Integrative Rehabilitation Using Acupuncture and Proprioceptive Training After ACL Reconstruction in an Elite Basketball Player: A Case Study with Psychological Follow-Up

Post-surgical complications such as pain, swelling, and proprioceptive deficits are common following anterior cruciate ligament (ACL) reconstruction. This case study examines the combined use of acupuncture with electrical stimulation and a structured rehabilitation program to address persistent knee symptoms and neuromuscular deficits. A 25- year-old male professional basketball player presented with chronic knee pain, limited range of motion, instability, and psychological distress six months post-ACL reconstruction. Initial evaluation revealed proprioceptive impairments and muscular weakness despite completing standard rehabilitation. A targeted six-week intervention, incorporating acupuncture at specific acupoints (ST35, SP9, GB34, ST36, ST40, SP10, ST34) and proprioception-focused rehabilitation, resulted in reduced pain (VAS: 5/10 to 1–2/10), improved knee flexion (left: 45° to 125°, right: 55° to 135°), increased strength (knee extension +4/5), and enhanced proprioception (single-leg stance: 8 ± 3.25 to 17 ± 6.31 seconds). Yellow Flag Risk scores decreased from 75 to 36 by the end of treatment, indicating psychological improvement. This case highlights the potential of integrative therapy to optimize recovery and support physical and psychological readiness for return to elite competition.