Differential Impact of Cognitive Tasks on Postural Stability in Individuals Following Anterior Cruciate Ligament Reconstruction Compared With Healthy Controls: A Cross-Sectional Study.
Amir Mohammad Rajaee-Nejad, Hossein Negahban, Ehsan Sinaei, Neda Mostafaee, Fatemeh Emami, Salman Nazary-Moghadam, Hadi Makhmalbaf
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引用次数: 0
Abstract
Anterior cruciate ligament reconstruction (ACLR) can result in persistent deficits in postural stability particularly under dual-task conditions involving cognitive demands. This study investigated the effects of cognitive tasks from different domains on postural control among individuals with ACLR compared with healthy controls. Twenty-five individuals with ACLR and 25 asymptomatic matched controls performed three cognitive tasks of backward counting (working memory), Stroop Color-Word Test (executive function), and Benton's Judgment of Line Orientation (visuospatial perception) under single- (seated) and dual-task (single-leg stance on rigid and foam surfaces) conditions. Postural stability was quantified by measuring center-of-pressure sway area and sway velocity in anterior-posterior and medial-lateral directions. Cognitive performance was evaluated by counting task errors. Results indicated significantly greater postural sway in the ACLR group compared with controls across all tasks (p < .01), with the Stroop Color-Word Test significantly increasing mean sway velocity compared with the no-task condition (p < .01) in only the ACLR group. ACLR participants also demonstrated consistently greater cognitive errors under all conditions. However, cognitive errors were not significantly affected by increased postural difficulty. Findings suggest that executive function tasks uniquely exacerbate postural control deficits following ACLR, highlighting the clinical importance of incorporating targeted cognitive-postural training focusing on executive control into rehabilitation protocols.
期刊介绍：
Motor Control (MC), a peer-reviewed journal, provides a multidisciplinary examination of human movement across the lifespan. To keep you abreast of current developments in the field of motor control, it offers timely coverage of important topics, including issues related to motor disorders. This international journal publishes many types of research papers, from clinical experimental to modeling and theoretical studies. These papers come from such varied disciplines as biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation.
Motor Control, the official journal of the International Society of Motor Control, is designed to provide a multidisciplinary forum for the exchange of scientific information on the control of human movement across the lifespan, including issues related to motor disorders.
Motor Control encourages submission of papers from a variety of disciplines including, but not limited to, biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation. This peer-reviewed journal publishes a wide variety of types of research papers including clinical experimental, modeling, and theoretical studies. To be considered for publication, papers should clearly demonstrate a contribution to the understanding of control of movement.
In addition to publishing research papers, Motor Control publishes review articles, quick communications, commentaries, target articles, and book reviews. When warranted, an entire issue may be devoted to a specific topic within the area of motor control.
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