Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2025
The effects of neurocognitive training on pain, proprioception, injury anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability- randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Tekin Ebru, Unver Fatma
Аннотация
OBJECTIVES: Considering the rapid motor-cognitive changes and increased risk of injury in preadolescent athletes, this study investigated the effects of neurocognitive training (NT) on pain, proprioception, injury-related anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability (CAI).
DESIGN: Randomized controlled trial.
SETTING: Sports training facilities in Balıkesir, Türkiye.
PARTICIPANTS: Thirty preadolescent athletes with CAI (mean age 11.10 ± 1.06 years) were randomly assigned to an NT group (n = 15) or a control group (n = 13).
MAIN OUTCOME MEASURES: The Identification of Functional Ankle Instability (IdFAI), Cumberland Ankle Instability Tool (CAIT), pain severity, proprioception (dorsiflexion/plantarflexion), injury-related anxiety, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test were evaluated pre- and post-intervention.
RESULTS: The NT group demonstrated significant improvements in IdFAI (p < 0.001), CAIT (p = 0.004), dorsiflexion (p = 0.003) and plantarflexion proprioception (p = 0.018), injury-related anxiety (p = 0.013), YBT anterior reach (p = 0.048), RBT reaction time (p = 0.030), and accuracy (p = 0.003). The control group showed improvement only in plantarflexion proprioception (p = 0.028), with an increase in post-training pain (p = 0.030).
CONCLUSIONS: NT reduced ankle instability symptoms and injury-related anxiety while improving proprioception and neurocognitive performance. NT may enhance functional adaptation by addressing sport-specific cognitive-motor demands.
DESIGN: Randomized controlled trial.
SETTING: Sports training facilities in Balıkesir, Türkiye.
PARTICIPANTS: Thirty preadolescent athletes with CAI (mean age 11.10 ± 1.06 years) were randomly assigned to an NT group (n = 15) or a control group (n = 13).
MAIN OUTCOME MEASURES: The Identification of Functional Ankle Instability (IdFAI), Cumberland Ankle Instability Tool (CAIT), pain severity, proprioception (dorsiflexion/plantarflexion), injury-related anxiety, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test were evaluated pre- and post-intervention.
RESULTS: The NT group demonstrated significant improvements in IdFAI (p < 0.001), CAIT (p = 0.004), dorsiflexion (p = 0.003) and plantarflexion proprioception (p = 0.018), injury-related anxiety (p = 0.013), YBT anterior reach (p = 0.048), RBT reaction time (p = 0.030), and accuracy (p = 0.003). The control group showed improvement only in plantarflexion proprioception (p = 0.028), with an increase in post-training pain (p = 0.030).
CONCLUSIONS: NT reduced ankle instability symptoms and injury-related anxiety while improving proprioception and neurocognitive performance. NT may enhance functional adaptation by addressing sport-specific cognitive-motor demands.