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Visual information modulates brain network characteristics during static balance following ACL reconstruction: a graph theoretical analysis
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0003-3219-6493
Exercise Science & Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany.
Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.ORCID iD: 0000-0003-1098-0076
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention.ORCID iD: 0009-0003-1168-484X
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2026 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 16, no 1, article id 14430Article in journal (Refereed) Published
Abstract [en]

Long-term balance impairments are prevalent after anterior cruciate ligament (ACL) injury and are possibly linked to an overreliance on visual information and related cortical processing. We therefore aimed to explore characteristics of functional brain networks related to postural control with and without vision following ACL reconstruction (ACLR). Twenty-seven individuals after ACLR and 24 non-injured controls performed single-leg balance tasks under eyes-open/eyes-closed conditions. Graph-theoretical measures of functional network segregation (clustering coefficient, CC) and integration (path length, PL) were derived from mobile electroencephalography. Sway characteristics were calculated based on centre of pressure (CoP; area and velocity) and the mean distance between CoP and centre of mass (CoM). Knee antero-posterior kinematics were also explored. Group effects were analysed using permutation-based ANCOVA. During eyes-open only, the ACLR group exhibited greater cortical network segregation (higher CC; p = 0.025) in the alpha-1 band (8–10 Hz). While sway characteristics were similar between groups, the ACLR leg demonstrated greater knee flexion compared to their contralateral leg (p = 0.036). Individuals post-ACLR showed more efficient functional brain connectivity during eyes-open, combined with kinematic adaptations in their injured leg. These findings suggest post-ACLR neural adaptations of postural control mechanisms, particularly when visual information is available.

Place, publisher, year, edition, pages
Springer Nature, 2026. Vol. 16, no 1, article id 14430
Keywords [en]
Anterior cruciate ligament, brain network segregation, EEG, functional connectivity, graph theory, postural control
National Category
Physiotherapy
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URN: urn:nbn:se:umu:diva-253426DOI: 10.1038/s41598-026-52086-6ISI: 001758541500015PubMedID: 42091654Scopus ID: 2-s2.0-105038373531OAI: oai:DiVA.org:umu-253426DiVA, id: diva2:2062901
Available from: 2026-05-27 Created: 2026-05-27 Last updated: 2026-05-27Bibliographically approved

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Grinberg, AdamStrandberg, JohanCobani, GjergjiHäger, Charlotte

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