Evidence map›Paper›PMID 39470925›Full record

SynthesisSports medicine (Auckland, N.Z.)2025

Relationship between Cognitive Demands and Biomechanical Indicators Associated with Anterior Cruciate Ligament Injury: A Systematic Review.

Jesús Jiménez-Martínez, Alejandro Gutiérrez-Capote, Francisco Alarcón-López, Anthony Leicht, David Cárdenas-Vélez

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Knee Health Is a Major Determinant of Mobility Across the Healthspan.Journal of functional morphology and kinesiology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Neurophysiology of ACL Injury.Orthopedic reviews · 2025
    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.

Jesús Jiménez-MartínezFaculty of Sports Science, Department of Physical Education and Sport, University of Granada, Carretera de Alfacar S/N, 18071, Granada, Spain. j.jimenez@ugr.es.ORCID 0009-0009-5683-522X
Alejandro Gutiérrez-CapoteFaculty of Sports Science, Department of Physical Education and Sport, University of Granada, Carretera de Alfacar S/N, 18071, Granada, Spain.
Francisco Alarcón-LópezDepartment of General and Specific Didactics, Faculty of Education, University of Alicante, 03690, Alicante, Spain.
Anthony LeichtSport and Exercise Science, James Cook University, Townsville, QLD, 4811, Australia.
David Cárdenas-VélezFaculty of Sports Science, Department of Physical Education and Sport, University of Granada, Carretera de Alfacar S/N, 18071, Granada, Spain.

Funding

Ministerio de Ciencia, Innovación y Universidades FPU19/06224Ministerio de Universidades FPU20/02022.
6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) injury during contact sports has a high incidence that has not been reduced despite the immense resources devoted to understanding its aetiology. A neurocognitive approach could increase knowledge of the mechanisms contributing to ACL injury enabling practitioners to address and minimise future risk.

objectiveTo systematically review the influence of manipulating cognitive demands during motor tasks (i.e. degree of uncertainty) on biomechanical variables associated with ACL injury risk.

methodsA systematic review was performed according to the Cochrane Handbook for Systematic Reviews of Interventions by searching the major sporting electronic databases. The search strategy included four groups of terms and was conducted by two authors independently. All studies were screened using unique inclusion criteria, with the included studies assessed for risk of bias.

resultsTwenty-five studies were identified from 2031 records and included into the review process. During the experimental conditions where cognitive demands were higher, most biomechanical indicators associated with a greater risk of ACL injury during landing and cutting tasks were significantly enhanced compared with conditions with low or no cognitive demands.

conclusionsAn increase in task complexity through cognitive load significantly leads to changes in mechanisms associated with ACL injury during single-leg landings and cutting movements. Consequently, coaches and exercise professionals should consider inclusion of dual-task paradigms or uncertainty during injury risk assessment scenarios and injury prevention programs to help identify athletes at risk of ACL injury and reduce ACL injury frequency. REGISTRATION: This protocol was registered in the PROSPERO database ( https://www.crd.york.ac.uk/PROSPERO ) in May 2022, with the registration number CRD42022315795.

Indexed as

Anterior Cruciate Ligament InjuriesAthletic InjuriesCognitionBiomechanical PhenomenaHumans

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.