{"id":"https://openalex.org/W7225008298","doi":"https://doi.org/10.26603/001c.172624","title":"Neurocognitive Factors in ACL Injury: The Missing Piece in Rehabilitation and Prevention? A Scoping Review","display_name":"Neurocognitive Factors in ACL Injury: The Missing Piece in Rehabilitation and Prevention? A Scoping Review","publication_year":2026,"publication_date":"2026-10-31","ids":{"openalex":"https://openalex.org/W7225008298","doi":"https://doi.org/10.26603/001c.172624","pmid":"https://pubmed.ncbi.nlm.nih.gov/42974571","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13727005"},"language":"en","primary_location":{"id":"doi:10.26603/001c.172624","doi":"https://doi.org/10.26603/001c.172624","is_oa":true,"landing_page_url":"https://doi.org/10.26603/001c.172624","pdf_url":"https://ijspt.scholasticahq.com/article/172624.pdf","source":{"id":"https://openalex.org/S2764559620","display_name":"International Journal of Sports Physical Therapy","issn_l":"2159-2896","issn":["2159-2896"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Sports Physical Therapy","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ijspt.scholasticahq.com/article/172624.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160271954","display_name":"Matteo De Rubertis","orcid":"https://orcid.org/0009-0003-1936-3442","observed_orcids":["https://orcid.org/0009-0003-1936-3442"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Matteo De Rubertis","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0003-1936-3442","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5160271954"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88141124,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"11","first_page":"1078","last_page":"1090"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11246","display_name":"Sports injuries and prevention","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cruciate-ligament-injury","display_name":"anterior cruciate ligament injury","score":0.9549999833106995},{"id":"https://openalex.org/keywords/neurocognitive-factors","display_name":"neurocognitive factors","score":0.972000002861023},{"id":"https://openalex.org/keywords/dual-task-interference","display_name":"dual-task interference","score":0.9909999966621399},{"id":"https://openalex.org/keywords/visual-attention","display_name":"visual attention","score":0.9929999709129333},{"id":"https://openalex.org/keywords/reaction-time","display_name":"reaction time","score":0.9980000257492065},{"id":"https://openalex.org/keywords/mental-fatigue","display_name":"mental fatigue","score":0.9750000238418579},{"id":"https://openalex.org/keywords/neurocognitive-training","display_name":"neurocognitive training","score":0.7609999775886536},{"id":"https://openalex.org/keywords/acl-rehabilitation","display_name":"ACL rehabilitation","score":0.7799999713897705},{"id":"https://openalex.org/keywords/return-to-sport","display_name":"return to sport","score":0.8100000023841858},{"id":"https://openalex.org/keywords/injury-prevention","display_name":"injury prevention","score":0.8370000123977661},{"id":"https://openalex.org/keywords/secondary-acl-injury","display_name":"secondary ACL injury","score":0.5519999861717224},{"id":"https://openalex.org/keywords/athletes","display_name":"athletes","score":0.5389999747276306}],"concepts":[{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.8680999875068665},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.6033999919891357},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.5737000107765198},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5439000129699707},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5303999781608582},{"id":"https://openalex.org/C158495155","wikidata":"https://www.wikidata.org/wiki/Q2369151","display_name":"Visual search","level":2,"score":0.5231999754905701},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.4528999924659729},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.38769999146461487},{"id":"https://openalex.org/C2778426673","wikidata":"https://www.wikidata.org/wiki/Q326921","display_name":"Concussion","level":4,"score":0.374099999666214},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3393999934196472},{"id":"https://openalex.org/C83867959","wikidata":"https://www.wikidata.org/wiki/Q371467","display_name":"Scopus","level":3,"score":0.3336000144481659},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3280999958515167},{"id":"https://openalex.org/C14216870","wikidata":"https://www.wikidata.org/wiki/Q3872","display_name":"Neuropsychology","level":3,"score":0.32330000400543213},{"id":"https://openalex.org/C2780449880","wikidata":"https://www.wikidata.org/wiki/Q12004591","display_name":"Vision