Repetitive head impacts do not affect postural control following a competitive athletic season

Nicholas G. Murray; Katelyn E. Grimes; Eric D. Shiflett; Barry A. Munkasy; Nathan R. D'Amico; Megan E. Mormile; Douglas W. Powell; Thomas A. Buckley

doi:10.1016/j.ijpsycho.2017.09.018

Repetitive head impacts do not affect postural control following a competitive athletic season

Nicholas G. Murray, Katelyn E. Grimes, Eric D. Shiflett, Barry A. Munkasy, Nathan R. D'Amico, Megan E. Mormile, Douglas W. Powell, Thomas A. Buckley

Health Sciences & Kinesiology

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Evidence suggests that Repetitive Head Impacts (RHI) directly influence the brain over the course of a single contact collision season yet do not significantly impact a player's performance on the standard clinical concussion assessment battery. The purpose of this study was to investigate changes in static postural control after a season of RHI in Division I football athletes using more sensitive measures of postural control as compared to a non-head contact sports. Fourteen Division I football players (CON) (age = 20.4 ± 1.12 years) and fourteen non-contact athletes (NON) (2 male, 11 female; age = 19.85 ± 1.21 years) completed a single trial of two minutes of eyes open quiet upright stance on a force platform (1000 Hz) prior to athletic participation (PRE) and at the end of the athletic season (POST). All CON athletes wore helmets outfitted with Head Impact Telemetry (HIT) sensors and total number of RHI and linear accelerations forces of each RHI were recorded. Center of pressure root mean square (RMS), peak excursion velocity (PEV), and sample entropy (SampEn) in the anteroposterior (AP) and mediolateral (ML) directions were calculated. CON group experienced 649.5 ± 496.8 mean number of impacts, 27.1 ± 3.0 mean linear accelerations, with ≈ 1% of total player impacts exceeded 98 g over the course of the season. There were no significant interactions for group x time RMS in the AP (p = 0.434) and ML (p = 0.114) directions, PEV in the AP (p = 0.262) and ML (p = 0.977) directions, and SampEn in the AP (p = 0.499) and ML (p = 0.984) directions. In addition, no significant interactions for group were observed for RMS in the AP (p = 0.105) and ML (p = 0.272) directions, PEV in the AP (p = 0.081) and ML (p = 0.143) directions, and SampEn in the AP (p = 0.583) and ML (p = 0.129) directions. These results suggest that over the course of a single competitive season, RHI do not negatively impact postural control even when measured with sensitive non-linear metrics.

Original language	English
Pages (from-to)	81-86
Number of pages	6
Journal	International Journal of Psychophysiology
Volume	132
DOIs	https://doi.org/10.1016/j.ijpsycho.2017.09.018
State	Published - Oct 2018

Keywords

Concussion
Postural control
Repetitive head impacts
Subconcussive

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10.1016/j.ijpsycho.2017.09.018

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@article{b3ee390de006495fa79d25b704572952,

title = "Repetitive head impacts do not affect postural control following a competitive athletic season",

abstract = "Evidence suggests that Repetitive Head Impacts (RHI) directly influence the brain over the course of a single contact collision season yet do not significantly impact a player's performance on the standard clinical concussion assessment battery. The purpose of this study was to investigate changes in static postural control after a season of RHI in Division I football athletes using more sensitive measures of postural control as compared to a non-head contact sports. Fourteen Division I football players (CON) (age = 20.4 ± 1.12 years) and fourteen non-contact athletes (NON) (2 male, 11 female; age = 19.85 ± 1.21 years) completed a single trial of two minutes of eyes open quiet upright stance on a force platform (1000 Hz) prior to athletic participation (PRE) and at the end of the athletic season (POST). All CON athletes wore helmets outfitted with Head Impact Telemetry (HIT) sensors and total number of RHI and linear accelerations forces of each RHI were recorded. Center of pressure root mean square (RMS), peak excursion velocity (PEV), and sample entropy (SampEn) in the anteroposterior (AP) and mediolateral (ML) directions were calculated. CON group experienced 649.5 ± 496.8 mean number of impacts, 27.1 ± 3.0 mean linear accelerations, with ≈ 1% of total player impacts exceeded 98 g over the course of the season. There were no significant interactions for group x time RMS in the AP (p = 0.434) and ML (p = 0.114) directions, PEV in the AP (p = 0.262) and ML (p = 0.977) directions, and SampEn in the AP (p = 0.499) and ML (p = 0.984) directions. In addition, no significant interactions for group were observed for RMS in the AP (p = 0.105) and ML (p = 0.272) directions, PEV in the AP (p = 0.081) and ML (p = 0.143) directions, and SampEn in the AP (p = 0.583) and ML (p = 0.129) directions. These results suggest that over the course of a single competitive season, RHI do not negatively impact postural control even when measured with sensitive non-linear metrics.",

keywords = "Concussion, Postural control, Repetitive head impacts, Subconcussive",

author = "Murray, {Nicholas G.} and Grimes, {Katelyn E.} and Shiflett, {Eric D.} and Munkasy, {Barry A.} and D'Amico, {Nathan R.} and Mormile, {Megan E.} and Powell, {Douglas W.} and Buckley, {Thomas A.}",

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier B.V.",

year = "2018",

month = oct,

doi = "10.1016/j.ijpsycho.2017.09.018",

language = "English",

volume = "132",

pages = "81--86",

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T1 - Repetitive head impacts do not affect postural control following a competitive athletic season

AU - Murray, Nicholas G.

