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Cognitive Training Improves Joint Stiffness Regulation and Function in ACLR Patients Compared to Healthy Controls.
Yong Woo An1, Kyung-Min Kim2,3, Andrea DiTrani Lobacz4
1Department of Health and Human Sciences, Loyola Marymount University, Los Angeles, CA 90621, USA.
Healthcare (Basel, Switzerland)
|July 14, 2023
Summary
Cognitive training improved executive function and knee function in anterior cruciate ligament reconstruction (ACLR) patients. This intervention also normalized joint stiffness responses to visual stimuli, suggesting benefits for neuromuscular control after ACLR.
Area of Science:
- Neuroscience
- Orthopedics
- Rehabilitation Medicine
Background:
- Cognitive function is vital for motor control.
- Anterior cruciate ligament reconstruction (ACLR) can impair neuromuscular control.
- Cognitive training may enhance motor strategies post-ACLR.
Purpose of the Study:
- To investigate cognitive training's effect on joint stiffness regulation in ACLR patients.
- To assess cognitive training's impact on knee function after ACLR.
- To compare ACLR patients with healthy controls.
Main Methods:
- A case-control study involving 20 ACLR patients and 20 healthy controls.
- Four weeks of online cognitive training intervention.
- Assessment of executive function, joint stiffness (response to visual stimuli), and knee function (single-legged hop).
Main Results:
- Both groups showed improved executive function post-training.
- ACLR patients initially exhibited altered joint stiffness to fearful/injury images, which normalized post-intervention.
- ACLR patients improved single-legged hop distance after cognitive training, unlike controls.
Conclusions:
- Cognitive training enhances executive function in ACLR patients.
- This improvement may normalize joint stiffness dysregulation and enhance knee function.
- Cognitive training shows promise for improving neuromuscular control post-ACLR.