rehabilitation","level":3,"score":0.32199999690055847},{"id":"https://openalex.org/C178253425","wikidata":"https://www.wikidata.org/wiki/Q162668","display_name":"Visual perception","level":3,"score":0.30149999260902405},{"id":"https://openalex.org/C2986089797","wikidata":"https://www.wikidata.org/wiki/Q6501338","display_name":"Visual attention","level":3,"score":0.2996000051498413},{"id":"https://openalex.org/C68015696","wikidata":"https://www.wikidata.org/wiki/Q5141235","display_name":"Cognitive rehabilitation therapy","level":3,"score":0.2840999960899353},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2815999984741211},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.27549999952316284},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2687999904155731},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.2615000009536743},{"id":"https://openalex.org/C153050134","wikidata":"https://www.wikidata.org/wiki/Q760256","display_name":"Eye movement","level":2,"score":0.2572999894618988},{"id":"https://openalex.org/C150594956","wikidata":"https://www.wikidata.org/wiki/Q1334829","display_name":"Wearable computer","level":2,"score":0.25209999084472656},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2515000104904175}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.26603/001c.172624","doi":"https://doi.org/10.26603/001c.172624","is_oa":true,"landing_page_url":"https://doi.org/10.26603/001c.172624","pdf_url":"https://ijspt.scholasticahq.com/article/172624.pdf","source":{"id":"https://openalex.org/S2764559620","display_name":"International Journal of Sports Physical Therapy","issn_l":"2159-2896","issn":["2159-2896"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Sports Physical Therapy","raw_type":"journal-article"},{"id":"pmid:42974571","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42974571","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of sports physical therapy","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13727005","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13727005/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Sports Phys Ther","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:b1c3b8a2951b427c87dd5b1b9f11cc30","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b1c3b8a2951b427c87dd5b1b9f11cc30","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Sports Physical Therapy, Vol 21, Iss 11 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.26603/001c.172624","doi":"https://doi.org/10.26603/001c.172624","is_oa":true,"landing_page_url":"https://doi.org/10.26603/001c.172624","pdf_url":"https://ijspt.scholasticahq.com/article/172624.pdf","source":{"id":"https://openalex.org/S2764559620","display_name":"International Journal of Sports Physical Therapy","issn_l":"2159-2896","issn":["2159-2896"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Sports Physical Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225008298.pdf","grobid_xml":"https://content.openalex.org/works/W7225008298.grobid-xml"},"referenced_works_count":53,"referenced_works":["https://openalex.org/W2103181642","https://openalex.org/W2119374649","https://openalex.org/W2129462670","https://openalex.org/W2171561760","https://openalex.org/W2177313000","https://openalex.org/W2497289726","https://openalex.org/W2578048156","https://openalex.org/W2801590773","https://openalex.org/W2888933194","https://openalex.org/W2891378911","https://openalex.org/W2937349176","https://openalex.org/W2938206413","https://openalex.org/W3003455168","https://openalex.org/W3036317957","https://openalex.org/W3089970736","https://openalex.org/W3143580715","https://openalex.org/W3151936369","https://openalex.org/W3160085924","https://openalex.org/W3211976674","https://openalex.org/W4285078010","https://openalex.org/W4286568239","https://openalex.org/W4291020099","https://openalex.org/W4317686367","https://openalex.org/W4318828957","https://openalex.org/W4320919912","https://openalex.org/W4378746125","https://openalex.org/W4381597290","https://openalex.org/W4382724650","https://openalex.org/W4392198301","https://openalex.org/W4399250955","https://openalex.org/W4402951340","https://openalex.org/W4403865364","https://openalex.org/W4403998231","https://openalex.org/W4403998408","https://openalex.org/W4404038868","https://openalex.org/W4404458586","https://openalex.org/W4404880940","https://openalex.org/W4406270737","https://openalex.org/W4407684509","https://openalex.org/W4408143943","https://openalex.org/W4408664427","https://openalex.org/W