RT journal article T1 The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review A1 Pastora Bernal, José Manuel A1 Estebanez Pérez, María José A1 Lucena Antón, David Manuel A1 García López, Francisco José A1 Bort-Carballo, Antonio A1 Martín Valero, Rocío A2 Enfermería y Fisioterapia K1 anterior cruciate ligament K1 motor imagery techniques K1 rehabilitation K1 physiotherapy AB Motor imagery (MI) reported positive effects in some musculoskeletal rehabilitation processes. The main objective of this study was to analyze the effectiveness of MI interventions after anterior cruciate ligament (ACL) reconstruction. A systematic review was conducted from November 2018 to December 2019 in PubMed, Scopus, Web of Science, The Cochrane Library, and Physiotherapy Evidence Database (PEDro). The methodological quality, degree of recommendation, and levels of evidence were analyzed. A total of six studies were included. Selected studies showed unequal results (positive and negative) regarding pain, anxiety, fear of re-injury, function, and activities of daily living. Regarding the range of motion, anthropometric measurements, and quality of life, the results were not conclusive. Muscle activation, strength, knee laxity, time to remove external support, and neurobiological factors showed some favorable results. Nevertheless, the results were based on a limited number of studies, small sample sizes, and a moderate-weak degree of recommendation. In conclusion, our review showed a broader view of the current evidence, including a qualitative assessment to implement MI after ACL surgery. There was no clear evidence that MI added to physiotherapy was an effective intervention after ACL surgery, although some studies showed positive results in clinical outcomes. More adequately-powered long-term randomized controlled trials are necessary. PB MDPI SN 2077-0383 YR 2021 FD 2021-02 LK http://hdl.handle.net/10498/24585 UL http://hdl.handle.net/10498/24585 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 11-nov-2026