Does Acute Fatigue Negatively Affect Intrinsic Risk Factors of the Lower Extremity Injury Risk Profile? A Systematic and Critical Review

Verschueren, Jo; Tassignon, Bruno; Pauw, Kevin De; Proost, Matthias; Teugels, Amber; Cutsem, Jeroen Van; Roelands, Bart; Verhagen, Evert

doi:10.1007/s40279-019-01235-1

Cited by 64 publications

(62 citation statements)

References 125 publications

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“…Previous research has demonstrated that sustained mental activity can result in either improved or worsened cognitive performance, depending on the intensity and duration of the mental task (Ishii et al, 2014;Tanaka et al, 2014). A 90minute mental activity has been found to improve flanker test RA without improving RT (Verschueren et al, 2020). The relatively short duration of our 5-minute mental activity improved the flanker test RA and led to slower RT in both groups, possibly due to the participants' subconscious efforts to avoid response errors through longer deliberation in the decision-making process (Rozand et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Impaired functional connectivity may be manifested by subtle alterations in neural processes related to perception, decision-making and motor skill execution (Serpell et al, 2020). Other research has shown that cognitive performance capabilities may be modified by both moderate-intensity physical activity (Chang et al, 2012;Lambourne & Tomporowski, 2010) and by sustained mental activity (Rozand et al, 2014;Tanaka et al, 2014;Verschueren et al, 2020). Thus, moderate-intensity physical and sustained mental activity might provide a mechanism to magnify the discriminatory power of test metrics for differentiating individuals with a history of sport-related concussion (HxSRC) from those who deny any such history (NoSRC).…”

Section: Introductionmentioning

confidence: 99%

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Wellness Survey Responses and Smartphone App Response Efficiency: Associations With Remote History of Sport-Related Concussion

et al. 2020

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Recent research findings have strongly suggested that sport-related concussion (SRC) increases risk for subsequent injury of any type, as well as a potential for long-term adverse effects on neurological and psychological well-being. The primary purpose of this study was to explore the reliability and discriminatory power of clinical testing procedures for detecting persisting effects of SRC. We used a cross-sectional study design to assess both self-reported symptoms commonly associated with post-concussion syndrome, and the effects of mental or physical activity on metrics derived from a smartphone app designed to test perceptual-motor responses. Among 30 physically active college students, 15 participants reported a SRC occurrence prior to testing ( M time-since-injury = 4.0 years, SD = 3.1, range = 5 months to 11 years). We found good test-retest reliability for key metrics derived from the smartphone app (ICC ≥ .70); and the internal consistency for the Overall Wellness Index (OWI) for 10 categories of 82 post-concussion symptoms was ideal (Cronbach’s α ≥ .80). Moderate intensity treadmill running demonstrated the strongest differential effect on perceptual-motor responses between participants with a history of SRC (HxSRC) and those with no such history (No SRC), which was best represented by the speed-accuracy trade-off quantified by the inverse efficiency index (IEI: group X trial interaction p = .055). Self-reported OWI symptoms ≥4 and post-physical activity IEI ≥ 568 ms provided the strongest discrimination between HxSRC and NoSRC participants (≥1 versus 0: OR = 9.75). Our findings suggest that persisting effects from a remote SRC occurrence can be detected by easily administered screening procedures that have the potential to identify individual athletes who might derive benefit from interventions to restore their optimal function and well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Wellness Survey Responses and Smartphone App Response Efficiency: Associations With Remote History of Sport-Related Concussion

et al. 2020

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“…In sports science, APF is defined as a complex behavioral state resulting in exercise‐induced performance decrements 10 . In addition, APF is hypothesized to play a potential, yet controversial, role in the development and occurrence of sports injuries since a recent systematic review showed that APF can compromise intrinsic modifiable injury risk factors, such as proprioception, strength, and balance outcome measures 11 . When subjecting participants to different APF inducing protocols (eg, high‐intensity intermittent protocols, Wingate protocols), their SEBT and YBT reach distances worsen compared to a non‐fatigued state 12‐16 .…”