4409205642","https://openalex.org/W4410299695","https://openalex.org/W4410798304","https://openalex.org/W4411112757","https://openalex.org/W4412415449","https://openalex.org/W4413825587","https://openalex.org/W4414450734","https://openalex.org/W4414491457","https://openalex.org/W4415146496","https://openalex.org/W4415477328","https://openalex.org/W4416945872","https://openalex.org/W7126198190"],"related_works":["https://openalex.org/W7155407139","https://openalex.org/W3180132886","https://openalex.org/W4396774648","https://openalex.org/W4404038868","https://openalex.org/W7117993003","https://openalex.org/W4317686367","https://openalex.org/W2983320930","https://openalex.org/W4404880940","https://openalex.org/W4403865364","https://openalex.org/W4410799693"],"abstract_inverted_index":{"Background:":[0],"Increasing":[1],"evidence":[2,252,316],"suggests":[3],"that":[4],"ACL":[5,41,79,248,282],"injury":[6,62],"should":[7,308],"not":[8],"be":[9],"classified":[10],"solely":[11],"as":[12,18,38,314],"a":[13,19,143],"musculoskeletal":[14],"condition,":[15],"but":[16],"rather":[17],"neurophysiological":[20],"injury.":[21,42,80,305],"Several":[22],"neurocognitive":[23,53,76,175,288],"domains,":[24,176],"including":[25,146],"dual-task":[26,181,190,200],"interference,":[27,191],"visual":[28,169,184,192,206],"attention,":[29],"reaction":[30,195,213],"time":[31,214],"and":[32,55,61,108,116,136,168,183,186,194,209,242,258,264,284,292,320],"cognitive":[33],"fatigue,":[34],"have":[35,46],"been":[36],"proposed":[37,57],"contributors":[39],"to":[40,48,71,244,272],"However,":[43,250],"no":[44],"studies":[45,112,160,179,188,198,204,211,260],"looked":[47],"explore":[49],"subsections":[50],"of":[51,66,75,122,151,275,324],"these":[52],"domains":[54,226],"their":[56],"mechanisms":[58],"into":[59,290],"prevention":[60,285],"risk.":[63],"The":[64,86],"purpose":[65],"this":[67],"scoping":[68],"review":[69,87],"was":[70,88,103,140,218],"investigate":[72],"the":[73,93,164,172,276],"role":[74],"tasks":[77],"in":[78,90,105,154,163,227,236,280],"Study":[81],"Design:":[82],"Scoping":[83,97],"review.":[84,165],"Methods:":[85],"conducted":[89],"accordance":[91],"with":[92,177,224,261],"PRISMA":[94],"extension":[95],"for":[96,111,303],"Reviews":[98],"(PRISMA-ScR":[99],"Checklist).":[100],"Literature":[101],"search":[102],"performed":[104,141],"PubMed,":[106],"Scopus":[107],"PEDro":[109],"databases":[110],"published":[113,153],"between":[114],"2006":[115],"2026.":[117],"Search":[118],"terms":[119],"included":[120,162],"combinations":[121],"\"ACL\",":[123],"\"dual-task\",":[124],"\"neurocognitive\",":[125],"\"reaction":[126],"time\",":[127],"\"visual":[128],"attention\",":[129],"\"decision":[130],"making\",":[131],"\"mental":[132],"fatigue\",":[133],"\"processing":[134],"speed\",":[135],"\"cognitive":[137],"interference\".":[138],"Screening":[139],"by":[142],"single":[144],"reviewer,":[145],"publications":[147],"at":[148,301],"all":[149],"levels":[150],"evidence,":[152],"English":[155],"or":[156,222],"Italian.":[157],"Results:":[158],"Forty-two":[159],"were":[161,171],"Dual-task":[166],"interference":[167,182,201],"attention":[170,185,193,207],"most":[173],"investigated":[174],"nine":[178],"combining":[180,189],"10":[187],"time.":[196],"Six":[197],"examined":[199,205,212,219],"alone,":[202,208],"five":[203],"three":[210],"alone.":[215],"Cognitive":[216],"fatigue":[217],"either":[220],"alone":[221],"combined":[223],"other":[225],"seven":[228],"studies.":[229],"Neurocognitive":[230,269],"training":[231],"interventions":[232],"demonstrated":[233],"potential":[234],"benefits":[235],"improving":[237],"visuomotor":[238],"efficiency,":[239],"movement":[240],"compliance":[241],"return":[243],"sport":[245],"readiness":[246],"after":[247],"rehabilitation.":[249],"current":[251,281,315],"is":[253,317],"predominantly":[254,318],"derived":[255],"from":[256],"laboratory-based":[257],"exploratory":[259,319],"limited":[262],"prospective":[263],"clinically":[265,311],"translational":[266,312],"data.":[267],"Conclusions:":[268],"factors":[270],"appear":[271],"represent":[273],"one":[274],"major":[277],"missing":[278],"components":[279],"rehabilitation":[283,291],"frameworks.":[286],"Integrating":[287],"challenges":[289],"RTS":[293],"testing":[294],"may":[295],"help":[296],"clinicians":[297],"better":[298],"identify":[299],"athletes":[300],"risk":[302],"secondary":[304],"Future":[306],"research":[307],"prioritize":[309],"prospective,":[310],"studies,":[313],"laboratory":[321],"based.":[322],"Level":[323],"Evidence:":[325],"3.":[326]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-01T00:00:00"}