@article{ref1,
title="Associations between cognitive function and ACL injury-related biomechanics: a systematic review",
journal="Sports health",
year="2023",
author="Bertozzi, Filippo and Fischer, Patrick D. and Hutchison, Keith A. and Zago, Matteo and Sforza, Chiarella and Monfort, Scott M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="CONTEXT: Does lower baseline cognitive function predispose athletes to ACL injury risk, especially when performing unplanned or dual-task movements? OBJECTIVE: To evaluate the association between cognitive function and biomechanics related to ACL injuries during cognitively challenging sports movements. DATA SOURCES: PubMed (MEDLINE), Web of Science, Scopus, and SciELO databases were searched; additional hand searching was also conducted. STUDY SELECTION: The following inclusion criteria had to be met: participants completed (1) a neurocognitive test, (2) a cognitively challenging sport-related task involving lower limbs, and (3) a biomechanical analysis. The following criteria determined exclusion from the review: studies involving participants with (1) recent or current musculoskeletal injuries; (2) recent or current concussion; (3) ACL surgical reconstruction, reviews of the literature, commentary or opinion articles, and case studies. STUDY DESIGN: Systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) statement and registered at the International Prospective Register of Systematic Reviews (PROSPERO). LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Two of authors independently extracted data and assessed the methodological quality of the articles with the Downs and Black and ROBINS-I checklists, to assess methodological quality and risk of bias, respectively. <br><br>RESULTS: Six studies with different methodologies and confounding factors were included in this review. Of these 6 studies, 3 were ranked as high-quality, 3 demonstrated a low risk of bias, 2 a moderate risk, and 1 a severe risk. Five studies found a cognitive-motor relationship, with worse cognitive performance associated with increased injury risk, with 1 study reporting the opposite directionality for 1 variable. One study did not identify any interaction between cognitive function and biomechanical outcomes. <br><br>CONCLUSION: Worse cognitive performance is associated with an increased injury risk profile during cognitively challenging movements.<p /> <p>Language: en</p>",
language="en",
issn="1941-7381",
doi="10.1177/19417381221146557",
url="http://dx.doi.org/10.1177/19417381221146557"
}