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Differences in Neurocognitive Functions Between Healthy Controls and Anterior Cruciate Ligament-Reconstructed Male Athletes Who Passed or Failed Return to Sport Criteria: A Preliminary Study.
- Source :
- Journal of Sport Rehabilitation; Aug2023, Vol. 32 Issue 6, p645-654, 10p, 1 Diagram, 4 Charts
- Publication Year :
- 2023
-
Abstract
- Background: Only 55% of anterior cruciate ligament-reconstructed (ACLR) athletes return to competitive sports. This brings into question the usefulness of current return to sport (RTS) criteria. High cognitive demand of sport environment clarifies the value of incorporating neurocognitive tests when making decisions regarding the time of RTS. This preliminary study aimed to compare the neurocognitive functions between healthy controls and ACLR male athletes who passed or failed RTS criteria. Methods: A total of 45 male football players, including 15 ACLR who passed RTS criteria, 15 ACLR who did not pass, and 15 healthy controls participated in this cross-sectional study. The Cambridge Neuropsychological Test Automated Battery was used to measure a battery of neurocognitive tasks, including speed of response, sustained attention, working memory, cognitive flexibility, and response inhibition. Results: The results revealed that compared with both the ACLR-passed and healthy groups, the ACLR-failed group showed greater values of 5-choice movement time (P =.02, P =.01, respectively) but lower values of stop signal reaction time (P =.03, P =.001, respectively) and proportion of successful stops variables (P =.02). In addition, compared with the healthy group, both the ACLR-failed and ACLR-passed groups indicated greater values in between errors (P <.001, P =.008, respectively) and reaction latency variables (P =.002, P =.01, respectively) but lower values of A′ (P <.001, P =.007, respectively), probability of hit (P <.001, P =.03, respectively), and percent correct trials variables (P =.006, P =.02, respectively). Conclusions: Our findings indicated deficits in neurocognitive functions in ACLR male athletes. In addition, poor performance in sustained attention, working memory, and cognitive flexibility measures observed in the ACLR-passed group highlighted the necessity for using a multimodal approach via implementation of neurocognitive measures in conjunction with the functional and muscular assessments when making RTS decisions. [ABSTRACT FROM AUTHOR]
- Subjects :
- CROSS-sectional method
COGNITIVE testing
ANTERIOR cruciate ligament surgery
ANTERIOR cruciate ligament injuries
SOCCER
DATA analysis
STATISTICAL sampling
DESCRIPTIVE statistics
SPORTS re-entry
ATTENTION
NEUROPSYCHOLOGICAL tests
MEMORY
ONE-way analysis of variance
STATISTICS
REACTION time
DATA analysis software
COGNITIVE flexibility
REHABILITATION
Subjects
Details
- Language :
- English
- ISSN :
- 10566716
- Volume :
- 32
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Sport Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 168590279
- Full Text :
- https://doi.org/10.1123/jsr.2022-0288