Cortical Motor Planning and Biomechanical Stability During Unplanned Jump Landings in Men With Anterior Cruciate Ligament Reconstruction.

Athletes with anterior cruciate ligament (ACL) reconstruction (ACLR) exhibit increased cortical motor planning during simple sensorimotor tasks compared with healthy athletes serving as control groups. This may interfere with proper decision making during time-constrained movements, elevating the re...

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Publicado en:Journal of Athletic Training (KnowledgeWorks Global, Ltd) Vol. 57; no. 6; pp. 547 - 557
Autores principales: Giesche, Florian, Vieluf, Solveig, Wilke, Jan, Engeroff, Tobias, Niederer, Daniel, Banzer, Winfried
Formato: research tables/charts Journal Article
Publicado: KnowledgeWorks Global, Ltd Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2022
      vid: 57
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      pid: 81084
      pub: KnowledgeWorks Global, Ltd
      place: Richmond, Virginia
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        158507678
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        10.4085/1062-6050-0544.20
        158507678
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        atl: Cortical Motor Planning and Biomechanical Stability During Unplanned Jump Landings in Men With Anterior Cruciate Ligament Reconstruction.
      aug:
        au:
          Giesche, Florian
          Vieluf, Solveig
          Wilke, Jan
          Engeroff, Tobias
          Niederer, Daniel
          Banzer, Winfried
        affil: Institute of Occupational, Social and Environmental Medicine, Goethe University, Frankfurt/Main, Germany
      sug:
        subj:
          Anterior Cruciate Ligament Reconstruction Rehabilitation
          Task Performance and Analysis
          Motor Activity
          Biomechanics
          Jumping
          Athletes
          Human
          Male
          Reinjury
          Young Adult
          Adult
          Descriptive Statistics
          Decision Making
          Electroencephalography
          Agility
          Outcome Assessment
          Physical Therapy
          Sporting Events
          Confidence Intervals
          T-Tests
          Mann-Whitney U Test
          Data Analysis Software
          Adult: 19-44 years
          Male
      ab: Athletes with anterior cruciate ligament (ACL) reconstruction (ACLR) exhibit increased cortical motor planning during simple sensorimotor tasks compared with healthy athletes serving as control groups. This may interfere with proper decision making during time-constrained movements, elevating the reinjury risk. To compare cortical motor planning and biomechanical stability during jump landings between participants with ACLR and healthy individuals. Cross-sectional study. Laboratory. Ten men with ACLR (age = 28 ± 4 years, time after surgery = 63 ± 35 months) and 17 healthy men (age = 28 ± 4 years) completed 43 ± 4 preplanned (landing leg shown before takeoff) and 51 ± 5 unplanned (visual cue during flight) countermovement jumps with single-legged landings. Movement-related cortical potentials (MRCPs) and frontal θ frequency power before the jump were analyzed using electroencephalography. Movement-related cortical potentials were subdivided into 3 successive 0.5-second time periods (readiness potential [RP]-1, RP-2, and negative slope [NS]) relative to movement onset, with higher values indicating more motor planning. Theta power was calculated for the last 0.5 second before movement onset, with higher values demonstrating more focused attention. Biomechanical landing stability was measured via peak vertical ground reaction force, time to stabilization, and center of pressure. Both the ACLR and healthy groups evoked MRCPs at all 3 time periods. During the unplanned task analyzed using P values and Cohen d, the ACLR group exhibited slightly higher but not different MRCPs, achieving medium effect sizes (RP-1: P =.25, d = 0.44; RP-2: P =.20, d = 0.53; NS: P =.28, d = 0.47). The ACLR group also showed slightly higher θ power values that were not different during the preplanned (P =.18, d = 0.29) or unplanned (P =.42, d = 0.07) condition, achieving small effect sizes. The groups did not differ in their biomechanical outcomes (P values >.05). No condition × group interactions occurred (P values >.05). Our jump-landing task evoked MRCPs. Although not different between groups, the observed effect sizes provided the first indication that men with ACLR might have consistently relied on more cortical motor planning associated with unplanned jump landings. Confirmatory studies with larger sample sizes are warranted.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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