Combining Neurocognitive and Functional Tests to Improve Return-to-Sport Decisions Following ACL Reconstruction

被引：12
|
作者：
Grooms, Dustin R. [1 ,2 ,3 ,11 ]
Chaput, Meredith [1 ,3 ,4 ]
Simon, Janet E. [1 ,2 ]
Criss, Cody R. [1 ,4 ,5 ]
Myer, Gregory D. [4 ,5 ,6 ,7 ,8 ,9 ,10 ]
Diekfuss, Jed A. [6 ,7 ,8 ]
机构：
[1] Ohio Univ, Ohio Musculoskeletal & Neurol Inst, Athens, OH USA
[2] Ohio Univ, Sch Appl Hlth Sci & Wellness, Coll Hlth Sci & Profess, Profess Athlet Training Program, Athens, OH USA
[3] Ohio Univ, Sch Rehabil & Commun Sci, Coll Hlth Sci & Profess, Phys Therapy, Athens, OH USA
[4] Ohio Univ, Translat Biomed Sci Doctoral Program, Athens, OH USA
[5] Ohio Hlth Riverside Methodist Hosp, Columbus, OH USA
[6] Emory Sports Performance & Res Ctr SPARC, Flowery Branch, GA USA
[7] Emory Sports Med Ctr, Atlanta, GA USA
[8] Emory Univ, Sch Med, Dept Orthopaed, Atlanta, GA USA
[9] Micheli Ctr Sports Injury Prevent, Waltham, MA USA
[10] Cardiff Metropolitan Univ, Youth Phys Dev Ctr, Cardiff, Wales
[11] W283 Grover Ctr, Athens, OH 45701 USA
来源：
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY | 2023年 / 53卷 / 08期
基金：
美国国家卫生研究院;
关键词：
ACL; fMRI; functional magnetic resonance imaging; knee; motor control/learning; neural control; neuroimaging; neuroscience;
D O I：
10.2519/jospt.2023.11489
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Neuroplasticity after anterior cruciate ligament (ACL) injury alters how the nervous system generates movement and maintains dynamic joint stability. The postinjury neuroplasticity can cause neural compensations that increase reliance on neurocognition. Return-to-sport testing quantifies physical function but fails to detect important neural compensations. To assess for neural compensations in a clinical setting, we recommend evaluating athletes' neurocognitive reliance by augmenting return-to-sport testing with combined neurocognitive and motor dual-task challenges. In this Viewpoint, we (1) share the latest evidence related to ACL injury neuroplasticity and (2) share simple principles and new assessments with preliminary data to improve return-to-sport decisions following ACL reconstruction. J Orthop Sports Phys Ther 2023;53(8):415-419. Epub: 15 May 2023. doi:10.2519/jospt.2023.11489
引用
收藏
页码：415 / 419
页数：5
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