Visual-Spatial Attentional Performance Identifies Lower Extremity Injury Risk in Adolescent Athletes.

Autor:	Avedesian JM; Emory Sports Performance And Research Center (SPARC), Flowery Branch, Georgia.; Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, Nevada., McPherson AL; United States Olympic and Paralympic Committee, Colorado Springs, Colorado., Diekfuss JA; Emory Sports Performance And Research Center (SPARC), Flowery Branch, Georgia.; Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.; Emory Sports Medicine Center, Atlanta, Georgia., Barber Foss KD; Emory Sports Performance And Research Center (SPARC), Flowery Branch, Georgia.; Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.; Emory Sports Medicine Center, Atlanta, Georgia., Hogg JA; Department of Health and Human Performance, University of Tennessee Chattanooga, Chattanooga, Tennessee., Zuleger TM; Emory Sports Performance And Research Center (SPARC), Flowery Branch, Georgia.; Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.; Emory Sports Medicine Center, Atlanta, Georgia.; University of Cincinnati, Neuroscience Graduate Program, Cincinnati, Ohio; and., Dufek JS; Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, Nevada., Myer GD; Emory Sports Performance And Research Center (SPARC), Flowery Branch, Georgia.; Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.; Emory Sports Medicine Center, Atlanta, Georgia.; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2022 Nov 01; Vol. 32 (6), pp. 574-579. Date of Electronic Publication: 2022 Apr 13.
DOI:	10.1097/JSM.0000000000001027
Abstrakt:	Objective: Strategies to identify lower extremity musculoskeletal (LEMSK) injury risk have been informed by prospectively identified biomechanical and neuromuscular risk factors. Emergent evidence suggests that cognitive and oculomotor performance may also contribute to LEMSK injury. The purpose of this study was to determine whether prospective cognitive and oculomotor measures identify adolescent athletes who sustain an in-season LEMSK injury. Design: Prospective longitudinal study. Settings: Controlled laboratory and athletic event settings. Participants: Four hundred eighty-eight adolescent male football and female soccer athletes aged 13 to 18 years. Assessment of Risk Factors: Preseason baseline cognitive and oculomotor performance: Attention Network Task (ANT), cued task switching, King-Devick test, and near point of convergence. Main Outcome Measure: Incidence of LEMSK sprains and strains during a single competitive season. Results: Attention Network Task-orienting network reaction time (RT) was the only cognitive or oculomotor measure significantly associated with LEMSK injury [B = 1.015, 95% confidence interval (CI): 1.01-1.024, P < 0.01]. Every 10 milliseconds increase in orienting network RT was associated with a 15% increased risk for LEMSK injury. Athletes demonstrating an orienting network RT ≥ 32.8 milliseconds had a higher risk for LEMSK injury relative to athletes below the cut-point (relative risk, 2.62; 95% CI, 1.52-4.52; odds ratio, 3.00; 95% CI, 1.63-5.52). Conclusions: Deficits in visual-spatial components of attention were associated with 2.62 times greater risk for LEMSK injury in adolescent athletes. The present results add evidence to suggest that visual-spatial attentional processing contributes to LEMSK injury and may supplement previously established LEMSK injury risk assessments. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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