Research Article
BibTex RIS Cite

Investigation of the relationship between cognitive functions and motor skills with injury risk in adolescent football players

Year 2025, Volume: 12 Issue: 1, 38 - 47, 29.03.2025

Abstract

Purpose: The aim of the study was to examine the relationship between cognitive functions and motor skills and injury risk in adolescent football players.
Methods: The study included 93 healthy male volunteers (age: 12.11 ± 1.26 years), between the ages of 10 and 14, who were right-handed and dominant, from youth academies affiliated to the Karabük Youth and Sports Provincial Directorate. The study was conducted in accordance with the Declaration of Helsinki with the approval of the Istanbul Arel University non-invasive clinical research ethics committee (2022/17 No. E-69396709-050.06.04-233596). D2 attention, Corsi Cube Placement, and Flanker tests were preferred to evaluate cognitive functions, respectively. The German Motor Skills test was used to evaluate motor skills. The Landing Error Scoring System after Jumping was used to assess the risk of injury. The images of the jumps recorded from the frontal and sagittal planes during the jump tests were analyzed with the video-based motion analysis program Kinovea. The relationship between the variables was evaluated by Pearson correlation analysis.
Results: A significant relationship was found between attention and injury risk (r=-0.314; p=0.002). No relationship was found between motor skill and injury risk. The relationship between attention and motor skill was significant (r=-0.237; p=0.022). Short-term memory and inhibition had no significant relationship with motor skill.
Conclusion: Decreased attention function is associated with increased injury risk. The inclusion of cognitive function assessment in injury risk assessment would be beneficial in planning preventive and improving training protocols for adolescent football players.

