Relationship between Cognitive Demands and Biomechanical Indicators Associated with Anterior Cruciate Ligament Injury: A Systematic Review

IF 9.3 1区医学 Q1 SPORT SCIENCES Sports Medicine Pub Date : 2024-10-29 DOI:10.1007/s40279-024-02124-y

Jesús Jiménez-Martínez, Alejandro Gutiérrez-Capote, Francisco Alarcón-López, Anthony Leicht, David Cárdenas-Vélez

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Abstract

Background

Anterior cruciate ligament (ACL) injury during contact sports has a high incidence that has not been reduced despite the immense resources devoted to understanding its aetiology. A neurocognitive approach could increase knowledge of the mechanisms contributing to ACL injury enabling practitioners to address and minimise future risk.

Objective

To systematically review the influence of manipulating cognitive demands during motor tasks (i.e. degree of uncertainty) on biomechanical variables associated with ACL injury risk.

Methods

A systematic review was performed according to the Cochrane Handbook for Systematic Reviews of Interventions by searching the major sporting electronic databases. The search strategy included four groups of terms and was conducted by two authors independently. All studies were screened using unique inclusion criteria, with the included studies assessed for risk of bias.

Results

Twenty-five studies were identified from 2031 records and included into the review process. During the experimental conditions where cognitive demands were higher, most biomechanical indicators associated with a greater risk of ACL injury during landing and cutting tasks were significantly enhanced compared with conditions with low or no cognitive demands.

Conclusions

An increase in task complexity through cognitive load significantly leads to changes in mechanisms associated with ACL injury during single-leg landings and cutting movements. Consequently, coaches and exercise professionals should consider inclusion of dual-task paradigms or uncertainty during injury risk assessment scenarios and injury prevention programs to help identify athletes at risk of ACL injury and reduce ACL injury frequency.

Registration

This protocol was registered in the PROSPERO database (https://www.crd.york.ac.uk/PROSPERO) in May 2022, with the registration number CRD42022315795.

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认知要求与前十字韧带损伤相关生物力学指标之间的关系：系统回顾

背景在接触性运动中，前十字韧带（ACL）损伤的发生率很高，尽管投入了大量资源来了解其病因，但其发生率仍未降低。方法根据《科克伦干预措施系统综述手册》，通过搜索主要的体育电子数据库进行系统综述。检索策略包括四组术语，由两位作者独立完成。所有研究均采用独特的纳入标准进行筛选，并对纳入的研究进行偏倚风险评估。结果从 2031 条记录中确定了 25 项研究，并将其纳入审查过程。在认知要求较高的实验条件下，与认知要求较低或无认知要求的条件相比，在着地和切入任务中与前交叉韧带损伤风险增大相关的大多数生物力学指标都显著增强。结论通过认知负荷增加任务复杂性会显著导致单腿着地和切入动作中与前交叉韧带损伤相关的机制发生变化。因此，教练和运动专业人员应考虑在损伤风险评估方案和损伤预防计划中纳入双重任务范例或不确定性，以帮助识别前交叉韧带损伤风险运动员并降低前交叉韧带损伤频率。注册该方案于2022年5月在PROSPERO数据库（https://www.crd.york.ac.uk/PROSPERO）注册，注册号为CRD42022315795。

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来源期刊

Sports Medicine 医学-运动科学

CiteScore

18.40

自引率

5.10%

发文量

165

审稿时长

6-12 weeks

期刊介绍： Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.