007\/s00167-014-2894-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/14763141.2010.547591"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391\u2010010\u20100124\u20107"},{"key":"e_1_2_7_10_1","volume-title":"Human performance","author":"Fitts PM","year":"1967"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318149332d"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/cpb.2006.9.157"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e31824d2783"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010013\u20100095\u20100"},{"issue":"4","key":"e_1_2_7_15_1","first-page":"441","article-title":"Return of normal gait as an outcome measurement in ACL\u2010reconstructed patients: a systematic review","volume":"8","author":"Gokeler A","year":"2013","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_2_7_16_1","unstructured":"GokelerA BenjaminseA WellingW AlferinkM EppingaP OttenBThe effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction.Phys Ther Sport(2014)"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.2008.00873.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512459638"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200210000\u201000025"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20110206"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actpsy.2011.05.015"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(03)00398\u20100"},{"key":"e_1_2_7_23_1","first-page":"122","article-title":"Virtual reality and exercise: behavioral and psychological effects of visual feedback","volume":"167","author":"Mestre DR","year":"2011","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.516328"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512454656"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2011.3547"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2010.10.018"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510376053"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2010.00216"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509335196"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.0106"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/713756012"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102923.2009.03421.x"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-014-3374-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-014-3374-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-014-3374-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:07:50Z","timestamp":1760879270000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-014-3374-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,14]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1007\/s00167-014-3374-x"],"URL":"https:\/\/doi.org\/10.1007\/s00167-014-3374-x","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,14]]}}}