Evidence map›Paper›PMID 30138221›Full record

ArticleMedicine and science in sports and exercise2019

Repetitive Head Impacts in Football Do Not Impair Dynamic Postural Control.

Thomas A Buckley, Jessie R Oldham, Daniel J Watson, Nicholas G Murray, Barry A Munkasy, Kelsey M Evans

Abstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE.
Jessie R OldhamDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE.
Daniel J WatsonDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE.
Nicholas G MurraySchool of Community Health Sciences, University of Nevada, Reno, NV.
Barry A MunkasySchool of Health and Kinesiology, Georgia Southern University, Statesboro, GA.
Kelsey M EvansBrody School of Medicine, East Carolina University, Greenville, NC.

Funding

Identification of Persistent Impairments in Postural Control Following ConcussionR15NS070744 · NINDS · GEORGIA SOUTHERN UNIVERSITY · PI GUNN, LAURA H, MUNKASY, BARRY ALAN · 2011 to 2011
$386k
NINDS NIH HHS R15 NS070744
6 · The paper itself

Abstract

purposeThe purpose of this study was to assess the effect of repetitive head impacts experienced by football players compared to noncontact athletes on dynamic postural control during both single-task (ST) and dual-task (DT) conditions.

methodsThirty-four football players wearing accelerometer instrumented helmets and 13 cheerleaders performed a dynamic postural control battery, consisting of ST and DT gait initiation, gait, and gait termination, both prior to and following the football season. A 2 (group) × 2 (time) repeated measures ANOVA compared performance across 32 dynamic postural outcomes. A linear regression was performed on postural control change scores with common head impact kinematics serving as the independent variables.

resultsThe football players experienced a mean of 538.1 ± 409.1 head impacts in the season with a mean linear acceleration of 27.8g ± 3.2g. There were no significant interactions for any of the ST or DT dynamic postural control tasks. There was a significant relationship between head impact kinematics and the lateral center of pressure displacement during the anticipatory postural adjustment phase (r = 0.26, P = 0.010) and transitional phase (r = 0.511, P = 0.042) during ST gait initiation. For both measures, the number of impacts exceeding 98g was the only significant predictor of decreased center of pressure displacement.

conclusionsA single competitive football season did not adversely affect dynamic postural control when comparing football players to cheerleaders who do not experience repetitive head impacts. Furthermore, there were limited relationships with head impact kinematics suggesting that a single season of football does not adversely affect most outcome measures of instrumented dynamic postural control. These findings are consistent with most studies which fail to identify clinical differences related to repetitive head impacts.

Indexed as

AccelerometryAdolescentBiomechanical PhenomenaBrain ConcussionFemaleFootballGaitHeadHead Protective DevicesHumansMalePostural BalanceRisk AssessmentTask Performance and AnalysisYoung Adult

Identifiers

PMID30138221
PMCPMC6295267

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.