Peer Review History
| Original SubmissionOctober 22, 2025 |
|---|
|
PLOS ONE Dear Dr. Khanmohammadi, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Jan 02 2026 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols . We look forward to receiving your revised manuscript. Kind regards, Esedullah Akaras Academic Editor PLOS ONE Journal Requirements: When submitting your revision, we need you to address these additional requirements. 1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 2. Your ethics statement should only appear in the Methods section of your manuscript. If your ethics statement is written in any section besides the Methods, please delete it from any other section. 3. If the reviewer comments include a recommendation to cite specific previously published works, please review and evaluate these publications to determine whether they are relevant and should be cited. There is no requirement to cite these works unless the editor has indicated otherwise. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? -->?> Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: I Don't Know ********** 3. Have the authors made all data underlying the findings in their manuscript fully available??> The PLOS Data policy Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English??> Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** Reviewer #1: The authors conducted a randomized trial to evaluate the effects of incorporating whole-body vibration into routine exercise on dynamic postural stability, dynamic balance and physical performance. The results showed that adding WBV to routine exercises led to greater improvements in jump-landing stability. 1. This study only includes participants aged 18 to 40 years, which is quite limited. Please justify this criterion. Also, this may also limit the generalizability. 2. With effect size of 0.066, the sample size of 15 per group seems quite low. Double check the calculation is recommended. Also, please justify the selectin of 0.066 and 0.081. 3. The statistical significance for TTS improvement was found. Please discuss its clinical significance and relevance. Reviewer #2: Dear editors, This randomized controlled trial (RCT) investigates a clinically relevant question using a task-specific outcome (jump-landing stability) in a post-ACL reconstruction population. The study is well-structured, registered, and assessor-blinded. However, critical methodological flaws, statistical inconsistencies, and overinterpretations compromise its validity and clinical interpretability. Below is a line-by-line, rigorous scientific critique with specific comments, contradictions, and mandatory corrections. Title Comment: • The title is somewhat long and could be more concise. The phrase “for improving jump-landing stability post-ACL reconstruction” is grammatically correct but stylistically heavy. Abstract • The effect size (η²) is not mentioned; this is essential in RCTs. • The phrase “clinical tests” is vague; specify the tools (e.g., Y-Balance Test and Limb Symmetry Index). • The final sentence “suggesting enhanced neuromuscular control…” overstates the findings; it should read: “…suggesting potential enhancement in neuromuscular control…” • The phrase “TTS significantly improved” is misleading, as TTS is a time-based measure where lower values represent better performance. Therefore, the correct expression should be “TTS significantly decreased.” Use this phrasing consistently throughout the manuscript to ensure conceptual accuracy. • The text reports “P < 0.017” for YBT/LSI, implying a Bonferroni correction for three YBT directions. However, the Results section (Line 359) reports “P ≤ 0.016.” This inconsistency must be addressed by standardizing the threshold to P < 0.016 or by providing a clear justification for using 0.017. • The statement “routine exercise alone may be sufficient” overgeneralizes the findings. Although both groups improved significantly (P < 0.001), this reflects descriptive equivalence rather than evidence of sufficiency. Rephrase the sentence as: “No additional benefit was observed from WBV compared to routine exercise.” Introduction • The opening section (lines 58–70) is overly descriptive with many statistics that do not directly support the research gap. Consider condensing it. • In line 93, “An important methodological limitation” has a capitalization error (“An” should start a new sentence or be connected grammatically). • The research gap should be explicitly stated at the end, for example: “However, the effect of WBV on dynamic postural stability during sport-specific tasks such as jump-landing remains unclear.” • Reviews fatigue-induced changes in neuromuscular/biomechanical variables post-ACLR, showing similar responses to controls but persistent deficits—aligns with Lines 71–78 (re-injury risk) and 98–100 (dynamic tasks underestimate deficits). The authors may cite the following reference in lines 71–78 or 98-100: Effect of Fatigue on Neuromuscular and Biomechanical Variables After Anterior Cruciate Ligament Reconstruction: A Systematic Review. For example, Persistent neuromuscular deficits, exacerbated by fatigue [cite], • “Effect of Fatigue on Neuromuscular and Biomechanical Variables After Anterior Cruciate Ligament Reconstruction: A Systematic Review” • Discussion (Lines 374–559) : This reference supports the discussion on quadriceps inhibition and coordination (lines 388–396). Fatigue often mirrors patterns in healthy individuals but reveals ACL-specific vulnerabilities in landing kinetics. Suggested integration: “Our TTS improvements may mitigate fatigue-related biomechanical alterations, as