References

  • World Health Organization. Adolescent Health, https://www.who.int/health-topics/adolescent-health/ (Erişim 15.04.2024).
  • Al-Qahtani MA, Allajhar MA, Alzahrani AA, et al. Sports-related injuries in adolescent athletes: a systematic review. Cureus. 2023;15:1-7.
  • Magaña-Ramírez M, Gallardo-Gómez D, Álvarez-Barbosa F, et al. What exercise programme is the most appropriate to mitigate anterior cruciate ligament injury risk in football (soccer) players? A systematic review and network meta-analysis. J Sci Med Sport. 2024;27:234-242.
  • Jones, JH, Pulici, L, Volpi, P. Epidemiology of Injuries in Sports. In: Football. Canata, GL, Jones H. eds. Heidelberg: Springer; 2022:61-67.
  • Ercan S, Arslan E, Çetin C, et al. Turkish adaptation study of the landing error scoring system. Kocaeli Med J. 2021;10:173-178.
  • Kayıran SM. Physical activity, exercise and children. Turk J Pediatr. 2016;8:13-15.
  • Patel DR, Soares N, Wells K. Neurodevelopmental readiness of children for participation in sports. Transl Pediatr, 2017;6:167-173.
  • Donnelly JE, Hillman CH, Castelli D, et al. Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Med Sci Sports Exerc. 2016;48:1197-1222.
  • Dolu N, Bahür S, Demirer F, et al. The effect of physical activity on cognitive function. Izm Univ Med J. 2016;1:7-8.
  • Cattuzzo MT, Henrique RS, Ré AHN, et al. Motor competence and health related physical fitness in youth: A systematic review. J Sci Med Sport. 2016;19:123-129.
  • Wei G, Luo J. Sport expert's motor imagery: functional imaging of professional motor skills and simple motor skills. Brain Res. 2010;1341:52-62.
  • Paśko W, Śliż M, Paszkowski M, et al. Characteristics of cognitive abilities among youths practicing football. Int J Environ Res Public Health. 2021;18:1371.
  • Malina, RM, Ribeiro B, Aroso J, et al. Characteristics of youth soccer players aged 13-15 years classified by skill level. Br J Sports Med. 2007;41:290-295.
  • Usluer ŞN, Aktuğ ZB, İbiş S, et al. The effect of corrective exercises on functional movement screen test and motor skills. J. Hum. Sci. 2021;18:390-399.
  • Bertozzi F, Fischer PD, Hutchison KA, et al. Associations between cognitive function and acl ınjury-related biomechanics: a systematic review. Sports Health. 2023;15:855-866.
  • Mendonça LD, Ley C, Schuermans J, et al. How injury prevention programs are being structured and implemented worldwide: An international survey of sports physical therapists. Phys Ther Sport. 2022;53:143-150.
  • Talas, MS. Genç sağlıklı erişkinlerde sözel akıcılık, büyüsel düşünce ve motor asimetri arasındaki ilişkilerin incelenmesi (Ankara: Ankara Üniversitesi Sağlık Bilimleri Enstitüsü, Yüksek lisans tezi, 2009): 9.
  • Scharfen HE, Memmert D. Fundamental relationships of executive functions and physiological abilities with game intelligence, game time and injuries in elite soccer players. Appl Cogn Psychol. 2021;35:1535-1546.
  • Padua DA Marshall SW, Boling MC et al. The Landing Error Scoring System (SSYİ-HPS) Is a valid and reliable clinical assessment tool of jump-landing biomechanics: The JUMP-ACL study. Am J Sports Med. 2009;37:1996-2002.
  • Everard, E., Lyons, et al. Examining the reliability of the Landing Error Scoring System with raters using the standardized ınstructions and scoring sheet. J Sport Rehabil. 2020;29:519-525.
  • Bates ME, Lemay EP Jr. The d2 Test of attention: construct validity and extensions in scoring techniques. J Int Neuropsychol Soc. 2004;10:392-400.
  • Richardson JT. Measures of short-term memory: a historical review. Cortex. 2007;43:635-650.
  • Stins JF, Polderman JC, Boomsma DI, et al. Conditional accuracy in response interference tasks: Evidence from the Eriksen flanker task and the spatial conflict task. Adv Cogn Psychol. 2008;3:409-417.
  • Mueller ST, Piper BJ. The Psychology Experiment Building Language (PEBL) and PEBL Test Battery. J Neurosci Methods. 2014;222:250-259.
  • Gür E, Çoban F, Gür Y. The comparison of attention levels of university students in different sport branches. Eur J Educ Stud. 2018;4:167-176.
  • Lee P, Lu WS, Liu CH, et al. Test-retest reliability and minimal detectable change of the D2 test of attention in patients with schizophrenia. Arch Clin Neuropsychol. 2018;33:1060-1068.
  • Dingwall KM, Gray AO, McCarthy AR, et al. Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study. BMC Psychol. 2017;5:26.
  • Lee SH, Pitt MA. Implementation of an online spacing flanker task and evaluation of its test–retest reliability using measures of inhibitory control and the distribution of spatial attention. Behav Res. 2024;56:5947-5958.
  • Bös K, Schlenker L. German Motor Skills Test 6–18 (DMT 6–18). In: Krüger, M., Neuber, N. (eds) Education in Sport. VS Verlag für Sozialwissenschaften. 2011:337-355.
  • Usluer ŞN, Aktuğ ZB, İbiş S, et al. Düzeltici egzersizlerin fonksiyonel hareket tarama testi ve motor beceri üzerine etkisi. J. Hum. Sci. 2021;18:390-399.
  • Bös K, Schlenker L, Büsch D, et al. Deutscher Motorik Test 6-18: (AMBT 6-18) Hamburg: Czwalina; 2009.
  • İri R, Urcan T. Çocuklar için Deutscher motorik testi: Sistematik derleme. Spor ve Performans Araştırmaları Dergisi. 2021;12:331-351.
  • Cohen J. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers;1988.
  • Wilke J, Groneberg DA. Neurocognitive function and musculoskeletal injury risk in sports: a systematic review. J Sci Med Sport. 2022;25:41-45.
  • Avedesian JM, McPherson AL, Diekfuss JA, et al. Visual-spatial attentional performance ıdentifies lower extremity ınjury risk in adolescent athletes. Clin J Sport Med. 2022;32:574-579.
  • Huddleston WE, Probasco MO, Reyes MA. The kinetic chain has a brain: could adding cognitive demands in lower limb ınjury prevention programs ımprove outcomes? J Orthop Sport Phys 2023;53:1-3.
  • Giesche F, Wilke J, Engeroff T, et al. Are biomechanical stability deficits during unplanned single-leg landings related to specific markers of cognitive function? J Sci Med Sport. 2020;23:82-88.
  • Fischer PD, Hutchison KA, Becker JN, et al. Evaluating the spectrum of cognitive-motor relationships during dual-task jump landing. J Appl Biomech. 2021;37:388-395.
  • Avedesian JM, Forbes W, Covassin T, et al. Influence of cognitive performance on musculoskeletal injury risk: a systematic review. Am J Sports Med. 2022;50:554-562.
  • Rommers N, Rössler R, Shrier I, et al. Motor performance is not related to injury risk in growing elite-level male youth football players. A causal inference approach to injury risk assessment. J Sci Med Sport. 2021;24:881-885.
  • Piek JP, Dyck MJ, Nieman A, et al. The relationship between motor coordination, executive functioning and attention in school aged children. Arch Clin Neuropsych. 2004;19:1063-1076.
  • Paśko W, Śliż M, Paszkowski M, et al. Characteristics of Cognitive Abilities among Youths Practicing Football. Int J Env Res Pub He, 2021;18:1371.

