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动力链有“大脑”:在下肢损伤预防项目中增加认知要求能否改善结果?

The Kinetic Chain Has a Brain: Could Adding Cognitive Demands in Lower Limb Injury Prevention Programs Improve Outcomes?

作者信息

Huddleston Wendy E, Probasco Mark O, Reyes Michaela A

机构信息

Doctor of Physical Therapy Program, Department of Rehabilitation Sciences & Disorders, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI.

出版信息

J Orthop Sports Phys Ther. 2023 Apr;53(4):159-161. doi: 10.2519/jospt.2023.11403.

DOI:10.2519/jospt.2023.11403
PMID:36939287
Abstract

The most effective lower limb injury prevention programs include strength training, balance exercises, and instructions on how to land safely from a jump or hop. Yet, the programs are not 100% effective-lower extremity noncontact injuries continue to be a significant problem. We suggest that adding cognitive training to motor tasks that currently comprise current lower limb injury prevention programs might help clinicians, athletes, and coaches continue to make inroads into preventing knee injuries. We ground our hypotheses in robust findings from cognitive neuroscience and rehabilitation, suggesting that when task demands exceed the attentional capacity of an individual, the risk for noncontact lower extremity injuries increases. In this editorial, we explain the concepts of attentional capacity and attentional demands, and the interplay of the two in sport, to justify including cognitive tasks to injury prevention programs to improve outcomes. .

摘要

最有效的下肢损伤预防计划包括力量训练、平衡练习,以及关于如何安全地从跳跃或单脚跳落地的指导。然而,这些计划并非100%有效——下肢非接触性损伤仍然是一个重大问题。我们建议,在目前构成下肢损伤预防计划的运动任务中增加认知训练,可能会帮助临床医生、运动员和教练在预防膝盖损伤方面继续取得进展。我们的假设基于认知神经科学和康复领域的有力研究结果,表明当任务需求超过个体的注意力容量时,非接触性下肢损伤的风险就会增加。在这篇社论中,我们解释注意力容量和注意力需求的概念,以及两者在运动中的相互作用,以证明将认知任务纳入损伤预防计划以改善结果的合理性。

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