Brains and sprains : the brain's role in noncontact anterior cruciate ligament injuries
Deutscher übersetzter Titel: | Gedanke und Verstauchung : Die Rolle des Gehirns in Nichtkontaktsportarten bei der Verletzung des vorderen Kreuzbandes |
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Autor: | Swanik, Charles B. |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 50 (2015), 10, S. 1100-1102, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
DOI: | 10.4085/1062-6050-50.10.08 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201512009238 |
Quelle: | BISp |
Abstract
Growing evidence implicates several neuropsychological factors in the mechanism of noncontact anterior cruciate ligament (ACL) sprains.1–6 Just before the joint loads is a short period of time when sensory integration and complex motor planning must accurately predict impending joint loads.7 Errors in judgment or unanticipated stimuli may cause a momentary loss of situational awareness or startle responses.6,8,9 If the brain's executive functioning is unable to successfully negotiate the rapidly changing environmental conditions, then the action-planning networks are disrupted and task uncertainty ensues. The subsequent loss of neuromuscular control and inability to optimally regulate knee-joint stiffness diminishes dynamic stability. This can lead to unconstrained columnar buckling, which is often associated with noncontact ACL injury pathomechanics.8,10,11 In this article, I briefly review anecdotal, theoretical, and clinical research evidence for the brain's role in maintaining joint stability and neuropsychological factors that may render individuals injury prone. Verf.-Referat