Do Differences Exist in Impact Test Domains between Youth Athletes with and without an Anterior Cruciate Ligament Injury?

Author:

Gureck Ashley E.1ORCID,Crockett Zack1,Barsky Brandon W.2ORCID,Samuels Shenae3ORCID,Frank Jeremy S.4,Storer Stephen K.4,Fazekas Matthew L.4

Affiliation:

1. Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA 02129, USA

2. Department of Sports Medicine, Kettering Health, Kettering, OH 45429, USA

3. Memorial Healthcare System, Office of Human Research, Hollywood, FL 33021, USA

4. Department of Orthopaedic Surgery and Sports Medicine, JoeDiMaggio Children’s Hospital, Hollywood, FL 33021, USA

Abstract

Poor baseline reaction time, as measured via the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), has been associated with anterior cruciate ligament (ACL) injury risk in adult athletes. Our study sought to determine whether the reaction time and impulse control ImPACT test domains differed between ACL injured and uninjured pediatric athletes. A total of 140 high-school aged athletes comprising 70 athletes who went on to sustain an ACL injury between 2012 and 2018 and 70 age- and sex-matched uninjured controls were included in the study. Mean reaction times were similar for the injured (0.67 s) and uninjured (0.66 s) athletes (p = 0.432), and the impulse control scores were also similar for those with (5.67) and without (6.07) an ACL injury (p = 0.611). Therefore, neurocognitive risk factors for sustaining an ACL injury in adults cannot necessarily be extrapolated to adolescent athletes. Further research is needed to understand why differences exist between injury risk in youth and adult athletes.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference45 articles.

1. NFHS (2023, September 13). NFHS Releases First High School Sports Participation Survey in Three Years. Available online: https://www.nfhs.org/articles/nfhs-releases-first-high-school-sports-participation-survey-in-three-years/.

2. NCAA Media Center (2023, September 13). NCAA Student-Athletes Surpass 520,000, Set New Record. Available online: https://www.ncaa.org/news/2022/12/5/media-center-ncaa-student-athletes-surpass-520-000-set-new-record.aspx.

3. Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005–2006 through 2013–2014 Academic Years;Tirabassi;Am. J. Sports Med.,2016

4. Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-Analysis;Bram;Am. J. Sports Med.,2021

5. Yoo, H., and Marappa-Ganeshan, R. (2023). StatPearls, StatPearls Publishing.

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