Neurocognitive deficits related to ligamentous ankle injuries and chronic ankle instability.

Research output: Unpublished contribution to conferencePoster

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Abstract

Introduction:
The ankle is the most commonly injured body part in sports and is often subject to recurrent injury, especially ligament sprains.1 Up to 40% of ankle sprains may develop chronic ankle instability (CAI).2 Despite growing evidence that altering neurocognitive demands can affect lower limb biomechanics in individuals with CAI, the underlying mechanisms remain unclear. The aim of this systematic review was to summarise the current literature on the neurocognitive deficits linked with ligamentous ankle injuries and CAI.
Methods:
Five electronic databases were used, including PubMed, Web of Science, Scopus, PsychInfo and SPORTDiscus from their inception to February 22nd, 2023. Articles were eligible if they (1) were published in English, (2) were original research and (3) investigated neurocognitive functioning in 18-year-old or older patients with CAI or who experienced a lateral ankle sprain. The methodology followed the PRISMA guidelines. We grouped the neurocognitive functions into eight domains: executive functions, information processing speed, inhibitory control, attention, reaction time, visual spatial perception, motor control, and memory.
Results:
A total of 1221 results were identified, of which 18 studies met the inclusion criteria. The risk of bias assessment
indicated an overall high risk of bias in the studies. Among these included studies, 335 individuals with CAI were included, 244 healthy controls, and 68 copers. Three studies highlighted that reaction time was significantly worse within individuals with CAI compared to copers and healthy controls. Regarding attention, three out of six studies suggest that these cognitive functions may be impaired in individuals with CAI. Also for memory, three out of six studies found deficits in individuals with CAI. The remaining five neurocognitive domains showed either inconclusive or no results in individuals with CAI.
Conclusion:
Overall, individuals with CAI appear to have neurocognitive deficits in reaction time, attention and memory, while other neurocognitive domains do not seem to be affected. Nevertheless, there are still few studies on the different
neurocognitive subdomains in this population which highlights the need for further research to better map and understand this phenomenon and its underlying mechanisms.
Original languageEnglish
Pages258
Number of pages1
Publication statusPublished - 22 Sep 2023
EventInternational BFSP-IFSPT congress on sports physiotherapy: Evidence update on rehabilitation of sports injuries & Sport-specific rehabilitation - Holliday Inn Brussels Airport, Zaventem, Belgium
Duration: 22 Sep 202323 Sep 2023

Conference

ConferenceInternational BFSP-IFSPT congress on sports physiotherapy
Country/TerritoryBelgium
CityZaventem
Period22/09/2323/09/23

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