fatigue does not differentially impair ACLR patients vs. controls [cite], suggesting WBV enhances resilience under load.” • Limitations (Lines 527–559): Since no fatigue protocol was tested in the current study, this reference can justify future research incorporating fatigue during jump-landing tasks. Suggested integration: “Future work should incorporate fatigue protocols [cite] to assess WBV’s durability in real-world athletic demands.” The authors can used the following reference in different part of study; Psychosocial Interventions Seem to Reduce Kinesiophobia After Anterior Cruciate Ligament Reconstruction But Higher Level of Evidence Is Needed: A Systematic Review and Meta-Analysis Introduction (Lines 58–132 ): Meta-analyses indicate that psychosocial interventions can reduce kinesiophobia, a major barrier to return-to-sport (Lines 66–71, 105–107). This aligns with the equivocal findings for WBV interventions (Lines 89–92). Kinesiophobia, as a key predictor of delayed or incomplete return-to-sport, may persist despite ACL reconstruction, highlighting the potential value of adjunctive therapies such as WBV for a more holistic recovery. Discussion (Lines 374–559): Psychosocial factors influence neuromuscular control, which may explain why YBT and LSI improvements were similar across groups. While WBV effectively targets biomechanical stability, integrating psychosocial strategies could better address kinesiophobia, potentially enhancing return-to-sport rates. Limitations (Lines 527–565): Evidence for long-term benefits of psychosocial interventions remains limited, and no long-term follow-up was conducted (Lines 538–549). Future research should combine WBV with psychological support in robust longitudinal trials to evaluate the sustained impact on both neuromuscular performance and psychological readiness. • Line 89–92: The manuscript states that da Costa et al. found “no significant effects,” but this is misleading. That study examined the acute, single-session effects of WBV, whereas the present study investigates a multi-session intervention. The distinction between acute and long-term designs must be made explicit. Revise to: “Unlike the acute, single-session WBV protocol used by da Costa et al., the current study implemented a multi-session intervention.” • Line 97–98 :The phrase “static tasks impose relatively low neuromuscular demands” is inaccurate. Tasks performed on the Biodex platform at Levels 1–2 are inherently unstable and challenge balance substantially. This is a false generalization. Revise to: “Static balance tasks on low Biodex stability levels may not fully replicate the multi-planar and high-velocity neuromuscular demands of sport.” • Line 121–122: The text cites studies reporting reduced GRF [28] and shortened TTS [29] in healthy participants as if these findings apply to post-ACL populations. This is an overextension. These results highlight a research gap, not supporting evidence. Rephrase to: “Preliminary evidence in healthy populations suggests that WBV may reduce GRF and TTS; however, its effects in post-ACL individuals remain unclear.” Other studies that the authors could reference to strengthen the Introduction and Discussion include: • Evaluation of Potential Factors Affecting Knee Function in Athletes After Anterior Cruciate Ligament Reconstruction • Relationship Between Kinesiophobia and Vertical Ground Reaction Force in Anterior Cruciate Ligament Reconstructed and Deficient Patients During Landing Task • Hip Abductor and Adductor Muscles Activity Patterns During Landing After Anterior Cruciate Ligament Injury Methods • Explain the allocation concealment and blinding procedures. Who administered WBV? Was the therapist blinded to group assignment? • The reported effect size = 0.066 is quite small; justification is needed (details from the pilot study should be included). • It is unclear why SI is treated as the primary outcome when the main results focus on TTS. Clarify this inconsistency. • Repeated-measures ANOVA is appropriate, but assumptions (sphericity, homogeneity) should be reported. • Technical details are accurate but require methodological references (e.g., Wikstrom et al., 2005). • Frequency (Hz), amplitude (mm), and duration per session must be explicitly stated for reproducibility. • Control group equivalence: Both groups performed “routine exercises,” but intensity and duration may differ; a comparative table should be added. • Line 530–536 : A major methodological limitation is the absence of a WBV-only group. Without this comparison, it is impossible to determine whether the observed effects result from WBV itself or from its interaction with routine exercises. This design prevents answering a key question: Is WBV alone sufficient to produce similar improvements? • Line 175–178 : Although initiating WBV six months post-operation is justified for safety reasons, this timing misses the critical neuromuscular recovery window typically observed between 3 and 6 months after ACL reconstruction. This delay may reduce the intervention’s potential impact on neuromuscular adaptation and functional restoration. Line 231–232: The use of a 3-second window for TTS analysis is questionable. Although references [20,31] are cited, ACL injuries typically occur within less than 50 milliseconds [50]. A 3-second post-landing analysis may not accurately reflect the critical phase of dynamic stabilization relevant to ACL injury mechanisms. The authors should justify the ecological validity of this time frame or consider restricting the analysis to the initial 0–1 second after landing. Line 252 : The equation RVTTS = √(MLTTS² + APTTS²) assumes that both TTS components share the same units and scale, which may not be valid. TTS values should be normalized—such as by jump height, body weight, or another standard measure—before vector summation. Without normalization, this calculation is mathematically and conceptually invalid. Line 208–210 : The exclusive use of a diagonal jump is justified with reference to Patterson [9]; however, this choice limits generalizability. Forward jump-landing tasks are more commonly associated with ACL injury mechanisms. The authors should explain why forward or vertical jumps were excluded or provide a rationale for choosing the diagonal direction as representative of sport-specific demands. Line 311: The protocol applies WBV before the main exercise session, but no rationale is provided for this sequencing. Delivering WBV first may induce fatigue or neuromuscular pre-activation that could confound subsequent performance in strength and balance tasks. The authors should justify this order or discuss its potential impact on training outcomes. Table 3:The Week 4 protocol (50 Hz with nine exercises) represents a relatively high cumulative WBV exposure. Such intensity may increase the risk of neuromuscular fatigue, overuse, or diminishing adaptive returns. The authors should provide justification for this progression, supported by safety guidelines or prior studies demonstrating the tolerability of similar dosing parameters. Results • Some results are redundantly presented in both text and tables — shorten the text to avoid repetition. • p-values should be reported consistently (e.g., use p < 0.001 instead of p = 0.001). • Add 95% confidence intervals for between-group differences. • Interpretation should acknowledge that significant effects were found only for AP and resultant directions in TTS, not all directions. This nuance should appear in the • Line 365–367: The Limb Symmetry Index (LSI) formula appears reversed. The manuscript uses (Healthy limb time / Injured limb time) × 100, which incorrectly yields values greater than 100% when the injured limb performs better—a conceptual error. The standard and widely accepted formula is: LSI = (Injured limb performance / Healthy limb performance) × 100. This formulation ensures that values below 100% correctly indicate performance deficits in the injured limb. All LSI values must be recalculated. • 351–352 : ML and V TTS data omitted | Only "no significant effects" → raw means ± SD must be in table. Transparency violation. • 339–340 : Effect size underreported | AP TTS: η² = 0.568 (WBV group) vs. 0.150 (control) → large difference, but not in abstract. | Discussion. Line 387–388: The statement suggesting that the findings “may reflect quadriceps inhibition or coordination deficits” is speculative and unsupported by the data. Since no EMG, strength, or neural inhibition measures were collected, such interpretations exceed the study’s evidence base. These claims should be softened or removed to avoid overinterpretation. Line 396–403: The citation of Maghbouli et al. as supportive evidence is inappropriate, as that meta-analysis examined torque outcomes rather than TTS. The connection between muscle torque improvements and time-to-stabilization is indirect at best. Clarify this distinction and avoid implying direct comparability between unrelated outcome measures. Line 492–498: The statement “extended TTS may compromise injury prevention” suggests a causal relationship not established in this study. TTS is a correlational performance indicator, not a validated causal predictor of re-injury risk. Rephrase to emphasize association rather than causation, e.g., “Prolonged TTS may be associated with impaired dynamic stability, which has been linked to higher injury risk in prior research.” Line 560–565: The claim that “WBV is more effective than exercise alone” is overstated. The observed benefit was limited to TTS outcomes, with no significant differences in SI, YBT, or LSI measures. The conclusion should be revised to accurately reflect the selective nature of the effect, for example: “WBV yielded additional improvements in TTS compared with exercise alone, but no differences were observed in SI, YBT, or LSI.” Reviewer #3: Although the design of the article is good, there are important issues that are overlooked in the protocol that need to be clarified. 1- Provide a study timeline. 2- In the control group, how was the initial intensity of the exercises (10RM) measured? You got 10RM with a specific method. 3- What was the basis for increasing the intensity of the exercises in the intervention group? What was the basis for changing the frequency and duration of vibration administration? 4- What has been the effectiveness of your protocol in improving proprioception? Has proprioception been assessed at all? With what method and with what test? ********** what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy Reviewer #1: No Reviewer #2: No Reviewer #3: No ********** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] To ensure your figures meet our technical requirements, please review our figure guidelines: https://journals.plos.org/plosone/s/figures You may also use PLOS’s free figure tool, NAAS, to help you prepare publication quality figures: https://journals.plos.org/plosone/s/figures#loc-tools-for-figure-preparation. NAAS will assess whether your figures meet our technical requirements by comparing each figure against our figure specifications.
|
| Revision 1 |
|
Dear Dr. Khanmohammadi, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Feb 06 2026 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.
