Change-of-Direction Assessment in Healthy Adolescent Athletes: Task-Specific Biomechanical Responses Reveal the Optimal Cognitive Dual Task Condition.

Background: Injury risk assessments for evaluating competition readiness could be improved by incorporating dual task testing, including decision-making and/or divided attention components, to more closely mirror a competition-like environment. Purpose/Hypothesis: The purpose was to identify the mos...

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Publicado en:American Journal of Sports Medicine Vol. 53; no. 11; pp. 2726 - 2738
Autores principales: Ulman, Sophia, Loewen, Alex M., Erdman, Ashley L., Davis, Ava N., Wilson, Philip L., Ellis, Henry B.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 53
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Change-of-Direction Assessment in Healthy Adolescent Athletes: Task-Specific Biomechanical Responses Reveal the Optimal Cognitive Dual Task Condition.
      aug:
        au:
          Ulman, Sophia
          Loewen, Alex M.
          Erdman, Ashley L.
          Davis, Ava N.
          Wilson, Philip L.
          Ellis, Henry B.
        affil: Scottish Rite for Children, Frisco, Texas, USA
      sug:
        subj:
          Athletes Psychosocial Factors
          Athletic Performance Evaluation
          Cognition Evaluation
          Motor Activity Evaluation
          Motor Skills Evaluation
          Biomechanics
          Task Performance and Analysis
          Exercise Test
          Risk Assessment
          Human
          Male
          Female
          Adolescence
          Young Adult
          Lower Extremity Physiology
          Cross Sectional Studies
          Motion Capture
          Running Physiology
          Memory
          Repeated Measures
          Two-Way Analysis of Variance
          Kinematics
          Kinetics
          Sports Re-Entry
          Anterior Cruciate Ligament Injuries
          Prospective Studies
          Power Analysis
          Questionnaires
          Models, Statistical
          Range of Motion
          Descriptive Statistics
          Post Hoc Analysis
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Injury risk assessments for evaluating competition readiness could be improved by incorporating dual task testing, including decision-making and/or divided attention components, to more closely mirror a competition-like environment. Purpose/Hypothesis: The purpose was to identify the most disruptive (or biomechanically demanding) cognitive load to add to a series of change-of-direction tasks. It was hypothesized that a visual motor response component (unanticipated change in direction) would elicit the greatest biomechanical risk factors across tasks and that changes would be consistent between limbs. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 42 healthy adolescents (aged 14-18 years) were tested in a motion capture laboratory, performing the lateral shuffle, run plant, and run cut tasks with and without dual task conditions including verbal memory (Verbal), visual memory (Visual), and visual motor response (Motor) components. Then, 2-way repeated-measures analysis of variance was performed for each movement task to examine the effects of condition and dominance, as well as a potential interaction effect between condition and dominance, on kinematic and kinetic measures. Results: The Motor condition was found to alter mechanics during the shuffle task, specifically eliciting greater dynamic knee valgus, while the Visual condition had the greatest influence on the run cut task, resulting in a stiffer loading strategy. The run plant task was the least influenced by adding a cognitive load, but a slightly stiffer loading strategy was observed under the Verbal condition. Conclusion: It was concluded that the cognitive load employed for dual task testing was dependent on the movement task being evaluated. The cognitive load type chosen for dual task testing is important and should ideally involve rapid visual processing.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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