The relationship between neurocognitive function and noncontact anterior cruciate ligament injuries

被引:251
作者
Swanik, Charles Buz
Covassin, Tracey
Stearne, David J.
Schatz, Philip
机构
[1] Univ Delaware, Dept Hlth Nutr & Exercise Sci, Biomech & Movement Sci Program, Human Performance Lab 151, Newark, DE 19716 USA
[2] Michigan State Univ, Dept Kinesiol, E Lansing, MI 48824 USA
[3] W Chester Univ, Dept Kinesiol, W Chester, PA 19380 USA
[4] St Josephs Univ, Dept Psychol, Philadelphia, PA 19131 USA
关键词
neuropsychological functioning; ImPACT; knee; neuromuscular;
D O I
10.1177/0363546507299532
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
Background: Biomechanical analyses suggest that the loss of neuromuscular control is associated with noncontact anterior cruciate ligament sprains; however, previous research has not explored the link between neurocognitive function and unintentional knee injuries. Purpose: To determine if athletes who suffer a noncontact anterior cruciate ligament injury demonstrate decreased baseline neurocognitive performance when compared with matched controls. Study Design: Case control study; Level of evidence, 3. Methods: The baseline scores from a computerized neurocognitive test battery (ImPACT) were analyzed to compare verbal memory, visual memory, processing speed, and reaction time. Eighty intercollegiate athletes who, subsequent to testing, experienced noncontact anterior cruciate ligament injuries, were matched with 80 controls based on height, weight, age, gender, sport, position, and years of experience at the collegiate level. Results: Statistical differences were found between the noncontact anterior cruciate ligament injury group and the matched controls on all 4 neurocognitive subtests. Noncontact anterior cruciate ligament-injured athletes demonstrated significantly slower reaction time (F-1,F-158 = 9.66, P=.002) and processing speed (F-1,F-158 = 12.04, P =.001) and performed worse on visual (F-1,F-158 = 19.16, P =.000) and verbal memory (F-1,F-158 = 4.08, P =.045) composite scores when compared with controls. Conclusion: Neurocognitive differences may be associated with the loss of neuromuscular control and coordination errors, predisposing certain intercollegiate athletes to noncontact anterior cruciate ligament injuries.
引用
收藏
页码:943 / 948
页数:6
相关论文
共 63 条
[1]
SKILL IN SPORT [J].
ALLARD, F ;
BURNETT, N .
CANADIAN JOURNAL OF PSYCHOLOGY-REVUE CANADIENNE DE PSYCHOLOGIE, 1985, 39 (02) :294-312
[2]
Baddeley A. D., 1986, WORKING MEMORY
[3]
BARTH J, 1989, MILD HEAD INJURY, P259
[4]
BECK JL, 1985, CLIN SPORT MED, V4, P345
[5]
BLYN N, 1991, SPINE, V16, P325
[6]
Mechanisms of anterior cruciate ligament injury [J].
Boden, BP ;
Dean, GS ;
Feagin, JA ;
Garrett, WE .
ORTHOPEDICS, 2000, 23 (06) :573-578
[7]
Prediction of situational awareness in F-15 pilots [J].
Carretta, TR ;
Perry, DC ;
Ree, MJ .
INTERNATIONAL JOURNAL OF AVIATION PSYCHOLOGY, 1996, 6 (01) :21-41
[8]
Current issues in managing sports-related concussion [J].
Collins, MW ;
Lovell, MR ;
Mckeag, DB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (24) :2283-2285
[9]
Effect of cellular telephone conversations and other potential interference on reaction time in a braking response [J].
Consiglio, W ;
Driscoll, P ;
Witte, M ;
Berg, WP .
ACCIDENT ANALYSIS AND PREVENTION, 2003, 35 (04) :495-500
[10]
Influence of a visuo-spatial, verbal and central executive working memory task on postural control [J].
Dault, MC ;
Frank, JS ;
Allard, F .
GAIT & POSTURE, 2001, 14 (02) :110-116