ReviewFrontiers in sports and active living2022
Think outside the box: Incorporating secondary cognitive tasks into return to sport testing after ACL reconstruction.
Review in Frontiers in sports and active living, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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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.
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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.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Unplanned movement tasks requiring rapid decision-making: a scoping review of study characteristics and methodological approaches.BMC sports science, medicine & rehabilitation · 2026Pooled it
- Mechanisms, Injury Patterns and Biomechanical Factors of Anterior Cruciate Ligament Injuries in Football (Soccer): A Systematic Review and Meta-Analysis of Video-Analysis Studies.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Effects of sport specific unplanned movements on ankle kinetics and kinematics in healthy athletes from systematic review with meta-analysis.Scientific reports · 2025Pooled it
- Pooled it
- "It's a black box": Physiotherapists' perspectives on sensorimotor control and the use of technology in this context to improve rehabilitation following ACL injury.BMC musculoskeletal disorders · 2026Article
- Cognitive-Motor Function and Anterior Cruciate Ligament Injury Risk: Exploring Relationships Between Clinical and Lab-Based Assessments.Journal of sport rehabilitation · 2026Article
- Dual-Task Single-Leg Hop Performance Exposes Persistent Asymmetry and Movement Deficits After Anterior Cruciate Ligament Reconstruction: A Randomised Crossover Experimental Study.Translational sports medicine · 2026Article
- A Novel Dual-Task Paradigm for Return-to-Sport Screening After ACL Injury: A Pilot Study.Translational sports medicine · 2026Article
- Effect of a Visual Dual-Task on Single-Leg Countermovement-Jump in Male Professional Soccer Players with Lower-Limb Injuries: A Cross-Sectional Observational Study.Sports (Basel, Switzerland) · 2025Article
- Cognitive-Motor Function During Jump Landings After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- High Return to Competition Rate After On-Field Rehabilitation in Competitive Male Soccer Players After ACL Reconstruction: GPS Tracking in 100 Consecutive Cases.Orthopaedic journal of sports medicine · 2025Article
- Side-hop test can detect deficits in knee functional ability in male athletes following anterior cruciate ligament reconstruction compared to a control group during a battery test performance.Frontiers in sports and active living · 2025Article
- Cognitive costs in motor-cognitive performance assessments depend on movement complexity and cognitive task design.Frontiers in sports and active living · 2025Article
- The Influence of Cognitive Dual Tasking on the Outcomes of the Triple Hop Test Following Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2025Article
- Neurophysiology of ACL Injury.Orthopedic reviews · 2025Article
- Jump Landing Kinematics: Establishing Normative Ranges For Male And Female Athletes.Journal of athletic training · 2024Article
- A hop testing alternative for functional performance following anterior cruciate ligament reconstruction.PloS one · 2024Article
- Enhancing Return to Alpine Skiing: Integrating Perceptual-Motor-Cognitive Considerations in Testing and Progressions: A Clinical Commentary.International journal of sports physical therapy · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The optimal set of return to sport (RTS) tests after anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) remains elusive. Many athletes fail to pass current RTS test batteries, fail to RTS, or sustain secondary ACL injuries if they do RTS. The purpose of this review is to summarize current literature regarding functional RTS testing after ACLR and to encourage clinicians to have patients "think" (add a secondary cognitive task) outside the "box" (in reference to the box used during the drop vertical jump task) when performing functional RTS tests. We review important criteria for functional tests in RTS testing, including task-specificity and measurability. Firstly, tests should replicate the sport-specific demands the athlete will encounter when they RTS. Many ACL injuries occur when the athlete is performing a dual cognitive-motor task (e.g., attending to an opponent while performing a cutting maneuver). However, most functional RTS tests do not incorporate a secondary cognitive load. Secondly, tests should be measurable, both through the athlete's ability to complete the task safely (through biomechanical analyses) and efficiently (through measures of performance). We highlight and critically examine three examples of functional tests that are commonly used for RTS testing: the drop vertical jump, single-leg hop tests, and cutting tasks. We discuss how biomechanics and performance can be measured during these tasks, including the relationship these variables may have with injury. We then discuss how cognitive demands can be added to these tasks, and how these demands influence both biomechanics and performance. Lastly, we provide clinicians with practical recommendations on how to implement secondary cognitive tasks into functional testing and how to assess athletes' biomechanics and performance.
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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.