Neuromuscular Effects of Spinal Manipulation in Individuals Following Anterior Cruciate Ligament Reconstruction

Neuromuscular Effects of Spinal Manipulation in Individuals Following Anterior Cruciate Ligament Reconstruction: A Single-Blinded Randomized Controlled Trial

This single-blind, randomized controlled trial aims to investigate the effects of spinal manipulation on neuromuscular control in individuals with anterior cruciate ligament reconstruction during a single-leg vertical drop landing task. The intervention group will receive spinal manipulation, while the control group will not receive any therapeutic intervention. The main question it aims to answer is:

• Can spinal manipulation induce changes in muscle activation, co-contraction magnitude, and biomechanical parameters during landing?

Inclusion Criteria:

• Individuals who have undergone anterior cruciate ligament reconstruction
• Successful return to recreational sports participation

Exclusion Criteria:

• Peripheral or central neurological disorders
• Systemic or degenerative diseases
• History of spinal surgery
• Contraindications to spinal manipulation
• Low back or sacroiliac pain within the previous month
• Prior exposure to manipulative therapy