Evidence map›Paper›PMID 41739284›Full record

SynthesisSports medicine - open2026

Neurocognitive Deficits Related to Ligamentous Ankle Injuries: A Systematic Review.

Hortense Corlùy, Emilie Schampheleer, Alexandre Maricot, Elke Lathouwers, Bart Roelands, Jo Verschueren, Bruno Tassignon

Abstract readSystematic Review
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

7 authors.

Hortense Corlùy *Faculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0009-0007-9550-420X
Emilie Schampheleer *Faculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0009-0009-4133-2005
Alexandre MaricotFaculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0002-3280-368X
Elke LathouwersFaculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0003-0117-8356
Bart RoelandsFaculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0002-2808-044X
Jo VerschuerenFaculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0002-4971-3971
Bruno TassignonFaculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium. bruno.tassignon@uhasselt.be.ORCID http://orcid.org/0000-0003-3216-4045

Funding

COMET DiMo-NEXT
6 · The paper itself

Abstract

backgroundLateral ankle sprains (LAS) are among the most common sports injuries, with up to 40% of individuals developing chronic ankle instability (CAI). While altering neurocognitive demands can affect lower limb biomechanics, the underlying mechanisms in CAI patients remain unclear. This systematic review aimed to summarise evidence on the neurocognitive deficits linked with ligamentous ankle injuries and CAI.

methodsFollowing PRISMA guidelines (PROSPERO: CRD42023406395), a comprehensive search of five databases (up to September 24, 2024) identified studies examining neurocognitive performance in adults with LAS or CAI. Inclusion criteria were based on a PICO strategy. Two authors independently selected studies and assessed bias using the QUIPS tool and the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data were extracted using a standardized form detailing study characteristics, patient data, neurocognitive methods, and statistical outcomes.

resultsThis review included 24 studies with 104 LAS and 393 CAI patients, 92 copers, and 317 healthy controls. Eighty-three percent of the included studies showed a high risk of bias. Neurocognitive performance was assessed across nine domains using 27 neurocognitive tasks. CAI patients exhibit deficits in attention, inhibitory control, and visual memory, with mixed results for working memory and processing speed. No deficits were found in language or motor skills. These deficits may contribute to reduced postural stability, particularly under dual-task conditions where cognitive resources are divided. No significant findings were observed for copers. DISCUSSION: Methodological variability, cross-sectional designs, and limited focus on LAS underscore the need for further research to examine causality and expand generalizability.

conclusionThis review underscores the association between ligamentous ankle injuries, particularly in CAI, and neurocognitive performance, although more research is needed to unravel the causal direction.

Indexed as

BrainChronic ankle instabilityCognitionInjury riskPerformancePostural control

Identifiers

PMID41739284
PMCPMC12936316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.