Neuroscience application to noncontact anterior cruciate ligament injury prevention

DR Grooms, JA Onate - Sports Health, 2016 - journals.sagepub.com
Sports Health, 2016journals.sagepub.com
Context: Many factors, including anatomy, neuromuscular control, hormonal regulation, and
genetics, are known to contribute to the noncontact anterior cruciate ligament (ACL) injury
risk profile. The neurocognitive and neurophysiological influences on the noncontact ACL
injury mechanism have received less attention despite their implications to maintain
neuromuscular control. Sex-specific differences in neurocognition may also play a critical
role in the elevated female ACL injury risk. This report serves to frame existing literature in a …
Context
Many factors, including anatomy, neuromuscular control, hormonal regulation, and genetics, are known to contribute to the noncontact anterior cruciate ligament (ACL) injury risk profile. The neurocognitive and neurophysiological influences on the noncontact ACL injury mechanism have received less attention despite their implications to maintain neuromuscular control. Sex-specific differences in neurocognition may also play a critical role in the elevated female ACL injury risk. This report serves to frame existing literature in a new light to consider neurocognition and its implications for movement control, visual-motor function, and injury susceptibility.
Evidence Acquisition
Sources were obtained from PubMed, MEDLINE, Web of Science, and LISTA (EBSCO) databases from 1990 onward and ranged from diverse fields including psychological and neuroscience reviews to injury epidemiology and biomechanical reports.
Study Design
Clinical review.
Level of Evidence
Level 5.
Results
Neurological factors may contribute to the multifactorial ACL injury risk paradigm and the increased female injury susceptibility.
Conclusion
When developing ACL injury prevention programs, considering neurocognition and its role in movement, neuromuscular control, and injury risk may help improve intervention effectiveness.
Sage Journals
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