If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols . We look forward to receiving your revised manuscript. Kind regards, Esedullah Akaras Academic Editor PLOS One Journal Requirements: 1. If the reviewer comments include a recommendation to cite specific previously published works, please review and evaluate these publications to determine whether they are relevant and should be cited. There is no requirement to cite these works unless the editor has indicated otherwise. 2. Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author Reviewer #1: (No Response) Reviewer #2: All comments have been addressed Reviewer #3: (No Response) ********** 2. Is the manuscript technically sound, and do the data support the conclusions??> Reviewer #1: (No Response) Reviewer #2: Yes Reviewer #3: (No Response) ********** 3. Has the statistical analysis been performed appropriately and rigorously? -->?> Reviewer #1: (No Response) Reviewer #2: Yes Reviewer #3: (No Response) ********** 4. Have the authors made all data underlying the findings in their manuscript fully available??> The PLOS Data policy Reviewer #1: (No Response) Reviewer #2: Yes Reviewer #3: (No Response) ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English??> Reviewer #1: (No Response) Reviewer #2: Yes Reviewer #3: (No Response) ********** Reviewer #1: (No Response) Reviewer #2: Overall Evaluation: This revised manuscript (R1) reports an RCT examining the effects of whole-body vibration combined with routine exercise on postural stability, balance, and physical performance in athletes after ACL reconstruction. The study is relevant, uses objective biomechanical outcomes, and includes pilot-based power calculations. Revisions addressed prior reviewer comments (sample size, TTS reporting, introduction). Some methodological and reporting issues remain, such as incomplete blinding details, unstandardized training load, and limited statistical reporting, but overall, the manuscript is well-improved and requires only minor revision before being suitable for publication. Reviewer #3: (No Response) ********** what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy Reviewer #1: No Reviewer #2: No Reviewer #3: No ********** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] To ensure your figures meet our technical requirements, please review our figure guidelines: https://journals.plos.org/plosone/s/figures You may also use PLOS’s free figure tool, NAAS, to help you prepare publication quality figures: https://journals.plos.org/plosone/s/figures#loc-tools-for-figure-preparation. NAAS will assess whether your figures meet our technical requirements by comparing each figure against our figure specifications.
|
| Revision 2 |
|
Effect of Whole-Body Vibration Combined With Exercise Therapy on Jump-Landing Stability After ACL Reconstruction: A Randomized Controlled Trial PONE-D-25-57068R2 Dear Dr. Khanmohammadi, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice will be generated when your article is formally accepted. Please note, if your institution has a publishing partnership with PLOS and your article meets the relevant criteria, all or part of your publication costs will be covered. Please make sure your user information is up-to-date by logging into Editorial Manager at Editorial Manager® and clicking the ‘Update My Information' link at the top of the page. For questions related to billing, please contact billing support . If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Esedullah Akaras Academic Editor PLOS One Additional Editor Comments (optional): Reviewers' comments: Reviewer's Responses to Questions Comments to the Author Reviewer #1: (No Response) Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions??> Reviewer #1: (No Response) Reviewer #2: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? -->?> Reviewer #1: (No Response) Reviewer #2: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available??> The PLOS Data policy Reviewer #1: (No Response) Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English??> Reviewer #1: (No Response) Reviewer #2: Yes ********** Reviewer #1: (No Response) Reviewer #2: (No Response) ********** what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy Reviewer #1: No Reviewer #2: No ********** |
| Formally Accepted |
|
PONE-D-25-57068R2 PLOS One Dear Dr. Khanmohammadi, I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS One. Congratulations! Your manuscript is now being handed over to our production team. At this stage, our production department will prepare your paper for publication. This includes ensuring the following: * All references, tables, and figures are properly cited * All relevant supporting information is included in the manuscript submission, * There are no issues that prevent the paper from being properly typeset You will receive further instructions from the production team, including instructions on how to review your proof when it is ready. Please keep in mind that we are working through a large volume of accepted articles, so please give us a few days to review your paper and let you know the next and final steps. Lastly, if your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. You will receive an invoice from PLOS for your publication fee after your manuscript has reached the completed accept phase. If you receive an email requesting payment before acceptance or for any other service, this may be a phishing scheme. Learn how to identify phishing emails and protect your accounts at https://explore.plos.org/phishing. If we can help with anything else, please email us at customercare@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Esedullah Akaras Academic Editor PLOS One |
Open letter on the publication of peer review reports
PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.
We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.
Learn more at ASAPbio .