The relationship between drop vertical jump action-observation brain activity and kinesiophobia after anterior cruciate ligament reconstruction: A cross-sectional fMRI study.
The relationship between drop vertical jump action-observation brain activity and kinesiophobia after anterior cruciate ligament reconstruction: A cross-sectional fMRI study.
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DOI：
10.1002/brb3.2879
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发表时间：
2023-02
影响因子：
3.1
通讯作者：
Grooms, Dustin R.
中科院分区：
文献类型：
--
作者：
Kim, HoWon;Onate, James A.;Criss, Cody R.;Simon, Janet E.;Mischkowski, Dominik;Grooms, Dustin R.
关键词：
前交叉韧带（ACL）损伤和重建导致控制膝关节周围肌肉的中枢神经系统改变。大多数前交叉韧带重建（ACLR）患者都会经历运动恐惧症，这可能会阻止他们恢复活动，并与ACLR后的负面结果相关。然而，目前尚不清楚运动恐惧症是否会改变前交叉韧带损伤后的大脑活动。比较ACLR组和匹配的未受伤对照组在动作-观察下降-垂直跳跃（AO - DVJ）范式中的脑活动，并探讨ACLR组中运动恐惧症和脑活动之间的关系。这项横断面研究纳入了26个个体，其中13个为ACLR患者（5男8女，20.62±1.93岁，1.71±0.1 m, 68.42±14.75 kg）， 13个匹配的未损伤对照组（5男8女，22.92±3.17岁，1.74±0.10 m, 70.48±15.38 kg）。个体在性别和活动水平上匹配。参与者完成了坦帕运动恐惧症量表（TSK - 11）来评估与运动相关的恐惧水平。为了分析与功能性运动相关的大脑活动，本研究在功能性磁共振成像（fMRI）期间采用了动作-观察/运动图像范式。与未受伤的对照组相比，ACLR组右腹外侧前额叶皮层的脑活动较低。ACLR组左小脑一号和二号小腿、右小脑九小叶、杏仁核、颞中回和颞极的脑活动与TSK‐11评分呈正相关。在ACLR组和未损伤对照组之间，AO - DVJ范式的脑活动是不同的。其次，在ACLR参与者中，在AO - DVJ范式中，TSK - 11分数与参与恐惧和认知过程的大脑区域的活动呈正相关。ACLR组和未受伤对照组在动作-观察下降-垂直跳跃范式中的脑活动是不同的。其次，在ACLR参与者中，TSK - 11得分与行动-观察下降-垂直跳跃范式中参与恐惧和认知过程的脑区活动呈正相关。
Injury and reconstruction of anterior cruciate ligament (ACL) result in central nervous system alteration to control the muscles around the knee joint. Most individuals with ACL reconstruction (ACLR) experience kinesiophobia which can prevent them from returning to activity and is associated with negative outcomes after ACLR. However, it is unknown if kinesiophobia alters brain activity after ACL injury. To compare brain activity between an ACLR group and matched uninjured controls during an action‐observation drop vertical jump (AO‐DVJ) paradigm and to explore the association between kinesiophobia and brain activity in the ACLR group. This cross‐sectional study enrolled 26 individuals, 13 with ACLR (5 males and 8 females, 20.62 ± 1.93 years, 1.71 ± 0.1 m, 68.42 ± 14.75 kg) and 13 matched uninjured controls (5 males and 8 females, 22.92 ± 3.17 years, 1.74 ± 0.10 m, 70.48 ± 15.38 kg). Individuals were matched on sex and activity level. Participants completed the Tampa Scale of Kinesiophobia‐11 (TSK‐11) to evaluate the level of movement‐related fear. To assay the brain activity associated with a functional movement, the current study employed an action‐observation/motor imagery paradigm during functional magnetic resonance imaging (fMRI). The ACLR group had lower brain activity in the right ventrolateral prefrontal cortex relative to the uninjured control group. Brain activity of the left cerebellum Crus I and Crus II, the right cerebellum lobule IX, amygdala, middle temporal gyrus, and temporal pole were positively correlated with TSK‐11 scores in the ACLR group. Brain activity for the AO‐DVJ paradigm was different between the ACLR group and uninjured controls. Secondly, in participants with ACLR, there was a positive relationship between TSK‐11 scores and activity in brain areas engaged in fear and cognitive processes during the AO‐DVJ paradigm. Brain activity for the action‐observation drop vertical jump paradigm was different between the ACLR group and uninjured controls. Secondly, in participants with ACLR, there was a positive relationship between TSK‐11 scores and activity in brain areas engaged in fear and cognitive processes during the action‐observation drop vertical jump paradigm.
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