Section: Introductionmentioning

confidence: 99%

Acute fatigue alters brain activity and impairs reactive balance test performance

et al. 2021

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Conflicting results in Y‐Balance Test (YBT) performance are found when participants are exposed to acute physical fatigue (APF). Even though APF is known to impair isolated neurocognitive performance, the effects of APF on reactive balance test (RBT) performance have never been investigated. Furthermore, research on the underlying APF‐induced neurophysiological mechanisms during these functional tests is scarce to non‐existent. Therefore, the aim was to assess the influence of APF on two clinician‐friendly balance tests: the YBT and RBT, as well as its effects on brain activity. Twenty healthy adults participated in this randomized crossover study. APF was induced by a 30 seconds modified Wingate test. YBT performance was expressed in maximal reach distances, and RBT performance involved visuomotor reaction time and accuracy. Electroencephalography (EEG) was used to measure brain activity during these balance tests. Balance test performance and EEG recordings were analyzed pre‐post. APF was successfully induced given that secondary outcome measures (eg, heart rate, blood lactate concentration) significantly increased following the modified Wingate. Decreased RBT accuracy was observed after APF, yet YBT performance and RBT visuomotor reaction time were unaffected. APF induced spectral power increments in the brain during both YBT and RBT performance.

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“…Therefore, it can be stated that non-contact injuries caused by fatigue occurred in the last fifteen minutes of play in both the first and second half of games. In non-contact injuries, neuromuscular fatigue is seen as a risk factor [ 17 , 18 , 19 , 20 ]. Neuromuscular fatigue is divided into two, according to the intensity and duration of exercise, like peripheral and central nervous system fatigue.…”

Section: Introductionmentioning

confidence: 99%

Effects of Aerobic and Anaerobic Fatigue Exercises on Postural Control and Recovery Time in Female Soccer Players

Güler

Aras

Akça

et al. 2020

IJERPH

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Sixteen female soccer players (age = 20.19 ± 1.52 years; body mass = 56.52 ± 4.95 kg; body height = 164.81 ± 4.21 cm) with no history of lower extremity injury participated in the study. The Biodex SD Balance system was used to determine the non-dominant single-leg stability. In anaerobic exercise, each subject performed four maximal cycling efforts against a resistance equivalent to 0.075 kg/body mass for 30 s with three-minute rest intervals. In aerobic exercise, subjects performed the Bruce protocol on a motorized treadmill. After each exercise, subjects subsequently performed a single-leg stability test and then repeated the same test for four times with five-minute passive rest periods. In accordance with the results, it was found that the impairment observed right after the aerobic loading was higher (p < 0.001) compared to the anaerobic one. However, the time-related deterioration in both aerobic and anaerobic loadings was similar. The B-pre value was lower than Bpost and B5 (p < 0.01) and B10 (p < 0.05) in both conditions. Subjects could reach the initial balance level at B15 after aerobic and anaerobic loadings. The lactate level did not reach resting value even after 20 min of both fatigue protocols. Although the fatigue after aerobic and aerobic exercise negatively affects a single-leg dynamic balance level, single leg balance ability returns to the baseline status after 10 min of passive recovery duration.

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Does Acute Fatigue Negatively Affect Intrinsic Risk Factors of the Lower Extremity Injury Risk Profile? A Systematic and Critical Review

Cited by 64 publications

References 125 publications

Wellness Survey Responses and Smartphone App Response Efficiency: Associations With Remote History of Sport-Related Concussion

Wellness Survey Responses and Smartphone App Response Efficiency: Associations With Remote History of Sport-Related Concussion

Acute fatigue alters brain activity and impairs reactive balance test performance

Effects of Aerobic and Anaerobic Fatigue Exercises on Postural Control and Recovery Time in Female Soccer Players

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