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Comparison of season-long diffusivity measures in a cohort of non-concussed contact and non-contact athletes.
Merz, Zachary C; Flashman, Laura A; Ford, James C; McDonald, Brenna C; McAllister, Thomas W.
Afiliación
  • Merz ZC; LeBauer Department of Neurology, Moses H. Cone Memorial Hospital , Greensboro, NC, USA.
  • Flashman LA; Department of Neurology, Wake Forest Baptist Health, Wake Forest University , Winston-Salem, NC, USA.
  • Ford JC; Department of Psychiatry, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth , Hanover, NH, USA.
  • McDonald BC; Department of Radiology and Imaging Sciences, Indiana University School of Medicine , Indianapolis, IN, USA.
  • McAllister TW; Department of Psychiatry, Indiana University School of Medicine , Indianapolis, IN, USA.
J Clin Exp Neuropsychol ; 42(8): 811-821, 2020 10.
Article en En | MEDLINE | ID: mdl-32893734
INTRODUCTION: Concern surrounding short- and long-term consequences of participation in contact sports has become a significant public health topic. Previous literature utilizing diffusion tensor imaging in sports-related concussion has exhibited notable variety of analysis methods and analyzed regions of interest, and largely focuses on acute effects of concussion. The current study aimed to compare diffusivity metrics across a single season within athlete cohorts with no history of concussion. METHODS: A prospective cohort of 75 contact and 79 non-contact division I athletes were compared across diffusion tensor imaging metrics (i.e. TRACULA); examinations were also performed assessing the relationship between neuroimaging metrics, head impact exposure metrics (in-helmet accelerometer), and neurocognitive variables. Assessment occurred at pre-and post-season time points. RESULTS: Seasonal changes in fractional anisotropy and mean diffusivity values did not differ between athlete cohorts, nor did they differ within cohort groups, across pre- and post-season scans. Specific to contact athletes, positive associations were found between uncinate fasciculus mean diffusivity values and season linear acceleration (p =.018), season rotational acceleration (p =.017), and season hit severity (p =.021). CONCLUSIONS: Results suggest an influence of impact frequency, type, and severity on white matter integrity in select brain regions in contact athletes. Current findings expand our knowledge of anatomical changes over the course of a single season, and underscore the importance of considering methodology when interpreting findings in this population, as differing image analysis techniques may lead to different conclusions regarding significant effects.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Conmoción Encefálica Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Clin Exp Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Conmoción Encefálica Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Clin Exp Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido