Examining the Relationship Between Neuroplasticity and Learned Helplessness After ACLR: Early Versus Late Recovery
| Autor: | Julie P. Burland, Adam S. Lepley, Lindsey K. Lepley, Marc L. Cormier, Lindsay J. DiStefano |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction business.industry medicine.medical_treatment Rehabilitation Biophysics Quadriceps strength Physical Therapy Sports Therapy and Rehabilitation Learned helplessness Cognition Late recovery Context (language use) 030229 sport sciences 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Neuroplasticity medicine Orthopedics and Sports Medicine business 030217 neurology & neurosurgery Evidence synthesis |
| Zdroj: | Journal of Sport Rehabilitation. 30:70-77 |
| ISSN: | 1543-3072 1056-6716 |
| Popis: | Context: Altered neural signaling is known to have a direct impact on psychological wellness. Therefore, disruptions in neural signaling after anterior cruciate ligament reconstruction may influence psychological dysfunction, in some cases manifesting as learned helplessness. Helplessness is a psychological paradigm that presents as altered neuromuscular control, reduced motivation, and psychological deficits. Objectives: The authors sought to evaluate the relationship between helplessness, neural activity, and quadriceps function at different time points after anterior cruciate ligament reconstruction. Evidence Acquisition: Twenty-nine individuals with unilateral anterior cruciate ligament reconstruction were categorized into early group (2 y, age: 22 [23] y; height: 1.67 [0.07] m; mass: 65.66 [11.33] kg). Quadriceps function (activation and strength), spinal-reflexive and corticospinal excitability (active motor thresholds and motor evoked potentials), and helplessness were obtained. A principal component analysis was performed by group (early and late) to identify which factors of helplessness were most associated with neural activity and quadriceps function. Pearson product moment correlation analyses were performed by group to determine associations between individual components and main outcomes. Evidence Synthesis: In the early group, cognitive readiness was associated with quadriceps strength of the injured limb (r2 = .513, P = .004), and self-awareness/management was associated with motor threshold of the injured limb (r2 = .238, P = .05). In the late group, intrinsic helplessness was associated with motor output of injured limb (r2 = .653, P = .01). Conclusion: Helplessness is made up of several attributional constructs, which are altered at different phases of recovery. Helplessness constructs interact differently with neural activity and quadriceps function across time. These findings are preliminary and do not establish a causal link between neural alterations and learned helplessness. Future studies should serially evaluate both changes in neural activity and learned helplessness attributes throughout recovery. |
| Databáze: | OpenAIRE |
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