---
res:
bibo_abstract:
- Context: Only 55% of the athletes return
to competitive sports after an anterior cruciate ligament (ACL) injury. Athletes
younger than 25 years who return to sports have a second injury rate of 23%. There
may be a mismatch between rehabilitation contents and the demands an athlete faces
after returning to sports. Current return-to-sports (RTS) tests utilize closed
and predictable motor skills; however, demands on the field are different. Neurocognitive
functions are essential to manage dynamic sport situations and may fluctuate after
peripheral injuries. Most RTS and rehabilitation paradigms appear to lack this
aspect, which might be linked to increased risk of second injury. Objective:
This systematic and scoping review aims to map existing evidence about neurocognitive
and neurophysiological functions in athletes, which could be linked to ACL injury
in an integrated fashion and bring an extensive perspective to assessment and
rehabilitation approaches. Data Sources:
PubMed and Cochrane databases were searched to identify relevant studies published
between 2005 and 2020 using the keywords ACL, brain, cortical, neuroplasticity,
cognitive, cognition, neurocognition, and athletes. Study
Selection: Studies investigating either neurocognitive or
neurophysiological functions in athletes and linking these to ACL injury regardless
of their design and technique were included. Study
Design: Systematic review. Level
of Evidence: Level 3. Data
Extraction: The demographic, temporal, neurological, and
behavioral data revealing possible injury-related aspects were extracted and summarized.
Results: A total
of 16 studies were included in this review. Deficits in different neurocognitive
domains and changes in neurophysiological functions could be a predisposing risk
factor for, or a consequence caused by, ACL injuries. Conclusion:
Clinicians should view ACL injuries not only as a musculoskeletal but also as
a neural lesion with neurocognitive and neurophysiological aspects. Rehabilitation
and RTS paradigms should consider these changes for assessment and interventions
after injury. @eng
bibo_authorlist:
- foaf_Person:
foaf_givenName: Daghan
foaf_name: Piskin, Daghan
foaf_surname: Piskin
- foaf_Person:
foaf_givenName: Anne
foaf_name: Benjaminse, Anne
foaf_surname: Benjaminse
- foaf_Person:
foaf_givenName: Panagiotis
foaf_name: Dimitrakis, Panagiotis
foaf_surname: Dimitrakis
- foaf_Person:
foaf_givenName: Alli
foaf_name: Gokeler, Alli
foaf_surname: Gokeler
bibo_doi: 10.1177/19417381211029265
bibo_issue: '4'
bibo_volume: 14
dct_date: 2021^xs_gYear
dct_isPartOf:
- http://id.crossref.org/issn/1941-7381
- http://id.crossref.org/issn/1941-0921
dct_language: eng
dct_publisher: SAGE Publications@
dct_subject:
- Physical Therapy
- Sports Therapy and Rehabilitation
- Orthopedics and Sports Medicine
dct_title: 'Neurocognitive and Neurophysiological Functions Related to ACL Injury:
A Framework for Neurocognitive Approaches in Rehabilitation and Return-to-Sports
Tests@'
...