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Neuromuscular consequences following anterior cruciate ligament reconstruction


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Neuromuscular consequences following anterior cruciate ligament reconstruction
Table of Contents
Abstract
Acknowledgements
Table of Contents
List of Tables
List of Abbreviations
1 Introduction
1.1 Statement of the Problem
1.2 Statement of the Purpose
1.3 Significance of the Study
1.4 Research Hypothesis
2 Literature Review
2.1 Introduction
2.2 Quadriceps Muscle Strength and Voluntary Activation
2.3 Spinal-reflexive Excitability
2.4 Corticomotor Excitability
3 Methods
3.1 Study Design
3.2 Instrumentation
3.2.1 Spinal-reflex Excitability
3.2.2 Corticomotor Excitability
3.2.3 Quadriceps Voluntary Activation
3.3 Procedure
3.3.1 Participant Preparation
3.3.2 Maximal Voluntary Isometric Contraction (MVIC)
3.3.3 Corticomotor Excitability
3.3.4 Spinal-reflexive Excitability
3.3.5 Measurement of Quadriceps Voluntary Activation (CAR)
3.3.6 Statistical Analysis
4 Results
4.1 Participants
4.2 Group by Leg Differences
4.3 Relationship Between Inter-limb Difference Scores
5 Discussion
5.1 Differences in Corticomotor Excitability Between ACLr Limbs
5.2 No Deficits Observed in Voluntary Activation
5.3 No Deficits Observed in Spinal-reflexive Excitability
5.4 Relationship of Spinal-reflexive Excitability, Corticomotor Excitability and Voluntary Activation Inter-limb Differences Scores in ACLr Population
5.5 Limitations
5.6 Future Research
5.7 Conclusion
References
Appendix
A. Informed Consent for Human Research Study
B. TMS Exclusion Criteria Form
C. Knee Injury History Form
D. International Knee Documentation Committee Form
E. Lower Extremity Functional Scale
F. Tegner Activity Level Scale 
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