AU - Grimes, Katelyn E.

AU - Shiflett, Eric D.

AU - Munkasy, Barry A.

AU - D'Amico, Nathan R.

AU - Mormile, Megan E.

AU - Powell, Douglas W.

AU - Buckley, Thomas A.

PY - 2018/10

Y1 - 2018/10

N2 - Evidence suggests that Repetitive Head Impacts (RHI) directly influence the brain over the course of a single contact collision season yet do not significantly impact a player's performance on the standard clinical concussion assessment battery. The purpose of this study was to investigate changes in static postural control after a season of RHI in Division I football athletes using more sensitive measures of postural control as compared to a non-head contact sports. Fourteen Division I football players (CON) (age = 20.4 ± 1.12 years) and fourteen non-contact athletes (NON) (2 male, 11 female; age = 19.85 ± 1.21 years) completed a single trial of two minutes of eyes open quiet upright stance on a force platform (1000 Hz) prior to athletic participation (PRE) and at the end of the athletic season (POST). All CON athletes wore helmets outfitted with Head Impact Telemetry (HIT) sensors and total number of RHI and linear accelerations forces of each RHI were recorded. Center of pressure root mean square (RMS), peak excursion velocity (PEV), and sample entropy (SampEn) in the anteroposterior (AP) and mediolateral (ML) directions were calculated. CON group experienced 649.5 ± 496.8 mean number of impacts, 27.1 ± 3.0 mean linear accelerations, with ≈ 1% of total player impacts exceeded 98 g over the course of the season. There were no significant interactions for group x time RMS in the AP (p = 0.434) and ML (p = 0.114) directions, PEV in the AP (p = 0.262) and ML (p = 0.977) directions, and SampEn in the AP (p = 0.499) and ML (p = 0.984) directions. In addition, no significant interactions for group were observed for RMS in the AP (p = 0.105) and ML (p = 0.272) directions, PEV in the AP (p = 0.081) and ML (p = 0.143) directions, and SampEn in the AP (p = 0.583) and ML (p = 0.129) directions. These results suggest that over the course of a single competitive season, RHI do not negatively impact postural control even when measured with sensitive non-linear metrics.

AB - Evidence suggests that Repetitive Head Impacts (RHI) directly influence the brain over the course of a single contact collision season yet do not significantly impact a player's performance on the standard clinical concussion assessment battery. The purpose of this study was to investigate changes in static postural control after a season of RHI in Division I football athletes using more sensitive measures of postural control as compared to a non-head contact sports. Fourteen Division I football players (CON) (age = 20.4 ± 1.12 years) and fourteen non-contact athletes (NON) (2 male, 11 female; age = 19.85 ± 1.21 years) completed a single trial of two minutes of eyes open quiet upright stance on a force platform (1000 Hz) prior to athletic participation (PRE) and at the end of the athletic season (POST). All CON athletes wore helmets outfitted with Head Impact Telemetry (HIT) sensors and total number of RHI and linear accelerations forces of each RHI were recorded. Center of pressure root mean square (RMS), peak excursion velocity (PEV), and sample entropy (SampEn) in the anteroposterior (AP) and mediolateral (ML) directions were calculated. CON group experienced 649.5 ± 496.8 mean number of impacts, 27.1 ± 3.0 mean linear accelerations, with ≈ 1% of total player impacts exceeded 98 g over the course of the season. There were no significant interactions for group x time RMS in the AP (p = 0.434) and ML (p = 0.114) directions, PEV in the AP (p = 0.262) and ML (p = 0.977) directions, and SampEn in the AP (p = 0.499) and ML (p = 0.984) directions. In addition, no significant interactions for group were observed for RMS in the AP (p = 0.105) and ML (p = 0.272) directions, PEV in the AP (p = 0.081) and ML (p = 0.143) directions, and SampEn in the AP (p = 0.583) and ML (p = 0.129) directions. These results suggest that over the course of a single competitive season, RHI do not negatively impact postural control even when measured with sensitive non-linear metrics.

KW - Concussion

KW - Postural control

KW - Repetitive head impacts

KW - Subconcussive

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JO - International Journal of Psychophysiology

JF - International Journal of Psychophysiology

ER -

Repetitive head impacts do not affect postural control following a competitive athletic season

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Keywords

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