Long-term effects of concussion on attention, sensory gating and motor learning

The current work aimed to understand the behavioral manifestations that result from disruptions to the selective facilitation of task-relevant sensory information at early cortical processing stages in those with a history of concussion. A total of 40 participants were recruited to participate in this study, with 25 in the concussion history group (Hx) and 15 in the control group (No-Hx). Somatosensory-evoked potentials (SEPs) were elicited via median nerve stimulation while subjects performed a task that manipulated their focus of attention toward or away from proprioceptive cues. Participants also completed an implicit motor sequence learning task relying solely on proprioceptive cues, as well as a visual attentional blink (AB) task to understand the effect of concussion on rapid shifts in attention. The Hx SEP data replicated past work showing an absence of relevancy-based facilitation at early cortical processing stages (N20-P27) that emerged at later processing stages. Our Hx showed evidence of relevancy-based facilitation at either the P50-N70 or the N70-P100. Performance on the learning task was not significantly different between the Hx and No-Hx. Performance on the AB task revealed greater AB magnitude in the Hx compared to the No-Hx. Collectively, these results suggest a compensatory strategy in the Hx that enables them to learn to the same degree as controls. However, when the attentional system is taxed with high temporal demands there are decrements in performance. These results are of particular importance given that these individuals are at an increased risk of sustaining subsequent concussions, and musculoskeletal injuries.