Adölesan futbolcularda bilişsel işlevler ve motor becerinin yaralanma riskiyle ilişkisinin araştırılması

Year 2025, Volume: 12 Issue: 1, 38 - 47, 29.03.2025

Abstract

Amaç: Adölesan futbolcularda bilişsel işlevler ve motor becerinin, yaralanma riski ile arasındaki ilişkiyi incelemek idi.
Yöntem: Çalışmaya Karabük Gençlik ve Spor İl Müdürlüğüne bağlı gençlik akademilerinden sağ eli baskın olarak kullanan, yaşları 10 ile 14 arasında, sağlıklı 93 gönüllü erkek (yaş: 12,11 ± 1,26 yıl) dahil edildi. Çalışma, İstanbul Arel Üniversitesi girişimsel olmayan klinik araştırmalar etik kurulu onayı (2022/17 No’lu E-69396709-050.06.04-233596 sayılı) ile Helsinki Deklarasyonuna uygun olarak yürütüldü. Bilişsel işlevleri değerlendirmek için sırasıyla D2 dikkat, Corsi Küp Yerleştirme ve Flanker testleri tercih edildi. Motor beceriyi değerlendirmek için Alman Motor Beceri testi kullanıldı. Yaralanma riskini değerlendirmek için Sıçramadan Sonra Yere İniş Hata Puanlama Sistemi kullanıldı. Sıçrama testleri sırasında frontal ve sagital plandan kaydedilen sıçramaların görüntüleri, video tabanlı hareket analiz programı Kinovea ile analiz edildi. Değişkenler arasındaki ilişki Pearson korelasyon analizi ile değerlendirildi.
Bulgular: Dikkat işlevi ile yaralanma riski arasında anlamlı bir ilişki bulundu (r=-0,314; p=0,002). Motor beceri ile yaralanma riski arasında anlamlı bir ilişki yok idi. Dikkat işlevi ile motor beceri ilişkisi anlamlıydı (r=-0,237; p=0,022). Kısa süreli bellek ve inhibisyon, motor beceri ile anlamlı bir ilişki göstermedi.
Sonuç: Dikkat işlevinin azalması yaralanma riskinin artışıyla ilişkilidir. Adölesan futbolcularda bilişsel işlevlerin değerlendirilmesinin yaralanma riski değerlendirmesine dahil edilmesi, koruyucu ve geliştirici antrenman protokollerinin planlanmasında fayda gösterecektir.

Ethical Statement

İstanbul Arel Üniversitesi etik kurulu onayı ile Helsinki deklarasyonuna uygun olarak hazırlanmıştır.

