{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T23:54:46Z","timestamp":1780530886146,"version":"3.54.1"},"reference-count":39,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,11,25]],"date-time":"2017-11-25T00:00:00Z","timestamp":1511568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nWhether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only.\nMethods\nWe retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years. Surgical techniques, rehabilitation, assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile of the patient were evaluated.\nResults\nOverall, 43 patients were included in Group A (mean age, 32.56 \u00b1 4.89; Tegner activity scale, 5) and 39 patients in Group B (31.67 \u00b1 7.27; 5). Patients in both groups returned to their regular physical activity level after a similar time frame (Group A: average, 12 months; Group B, average, 13.4 months). The mean Lysholm knee score was 88.52 \u00b1 7.65 in Group A and 86.21 \u00b1 13.72 in Group B. Mean distances for the one-leg hop test for Group A were 135.21 \u00b1 31.66 and 145.36 \u00b1 42.10 mm in the reconstructed and uninjured knees, respectively. In Group B, the mean hop distances were 132.47 \u00b1 28.13 and 147.89 \u00b1 21.45 mm in the rehabilitated and uninjured knees, respectively. No statistical difference was observed between the groups for any of the parameters evaluated, including assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile.\nConclusion\nOur data suggest that early surgical reconstruction may not be a prerequisite to returning to recreational physical activities after injury in patients with ACL tears.\nLevel of evidence\nLevel IV, therapeutic study.\nER -\n\nKeywords\n\n\n\tAnterior cruciate ligament\n\tAnterior cruciate ligament reconstruction\n\tFunctional performance tests\n\tKnee joint\n\tNeuromuscular joint facilitation\n\tProprioception<\/jats:p>","DOI":"10.1016\/j.aott.2017.11.010","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T09:06:10Z","timestamp":1514451970000},"page":"37-43","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?"],"prefix":"10.5152","volume":"52","author":[{"given":"Emrah","family":"KOVALAK","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolga","family":"ATAY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cem","family":"\u00c7ET\u0130N","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130.","family":"Meltem ATAY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Onur SERBEST","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"9","key":"10.1016\/j.aott.2017.11.010_bib1","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.1007\/s00167-015-3593-9","article-title":"No difference in osteoarthritis after surgical and non-surgical treatment of ACL-injured knees after 10 years","volume":"24","author":"Tsoukas","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"10.1016\/j.aott.2017.11.010_bib2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s00264-010-1174-6","article-title":"Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. 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