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Executive functions and intraindividual variability following concussion.

Justin E Karr1, Mauricio A Garcia-Barrera, Corson N Areshenkoff

  • 1a Department of Psychology , University of Victoria , Victoria , BC , Canada.

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Executive functions, not intraindividual variability (IIV), may help predict concussion history. Mean response time in a global-local task was the only significant predictor of past concussions in athletes.

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Area of Science:

  • Neuroscience
  • Sports Medicine
  • Cognitive Psychology

Background:

  • Long-term outcomes of executive functions after concussion are unclear.
  • Intraindividual variability (IIV) in cognitive performance following concussion is not well-researched.
  • Existing research on concussion outcomes is inconsistent and limited.

Purpose of the Study:

  • To evaluate the predictive value of executive functions for concussion history.
  • To assess the utility of intraindividual variability (IIV) in predicting concussion history.
  • To address gaps in understanding concussion's long-term cognitive effects.

Main Methods:

  • 138 athletes completed executive function tasks (n-back, go/no-go, global-local).
  • Cognitive performance included mean scores and intraindividual variability (IIV).
  • Ordinal logistic regression analyzed predictors of concussion status.

Main Results:

  • Mean response time on the global-local task predicted the number of past concussions.
  • No intraindividual variability (IIV) measures uniquely predicted concussion history.
  • Executive function measures, particularly shifting, showed potential for detecting concussion differences.

Conclusions:

  • Intraindividual variability (IIV) did not add predictive value beyond mean performance for concussion history.
  • Executive functions, specifically shifting, may be more sensitive to concussion-related changes.
  • Further research is needed to clarify the role of IIV in concussion outcomes.