Neurocognitive Alterations in Athletes Post-ACL Reconstruction: Implications for Decision-Making Under Uncertainty

Highlight

  • Athletes with anterior cruciate ligament reconstruction (ACLR) demonstrate slower response times and reduced accuracy during probabilistic decision-making tasks compared to non-injured peers.
  • Altered cortical oscillatory activity includes diminished midfrontal theta during the prestimulus phase and increased theta responses during task execution, indicating a shift from proactive to reactive cognitive control.
  • Reduced suppression of left-lateralized central beta and posterior alpha oscillations in ACLR athletes reflects impaired motor preparation and visual-attentional resource allocation, particularly under uncertainty.
  • These persistent neurocognitive changes suggest integrating CNS function assessment into return-to-sport protocols to mitigate reinjury risks.

Study Background

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For clinical reference; use professional judgment.

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