References

  • World Health Organization. Adolescent Health, https://www.who.int/health-topics/adolescent-health/ (Erişim 15.04.2024).
  • Al-Qahtani MA, Allajhar MA, Alzahrani AA, et al. Sports-related injuries in adolescent athletes: a systematic review. Cureus. 2023;15:1-7.
  • Magaña-Ramírez M, Gallardo-Gómez D, Álvarez-Barbosa F, et al. What exercise programme is the most appropriate to mitigate anterior cruciate ligament injury risk in football (soccer) players? A systematic review and network meta-analysis. J Sci Med Sport. 2024;27:234-242.
  • Jones, JH, Pulici, L, Volpi, P. Epidemiology of Injuries in Sports. In: Football. Canata, GL, Jones H. eds. Heidelberg: Springer; 2022:61-67.
  • Ercan S, Arslan E, Çetin C, et al. Turkish adaptation study of the landing error scoring system. Kocaeli Med J. 2021;10:173-178.
  • Kayıran SM. Physical activity, exercise and children. Turk J Pediatr. 2016;8:13-15.
  • Patel DR, Soares N, Wells K. Neurodevelopmental readiness of children for participation in sports. Transl Pediatr, 2017;6:167-173.
  • Donnelly JE, Hillman CH, Castelli D, et al. Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Med Sci Sports Exerc. 2016;48:1197-1222.
  • Dolu N, Bahür S, Demirer F, et al. The effect of physical activity on cognitive function. Izm Univ Med J. 2016;1:7-8.
  • Cattuzzo MT, Henrique RS, Ré AHN, et al. Motor competence and health related physical fitness in youth: A systematic review. J Sci Med Sport. 2016;19:123-129.
  • Wei G, Luo J. Sport expert's motor imagery: functional imaging of professional motor skills and simple motor skills. Brain Res. 2010;1341:52-62.
  • Paśko W, Śliż M, Paszkowski M, et al. Characteristics of cognitive abilities among youths practicing football. Int J Environ Res Public Health. 2021;18:1371.
  • Malina, RM, Ribeiro B, Aroso J, et al. Characteristics of youth soccer players aged 13-15 years classified by skill level. Br J Sports Med. 2007;41:290-295.
  • Usluer ŞN, Aktuğ ZB, İbiş S, et al. The effect of corrective exercises on functional movement screen test and motor skills. J. Hum. Sci. 2021;18:390-399.
  • Bertozzi F, Fischer PD, Hutchison KA, et al. Associations between cognitive function and acl ınjury-related biomechanics: a systematic review. Sports Health. 2023;15:855-866.
  • Mendonça LD, Ley C, Schuermans J, et al. How injury prevention programs are being structured and implemented worldwide: An international survey of sports physical therapists. Phys Ther Sport. 2022;53:143-150.
  • Talas, MS. Genç sağlıklı erişkinlerde sözel akıcılık, büyüsel düşünce ve motor asimetri arasındaki ilişkilerin incelenmesi (Ankara: Ankara Üniversitesi Sağlık Bilimleri Enstitüsü, Yüksek lisans tezi, 2009): 9.
  • Scharfen HE, Memmert D. Fundamental relationships of executive functions and physiological abilities with game intelligence, game time and injuries in elite soccer players. Appl Cogn Psychol. 2021;35:1535-1546.
  • Padua DA Marshall SW, Boling MC et al. The Landing Error Scoring System (SSYİ-HPS) Is a valid and reliable clinical assessment tool of jump-landing biomechanics: The JUMP-ACL study. Am J Sports Med. 2009;37:1996-2002.
  • Everard, E., Lyons, et al. Examining the reliability of the Landing Error Scoring System with raters using the standardized ınstructions and scoring sheet. J Sport Rehabil. 2020;29:519-525.
  • Bates ME, Lemay EP Jr. The d2 Test of attention: construct validity and extensions in scoring techniques. J Int Neuropsychol Soc. 2004;10:392-400.
  • Richardson JT. Measures of short-term memory: a historical review. Cortex. 2007;43:635-650.
  • Stins JF, Polderman JC, Boomsma DI, et al. Conditional accuracy in response interference tasks: Evidence from the Eriksen flanker task and the spatial conflict task. Adv Cogn Psychol. 2008;3:409-417.
