Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence

Anterior cruciate ligament (ACL) injury is a common problem with consequences ranging from chronic joint instability to early development of osteoarthritis. Recent studies suggest that changes in brain activity (i.e., functional neuroplasticity) may be related to ACL injury. The purpose of this arti...

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Main Authors: T. Neto, T. Sayer, D. Theisen, A. Mierau
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2019/3480512
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author T. Neto
T. Sayer
D. Theisen
A. Mierau
author_facet T. Neto
T. Sayer
D. Theisen
A. Mierau
author_sort T. Neto
collection DOAJ
description Anterior cruciate ligament (ACL) injury is a common problem with consequences ranging from chronic joint instability to early development of osteoarthritis. Recent studies suggest that changes in brain activity (i.e., functional neuroplasticity) may be related to ACL injury. The purpose of this article is to summarize the available evidence of functional brain plasticity after an ACL injury. A scoping review was conducted following the guidelines of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The terms “brain,” “activity,” “neuroplasticity,” “ACL,” “injury,” and “reconstruction” were used in an electronic search of articles in PubMed, PEDro, CINAHL, and SPORTDiscus databases. Eligible studies included the following criteria: (a) population with ACL injury, (b) a measure of brain activity, and (c) a comparison to the ACL-injured limb (contralateral leg or healthy controls). The search yielded 184 articles from which 24 were included in this review. The effect size of differences in brain activity ranged from small (0.05, ACL-injured vs. noninjured limbs) to large (4.07, ACL-injured vs. healthy control). Moreover, heterogeneity was observed in the methods used to measure brain activity and in the characteristics of the participants included. In conclusion, the evidence summarized in this scoping review supports the notion of functional neuroplastic changes in people with ACL injury. The techniques used to measure brain activity and the presence of possible confounders, as identified and reported in this review, should be considered in future research to increase the level of evidence for functional neuroplasticity following ACL injury.
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spelling doaj-art-2da22c0ff9d24f5bbf79562a299abf032025-02-03T05:45:39ZengWileyNeural Plasticity2090-59041687-54432019-01-01201910.1155/2019/34805123480512Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current EvidenceT. Neto0T. Sayer1D. Theisen2A. Mierau3LUNEX International University of Health, Exercise and Sports, Differdange, LuxembourgDepartment of Physiotherapy, The University of Melbourne, Victoria, AustraliaALAN-Maladies Rares Luxembourg, LuxembourgLUNEX International University of Health, Exercise and Sports, Differdange, LuxembourgAnterior cruciate ligament (ACL) injury is a common problem with consequences ranging from chronic joint instability to early development of osteoarthritis. Recent studies suggest that changes in brain activity (i.e., functional neuroplasticity) may be related to ACL injury. The purpose of this article is to summarize the available evidence of functional brain plasticity after an ACL injury. A scoping review was conducted following the guidelines of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The terms “brain,” “activity,” “neuroplasticity,” “ACL,” “injury,” and “reconstruction” were used in an electronic search of articles in PubMed, PEDro, CINAHL, and SPORTDiscus databases. Eligible studies included the following criteria: (a) population with ACL injury, (b) a measure of brain activity, and (c) a comparison to the ACL-injured limb (contralateral leg or healthy controls). The search yielded 184 articles from which 24 were included in this review. The effect size of differences in brain activity ranged from small (0.05, ACL-injured vs. noninjured limbs) to large (4.07, ACL-injured vs. healthy control). Moreover, heterogeneity was observed in the methods used to measure brain activity and in the characteristics of the participants included. In conclusion, the evidence summarized in this scoping review supports the notion of functional neuroplastic changes in people with ACL injury. The techniques used to measure brain activity and the presence of possible confounders, as identified and reported in this review, should be considered in future research to increase the level of evidence for functional neuroplasticity following ACL injury.http://dx.doi.org/10.1155/2019/3480512
spellingShingle T. Neto
T. Sayer
D. Theisen
A. Mierau
Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
Neural Plasticity
title Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
title_full Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
title_fullStr Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
title_full_unstemmed Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
title_short Functional Brain Plasticity Associated with ACL Injury: A Scoping Review of Current Evidence
title_sort functional brain plasticity associated with acl injury a scoping review of current evidence
url http://dx.doi.org/10.1155/2019/3480512
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