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Preliminary Evidence for Differential Trajectories of Recovery for Cognitive Flexibility Following Sports-Related Concussion

机译:在体育相关震荡后认知灵活性差异差异术的初步证据

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Objective: A critical barrier to the understanding of disruptions to cognitive flexibility following sports-related concussion is the use of assessments that conflate shifts of visuospatial attention and contextual rules. Because these dissociable forms of cognitive flexibility are subserved by distinct neural networks, the utility of a cognitive flexibility assessment following concussion may be reduced, depending upon the extent to which the task requires shifting visuospatial attention relative to shifting contextual rules. Accordingly, the current investigation examined the extent to which these aspects of cognitive flexibility exhibit differential trajectories of recovery following a sports-related concussion. Method: Twenty-two athletes with sports-related concussions were assessed on a cognitive flexibility task with 2 switch conditions (i.e., perceptual-based and contextual rule-based) within 72 hr of injury, after return to play, and within 1 month following return to play. Thirty-three healthy control athletes were tested at the same intervals. Results: Findings revealed that concussed athletes demonstrated protracted disruptions in task performance on a visuospatial attention-based cognitive flexibility task relative to healthy controls, whereas disruptions in task performance on a contextual rule-based cognitive flexibility task resolved after the acute phase of injury. These findings suggest that dissociable forms of cognitive flexibility exhibit differential trajectories of recovery. Conclusions: Therefore, evaluations detecting sports-related concussion disruptions in cognitive flexibility may be reduced depending on the extent to which they rely on contextual rule-based decisions. Test batteries focusing on visuospatial attention-based demands may be useful additions to aid in the objective assessment and follow-up management of athletes following the acute phase of injury.
机译:目的:对体育相关脑震荡后认知灵活性中断的关键障碍是利用与探索缺陷关注和上下文规则的转变进行评估。因为这些可解离的认知灵活性由不同的神经网络所带来,所以可以减少脑震荡之后的认知灵活性评估的效用,这取决于任务需要相对于移位上下文规则转移探测粘合性的程度。因此,目前的调查研究了认知灵活性的这些方面表现出在体育相关的脑震荡之后呈现差异剖面的程度。方法:在恢复播放后72小时内的认知柔性任务(即,基于感知的和上下文规则)的认知柔韧性任务,在损失72小时内评估了与体育相关脑震荡的二十二名运动员。回到玩。三十三个健康的控制运动员以相同的间隔进行测试。结果表明,展示展示运动员在相对于健康控制的基于探测性关注的认知灵活性任务上表现出持续的任务性能中断,而任务性能中的干扰在伤害急性阶段后解决的基于语境规则的认知灵活性任务。这些研究结果表明,可解离的认知灵活性形式表现出差异剖析的恢复术。结论:根据他们依赖基于环境规则的决策的程度,可以减少检测认知灵活性中的体育相关肠势中断的评估。专注于基于探测性关注的需求的测试电池可能是有用的补充,以帮助造成伤害急性期急性期间运动员的客观评估和后续管理。

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