  • Mueller ST, Piper BJ. The Psychology Experiment Building Language (PEBL) and PEBL Test Battery. J Neurosci Methods. 2014;222:250-259.
  • Gür E, Çoban F, Gür Y. The comparison of attention levels of university students in different sport branches. Eur J Educ Stud. 2018;4:167-176.
  • Lee P, Lu WS, Liu CH, et al. Test-retest reliability and minimal detectable change of the D2 test of attention in patients with schizophrenia. Arch Clin Neuropsychol. 2018;33:1060-1068.
  • Dingwall KM, Gray AO, McCarthy AR, et al. Exploring the reliability and acceptability of cognitive tests for Indigenous Australians: a pilot study. BMC Psychol. 2017;5:26.
  • Lee SH, Pitt MA. Implementation of an online spacing flanker task and evaluation of its test–retest reliability using measures of inhibitory control and the distribution of spatial attention. Behav Res. 2024;56:5947-5958.
  • Bös K, Schlenker L. German Motor Skills Test 6–18 (DMT 6–18). In: Krüger, M., Neuber, N. (eds) Education in Sport. VS Verlag für Sozialwissenschaften. 2011:337-355.
  • Usluer ŞN, Aktuğ ZB, İbiş S, et al. Düzeltici egzersizlerin fonksiyonel hareket tarama testi ve motor beceri üzerine etkisi. J. Hum. Sci. 2021;18:390-399.
  • Bös K, Schlenker L, Büsch D, et al. Deutscher Motorik Test 6-18: (AMBT 6-18) Hamburg: Czwalina; 2009.
  • İri R, Urcan T. Çocuklar için Deutscher motorik testi: Sistematik derleme. Spor ve Performans Araştırmaları Dergisi. 2021;12:331-351.
  • Cohen J. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers;1988.
  • Wilke J, Groneberg DA. Neurocognitive function and musculoskeletal injury risk in sports: a systematic review. J Sci Med Sport. 2022;25:41-45.
  • Avedesian JM, McPherson AL, Diekfuss JA, et al. Visual-spatial attentional performance ıdentifies lower extremity ınjury risk in adolescent athletes. Clin J Sport Med. 2022;32:574-579.
  • Huddleston WE, Probasco MO, Reyes MA. The kinetic chain has a brain: could adding cognitive demands in lower limb ınjury prevention programs ımprove outcomes? J Orthop Sport Phys 2023;53:1-3.
  • Giesche F, Wilke J, Engeroff T, et al. Are biomechanical stability deficits during unplanned single-leg landings related to specific markers of cognitive function? J Sci Med Sport. 2020;23:82-88.
  • Fischer PD, Hutchison KA, Becker JN, et al. Evaluating the spectrum of cognitive-motor relationships during dual-task jump landing. J Appl Biomech. 2021;37:388-395.
  • Avedesian JM, Forbes W, Covassin T, et al. Influence of cognitive performance on musculoskeletal injury risk: a systematic review. Am J Sports Med. 2022;50:554-562.
  • Rommers N, Rössler R, Shrier I, et al. Motor performance is not related to injury risk in growing elite-level male youth football players. A causal inference approach to injury risk assessment. J Sci Med Sport. 2021;24:881-885.
  • Piek JP, Dyck MJ, Nieman A, et al. The relationship between motor coordination, executive functioning and attention in school aged children. Arch Clin Neuropsych. 2004;19:1063-1076.
  • Paśko W, Śliż M, Paszkowski M, et al. Characteristics of Cognitive Abilities among Youths Practicing Football. Int J Env Res Pub He, 2021;18:1371.
There are 42 citations in total.

Details

Primary Language Turkish
Subjects Physiotherapy
Journal Section Articles
Authors

Öyküm Özlem Karagülle 0000-0002-8317-0050

Neslişah Gün 0000-0003-3506-3733

Evrim Gökçe 0000-0003-1548-8785

Publication Date March 29, 2025
Submission Date August 2, 2024
Acceptance Date October 7, 2024
Published in Issue Year 2025 Volume: 12 Issue: 1

Cite

Vancouver Karagülle ÖÖ, Gün N, Gökçe E. Adölesan futbolcularda bilişsel işlevler ve motor becerinin yaralanma riskiyle ilişkisinin araştırılması. JETR. 2025;12(1):38-47.