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The Relationship Between Subconcussive Impacts and Concussion History on Clinical Measures of Neurologic Function in Collegiate Football Players

Overview of attention for article published in Annals of Biomedical Engineering, October 2011
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Title
The Relationship Between Subconcussive Impacts and Concussion History on Clinical Measures of Neurologic Function in Collegiate Football Players
Published in
Annals of Biomedical Engineering, October 2011
DOI 10.1007/s10439-011-0421-3
Pubmed ID
Authors

Sonia M. Gysland, Jason P. Mihalik, Johna K. Register-Mihalik, Scott C. Trulock, Edgar W. Shields, Kevin M. Guskiewicz

Abstract

Concussions sustained during college and professional football careers have been associated with both acute and chronic neurologic impairment. The contribution of subconcussive impacts to this impairment has not been adequately studied. Therefore, we investigated the relationship between subconcussive impacts and concussion history on clinical measures of neurologic function. Forty-six collegiate football players completed five clinical measures of neurologic function commonly employed in the evaluation of concussion before and after a single season. These tests included the Automated Neuropsychological Assessment Metrics, Sensory Organization Test, Standardized Assessment of Concussion, Balance Error Scoring System, and Graded Symptom Checklist. The Head Impact Telemetry (HIT) System recorded head impact data including the frequency, magnitude, and location of impacts. College football players sustain approximately 1,000 subconcussive impacts to the head over the course of a season, but for the most part, do not demonstrate any clinically meaningful changes from preseason to postseason on measures of neurologic function. Changes in performance were mostly independent of prior concussion history, and the total number, magnitude and location of sustained impacts over one season as observed R(2) values ranged between 0.30 and 0.35. Repetitive subconcussive head impacts over a single season do not appear to result in short-term neurologic impairment, but these relationships should be further investigated for a potential dose-response over a player's career.

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Geographical breakdown

Country Count As %
United States 7 3%
Canada 2 <1%
Portugal 1 <1%
Brazil 1 <1%
Belgium 1 <1%
New Zealand 1 <1%
Unknown 264 95%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 44 16%
Student > Ph. D. Student 43 16%
Student > Master 38 14%
Researcher 32 12%
Professor > Associate Professor 25 9%
Other 56 20%
Unknown 39 14%
Readers by discipline Count As %
Medicine and Dentistry 64 23%
Psychology 31 11%
Neuroscience 29 10%
Engineering 29 10%
Sports and Recreations 26 9%
Other 41 15%
Unknown 57 21%