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Effect of Head Impact Exposures on Changes in Cognitive Testing
Eleni Diakogeorgiou1, Theresa L Miyashita1
1Sacred Heart University, Fairfield, Connecticut, USA.
This study found no significant cognitive decline in lacrosse players after multiple head impacts. However, subtle cognitive changes may not be detected by current testing methods.
Area of Science:
- Sports Medicine
- Neuroscience
- Biomechanics
Background:
- Understanding head impacts is crucial for assessing effects beyond clinical concussion.
- Repeated sub-concussive impacts may have cumulative effects on cognitive function.
- Investigating cognitive changes in athletes is vital for player safety and long-term health.
Purpose of the Study:
- To determine the correlation between head impacts and cognitive test performance in collegiate lacrosse players.
- To assess changes in neurocognitive function from pre-season to post-season.
- To evaluate the relationship between the number of head impacts and cognitive outcomes.
Main Methods:
- A case-control study involving 34 NCAA Division I men's lacrosse players.
- Head impacts were measured using instrumented helmets with accelerometers during the 2014 season.
- Cognitive function was assessed using the Sport Concussion Assessment Tool (SCAT 3) and Concussion Vital Signs (CVS) tests pre- and postseason.
Main Results:
- No significant difference was found in SCAT 3 scores between pre- and postseason.
- A significant negative correlation (r = -0.362, P = .035) was observed between SCAT 3 scores and the total number of head impacts.
- Improvements were noted in some CVS components (visual reaction time, reaction time, simple reaction time), but no correlation with head impacts was found.
Conclusions:
- The study did not detect cognitive declines in athletes experiencing multiple head impacts without clinical concussion.
- It remains undetermined if subtle cognitive declines occurred that were below the detection threshold of SCAT 3 and CVS.
- Further research is needed to explore sensitive methods for detecting sub-clinical cognitive changes from head impacts.
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