{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:52:58Z","timestamp":1791334378296,"version":"4.3.1"},"reference-count":38,"publisher":"National Athletic Trainers' Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Individuals with chronic ankle instability (CAI) demonstrate a high recurrence rate of ankle sprains during sports activities, even after clinical rehabilitation, suggesting altered biomechanical and cognitive-motor performance under demanding conditions. These deficits may be further exacerbated during dynamic movements under cognitive load. However, previous dual-task studies in individuals with CAI have largely examined biomechanical or cognitive-motor performance outcomes separately, leaving their integrated effects insufficiently understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify delayed reaction time and increased task failures under visuospatial cognitive load in individuals with CAI compared with healthy controls and to investigate associated changes in lower-extremity kinematics and ground reaction forces during a jump landing-cutting task.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University research laboratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants<\/jats:title>\n                    <jats:p>Thirty-two physically active participants were included: 16 individuals with CAI (age = 24.81 \u00b1 2.69 years) and 16 healthy controls (age = 24.00 \u00b1 1.75 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention(s)<\/jats:title>\n                    <jats:p>Participants performed jump landing-cutting tasks under a single-task condition and a visuospatial cognitive-task condition using a FitLight (FitLight Corp) system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Lower-extremity kinematics, ground reaction forces, and failure counts were assessed in both conditions; reaction time was assessed only in the cognitive-task condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The CAI group demonstrated delayed reaction time compared with healthy controls during the cognitive-task condition (\n                      <jats:italic>P<\/jats:italic>\n                      = .033); however, reaction time in the CAI group decreased across repeated trials (\n                      <jats:italic>P<\/jats:italic>\n                      = .013). Both groups committed more failures in the cognitive-task condition than in the single-task condition (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001, \u03b7p\n                      <jats:sup>2<\/jats:sup>\n                      = 0.45). No significant interactions were observed in terms of biomechanical variables (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Individuals with CAI exhibited clear cognitive-motor deficits under cognitive load, whereas their characteristic biomechanical movement patterns remained unchanged. These findings suggest that cognitive-motor dysfunction may not be adequately captured by biomechanical assessments alone and that integrating both domains may improve evaluation and return-to-play decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-0004.26","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:40:41Z","timestamp":1778586041000},"page":"683-691","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Cognitive Loading on Biomechanical and Cognitive-Motor Performance During Jump Landing-Cutting in Chronic Ankle Instability"],"prefix":"10.4085","volume":"61","author":[{"given":"Subeen","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Physical Education, Yonsei University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyeongtak","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Yonsei University, Seoul, Republic of Korea"},{"name":"International Olympic Committee Research Centre Korea, Seoul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikheon","family":"Song","sequence":"additional","affiliation":[{"name":"School of Health and Kinesiology, University of Nebraska at Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namwoong","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Health and Kinesiology, Incheon National University, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sae Yong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Yonsei University, Seoul, Republic of Korea"},{"name":"International Olympic Committee Research Centre Korea, Seoul"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"10","key":"i1938-162X-61-10-683-b01","series-title":"J Orthop Res","first-page":"1991","article-title":"Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump","volume":"24","author":"Delahunt","year":"2006","unstructured":"Delahunt E,\nMonaghan K,\nCaulfield B. Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J Orthop Res. 2006;24(10):1991\u20132000. doi:10.1002\/jor.20235"},{"issue":"2","key":"i1938-162X-61-10-683-b02","series-title":"J Sport Rehabil","first-page":"122","article-title":"Assessing functional ankle instability with joint position sense, time to stabilization, and electromyography","volume":"13","author":"Brown","year":"2004","unstructured":"Brown C,\nRoss S,\nMynark R,\nGuskiewicz K. Assessing functional ankle instability with joint position sense, time to stabilization, and electromyography. 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