{"id":4356,"date":"2024-10-13T21:37:41","date_gmt":"2024-10-13T21:37:41","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=4356"},"modified":"2024-10-13T21:38:40","modified_gmt":"2024-10-13T21:38:40","slug":"from-control-to-chaos-visual-cognitive-progression-during-recovery-from-acl-reconstruction","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=4356","title":{"rendered":"From Control to Chaos: Visual-Cognitive Progression During Recovery From ACL Reconstruction"},"content":{"rendered":"

Link: Chaput M, Simon JE, Taberner M, Grooms DR. From Control to Chaos: Visual-Cognitive Progression During Recovery from ACL Reconstruction. J Orthop Sports Phys Ther. 2024<\/a><\/p>\n

\"\"<\/p>\n

My article of the month (October 2024)<\/strong>
\nMy article of the month (october 2024) is titled\u00a0“From Control to Chaos: Visual-Cognitive Progression During Recovery From ACL Reconstruction”<\/p>\n

The article presents a framework known as the Visual-Cognitive Control Chaos Continuum (VC-CCC). This framework is designed to enhance rehabilitation after anterior cruciate ligament reconstruction (ACLR) by integrating visual-cognitive challenges into traditional rehabilitation practices. The VC-CCC progresses through five phases, each increasing in complexity to simulate the demands of sport and improve both cognitive and motor performance. Throughout the VC-CCC, the visual-cognitive dual tasks progress from simple to complex.<\/p>\n

VC-CCC Phases<\/h2>\n

Phase 1: High Control<\/h3>\n

Focusing on task stability and movement quality without any added visual-cognitive load. This phase serves as a foundation, allowing athletes to perform exercises with minimal cognitive interference.<\/p>\n

Phase 2: Moderate Control<\/h3>\n

Introducing visually displayed working memory challenges to continuous exercises. The goal is to create mild cognitive-motor interference through divided attention mechanisms. For example, athletes might pace their repetitions to a visual metronome or solve simple math problems displayed on a screen while performing exercises.<\/p>\n

Phase 3: Control to Chaos<\/h3>\n

Integrating problem-solving and decision-making tasks with continuous exercises. This could include both dual tasks and visual-cognitive tasks.<\/p>\n

Phase 4: Moderate Chaos<\/h3>\n

The complexity of visual-cognitive tasks increases, incorporating decision-making tasks with response inhibition. This could be achieved using visual disturbance glasses or multicolor balls to add unpredictability and cognitive load.<\/p>\n

Phase 5: High Chaos<\/h3>\n

Aims to create both physical and cognitive chaos, closely mimicking the demands of sport. For example, virtual reality with unanticipated physical perturbations, responding to visual and auditory stimuli.<\/p>\n

My Clinical Take-away<\/h3>\n

The Visual-Cognitive Control Chaos Continuum (VC-CCC) framework is beneficial in progressing individual exercises throughout the continuum rather than categorizing exercises into specific phases of rehabilitation. For me, the VC-CCC is an extra layer to progress exercises. One example from the article is the lunge. In the high control environment, the patient performs the lunge at a self-paced tempo without any visual-cognitive task. In moderate control, the lunge is performed to tricolored targets, and a visual-cognitive task is given with a pretimed slide deck of randomized colors and transition times. In Control to Chaos, the lunge turns into a dynamic forward lunge, and the visual-cognitive task is added with simple math, where odd answers indicate a jump and even answers indicate a lunge. In moderate chaos, color can be added to the background with a given task. For the high chaos phase, the lunge turns into a four-corner reactive cone tap at submaximal speed with the same visual-cognitive task as before but with visual perturbation glasses.<\/p>\n","protected":false},"excerpt":{"rendered":"

Link: Chaput M, Simon JE, Taberner M, Grooms DR. From Control to Chaos: Visual-Cognitive Progression During Recovery from ACL Reconstruction. J Orthop Sports Phys Ther. 2024 My article of the month (October 2024) My article of the month (october 2024) is titled\u00a0“From Control to Chaos: Visual-Cognitive Progression During Recovery From ACL Reconstruction” The article presents […]<\/p>\n","protected":false},"author":81,"featured_media":4359,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_crdt_document":"","om_disable_all_campaigns":false,"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[155],"tags":[156],"class_list":["post-4356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acl","tag-acl"],"blocksy_meta":[],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/10\/7.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4356"}],"version-history":[{"count":9,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4356\/revisions"}],"predecessor-version":[{"id":4367,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4356\/revisions\/4367"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/media\/4359"}],"wp:attachment":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}