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. 2022 Jan;40(1):95-104.
doi: 10.1002/jor.25014. Epub 2021 Mar 8.

Visual cognition associated with knee proprioception, time to stability, and sensory integration neural activity after ACL reconstruction

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Free article

Visual cognition associated with knee proprioception, time to stability, and sensory integration neural activity after ACL reconstruction

Meredith Chaput et al. J Orthop Res. 2022 Jan.
Free article

Abstract

Visual cognitive ability has previously been associated with anterior cruciate ligament injury and injury risk biomechanics in healthy athletes. Neuroimaging reports have identified increased neural activity in regions corresponding to visual-spatial processing, sensory integration, and visual cognition in individuals after anterior cruciate ligament reconstruction (ACLR), indicating potential neural compensatory strategies for motor control. However, it remains unclear whether there is a relationship between visual cognition, neural activity, and metrics of neuromuscular ability after ACLR. The purpose of this study was to (1) evaluate the relationship between visual cognitive function and measurements of neuromuscular control (proprioception and time to stability [TTS]), isokinetic strength, and subjective function, and (2) examine the neural correlates of visual cognition between ACLR (n = 16; time since surgery 41.4 ± 33.0 months) and demographically similar controls (n = 15). Visual cognition was assessed by the ImPACT visual motor and visual memory subscales. Outcome variables of proprioception to target knee angle 20°, landing TTS, strength, and subjective function were compared between groups, and visual cognition was correlated within groups to determine the relationship between visual cognition and outcome variables controlled for time from surgery (ACLR group). The control group had better IKDC scores and strength. Visual memory and visual motor ability were negatively associated with proprioception error (r = -0.63) and TTS (r = -0.61), respectively, in the ACLR group but not controls. Visual cognition was associated with increased neural activity in the precuneus and posterior cingulate cortex in the ACLR group but not control participants. These data suggest the neural strategy in which ACLR participants maintain proprioception and stability varies, and may depend on visual cognition and sensory integration neural activity.

Keywords: ACL; knee; proprioception; visual-cognition.

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References

REFERENCES

    1. Beck NA , Lawrence JTR , Nordin JD , DeFor TA , Tompkins M . ACL tears in school-aged children and adolescents over 20 years. Pediatrics. 2017;139(3):e20161877. https://doi.org/10.1542/peds.2016-1877
    1. Waldén M , Krosshaug T , Bjørneboe J , Andersen TE , Faul O , Hägglund M . Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. Br J Sports Med. 2015;49(22):1452-1460. https://doi.org/10.1136/bjsports-2014-094573
    1. Grooms DR , Onate JA . Neuroscience application to noncontact anterior cruciate ligament injury prevention. Sports Health. 2016;8(2):149-152. https://doi.org/10.1177/1941738115619164
    1. Swanik C . “Buz.” Brains and sprains: the brain's role in noncontact anterior cruciate ligament injuries. J Athl Train. 2015;50(10):1100-1102. https://doi.org/10.4085/1062-6050-50.10.08
    1. Iverson GL , Lovell MR , Collins MW . Interpreting change on ImPACT following sport concussion. Clin Neuropsychol. 2003;17(4):460-467. https://doi.org/10.1076/clin.17.4.460.27934

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