Evidence map›Paper›PMID 34153635›Full record

ArticlePhysical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine2021

Integrating neurocognitive challenges into injury prevention training: A clinical commentary.

Joann M Walker, Caroline L Brunst, Meredith Chaput, Timothy R Wohl, Dustin R Grooms

Registry-linked trialAbstract read
In one paragraph

Article in Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07004114 (The Effects of Neurocognitive Training on Pain, Proprioception, Injury Anxiety, and Functional and Neurocognitive Performance in Athletes With Chronic Ankle Instability), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07004114 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effects of Neurocognitive Training on Pain, Proprioception, Injury Anxiety, and Functional and Neurocognitive Performance in Athletes With Chronic Ankle Instability

TypeinterventionalSponsorBalikesir UniversityRan2023 to 2025Enrolled28ConditionsChronic Ankle Instability, Balance, NeurocognitiveArmsNeurocognitive training group
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Neurophysiology of ACL Injury.Orthopedic reviews · 2025
    Article
  6. Article
  7. Article
  8. A Model for Applying Situational Awareness Theory to the Return to Sport Continuum.International journal of sports physical therapy · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joann M WalkerSports Medicine and Rehabilitation, Wexner Medical Center, The Ohio State University, Columbus, OH, USA. Electronic address: joann.walker2@osumc.edu.
Caroline L BrunstSports Medicine and Rehabilitation, Wexner Medical Center, The Ohio State University, Columbus, OH, USA; Jameson Crane Sports Medicine Research Institute, The Ohio State University, Columbus, OH, USA. Electronic address: caroline.brunst@osumc.edu.
Meredith ChaputOhio Musculoskeletal & Neurological Institute, Ohio University, Athens, OH, USA; Division of Athletic Training, School of Applied Health Sciences and Wellness, College of Health Sciences and Professions, Ohio University, Athens, OH, USA; Division of Physical Therapy, School of Rehabilitation & Communication Sciences, College of Health Sciences and Professions, Ohio University, Athens, OH, USA. Electronic address: mc242819@ohio.edu.
Timothy R WohlDivision of Physical Therapy, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH, USA. Electronic address: wohl.20@Buckeyemail.osu.edu.
Dustin R GroomsOhio Musculoskeletal & Neurological Institute, Ohio University, Athens, OH, USA; Division of Athletic Training, School of Applied Health Sciences and Wellness, College of Health Sciences and Professions, Ohio University, Athens, OH, USA; Division of Physical Therapy, School of Rehabilitation & Communication Sciences, College of Health Sciences and Professions, Ohio University, Athens, OH, USA. Electronic address: groomsd@ohio.edu.

Funding

Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual RealityU01AR067997 · NIAMS · EMORY UNIVERSITY · PI MYER, GREGORY DONALD · 2016 to 2022
$3.6M
Neuroplastic Mechanisms for Acquisition and Transfer of Injury-Resistant Movement Patterns Assessed in VR Simulated SportR01AR076153 · NIAMS · EMORY UNIVERSITY · PI GROOMS, DUSTIN ROBERT, MYER, GREGORY DONALD · 2020 to 2022
$1.1M
Discovery of the Neural Drivers Underlying Injury-Risk BiomechanicsR01AR077248 · NIAMS · OHIO UNIVERSITY ATHENS · PI GROOMS, DUSTIN ROBERT · 2021 to 2023
$557k
NIAMS NIH HHS R01 AR076153NIAMS NIH HHS R01 AR077248NIAMS NIH HHS U01 AR067997
6 · The paper itself

Abstract

Despite the efforts of many traditional lower extremity injury prevention programs (IPP), the incidence of anterior cruciate ligament injuries in young athletes continues to rise. Current best practices for IPPs include training lower extremity neuromuscular control and movement quality during cutting, jumping, and pivoting. Emerging evidence indicates neurocognition may contribute to injury incidence and injury risk biomechanics. Therefore, IPP outcomes may improve if clinicians also consider neurocognitive contributions to neuromuscular control and athletic performance. A substantial barrier to neurocognitive challenge integration during injury prevention training in the group setting is the lack of structured neuromuscular and neurocognitive progressions. Therefore, our aim is to provide clinicians with a defined framework and recommendations from clinical experience for how to implement neurocognitive challenges within group IPPs that requires minimal extra time and resources. This clinical commentary proposes a three-phase model adopted from motor learning literature to simultaneously progress neuromuscular and neurocognitive challenges through a structured IPP.

Indexed as

Anterior Cruciate Ligament InjuriesAthletic InjuriesAthletic PerformanceAthletesBiomechanical PhenomenaHumansLower ExtremityAnterior cruciate ligamentInjury prevention programMotor learningNeurocognition

Identifiers

PMID34153635
PMCPMC8380712

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.