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前交叉韧带重建术后有效的注意力集中策略:一篇评论

Effective Attentional Focus Strategies after Anterior Cruciate Ligament Reconstruction: A Commentary.

作者信息

Singh Harjiv, Gokeler Alli, Benjaminse Anne

机构信息

Kinesiology and Nutrition Sciences, University of Nevada Las Vegas.

Department Exercise & Health, Exercise Science and Neuroscience, University of Paderborn; Department of Public and Occupational Health, Amsterdam Movement Sciences, VU University Medical Center; OCON Centre of Orthopaedic Surgery and Sports Medicine.

出版信息

Int J Sports Phys Ther. 2021 Dec 2;16(6):1575-1585. doi: 10.26603/001c.29848. eCollection 2021.

DOI:10.26603/001c.29848
PMID:34909262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8637244/
Abstract

UNLABELLED

Individuals after anterior cruciate ligament reconstruction (ACLR) have a high rate of reinjury upon return to competitive sports. Deficits in motor control may influence reinjury risk and can be addressed during rehabilitation with motor learning strategies. When instructing patients in performing motor tasks after ACLR, an external focus of attention directed to the intended movement effect has been shown to be more effective in reducing reinjury risk than an internal focus of attention on body movements. While this concept is mostly agreed upon, recent literature has made it clear that the interpretation and implementation of an external focus of attention within ACLR rehabilitation needs to be better described. The purpose of this commentary is to provide a clinical framework for the application of attentional focus strategies and guide clinicians towards effectively utilizing an external focus of attention in rehabilitation after ACLR.

LEVEL OF EVIDENCE

摘要

未标注

前交叉韧带重建(ACLR)后的个体在恢复竞技运动时再次受伤的发生率很高。运动控制缺陷可能会影响再次受伤的风险,并且可以在康复过程中通过运动学习策略加以解决。在指导ACLR术后患者执行运动任务时,与关注身体动作的内部注意力焦点相比,将外部注意力焦点指向预期的运动效果已被证明在降低再次受伤风险方面更有效。虽然这一概念已得到广泛认可,但最近的文献表明,ACLR康复中外部注意力焦点的解释和实施需要更明确的描述。本评论的目的是提供一个应用注意力焦点策略的临床框架,并指导临床医生在ACLR术后康复中有效利用外部注意力焦点。

证据水平

5级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d8b/8637244/1abab4d6ba7a/ijspt_2021_16_6_29848_75328.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d8b/8637244/1abab4d6ba7a/ijspt_2021_16_6_29848_75328.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d8b/8637244/1abab4d6ba7a/ijspt_2021_16_6_29848_75328.jpg

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2
The Immediate Effects of Expert and Dyad External Focus Feedback on Drop Landing Biomechanics in Female Athletes: An Instrumented Field Study.专家和双人外部焦点反馈对女性运动员落地生物力学的即时影响:一项仪器化现场研究。
Int J Sports Phys Ther. 2021 Feb 1;16(1):96-105. doi: 10.26603/001c.18717.
3
Mind over body: Creating an external focus for sport skills.
心胜于身:为运动技能创造外部关注点。
Eur J Sport Sci. 2022 Apr;22(4):610-616. doi: 10.1080/17461391.2021.1887367. Epub 2021 Feb 28.
4
THE INFLUENCE OF ATTENTIONAL FOCUS ON LANDING STIFFNESS IN FEMALE ATHLETES: A CROSS-SECTIONAL STUDY.注意力焦点对女性运动员着地刚度的影响:一项横断面研究。
Int J Sports Phys Ther. 2020 Aug;15(4):510-518.
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Attention focus modulates afferent input to motor cortex during skilled action.注意力集中调节熟练动作期间传入的运动皮层的输入。
Hum Mov Sci. 2020 Dec;74:102716. doi: 10.1016/j.humov.2020.102716. Epub 2020 Nov 14.
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Forward thinking: When a distal external focus makes you faster.前瞻性思维:当外部远端焦点使你更快。
Hum Mov Sci. 2020 Dec;74:102708. doi: 10.1016/j.humov.2020.102708. Epub 2020 Nov 5.
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