ArticleJournal of athletic training2020
Concussion History and Neuromechanical Responsiveness Asymmetry.
Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2021Trial
- The Impact of Concussions on Neuromuscular Control and Anterior Cruciate Ligament Injury Risk in Female Soccer Players: Mechanisms and Prevention-A Narrative Review.Journal of clinical medicine · 2025Review
- Trunk and Lower Extremity Biomechanics in Female Athletes With and Without a Concussion History.Journal of athletic training · 2024Article
- A treadmill running research protocol to assess dynamic visual acuity and balance for athletes with and without recent concussion history.BMC sports science, medicine & rehabilitation · 2024Article
- Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation.Journal of sport and health science · 2021Review
- Reliability and concurrent validity of TRAZER compared to three-dimensional motion capture.Journal of clinical and translational research · 2021Article
- Whole-Body Reactive Agility Metrics to Identify Football Players With a Core and Lower Extremity Injury Risk.Frontiers in sports and active living · 2021Article
- A Novel Approach to Assessment of Perceptual-Motor Efficiency and Training-Induced Improvement in the Performance Capabilities of Elite Athletes.Frontiers in sports and active living · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextDetection of subtle changes in brain sensorimotor processes may enable clinicians to identify athletes who would derive the greatest benefit from interventions designed to reduce the risk for future injury and progressive neurologic or musculoskeletal dysfunction.
objectiveTo develop a generalizable statistical model for identifying athletes who possess subtle alterations in sensorimotor processes that may be due to previous concussion.
designCross-sectional study.
settingResidential Olympic Training Center sports medicine clinic. PATIENTS OR OTHER
participantsA primary cohort of 35 elite athletes and a secondary cohort of 40 elite athletes who performed identical tests the preceding year. INTERVENTION(S): Two upper extremity tests of visual-motor reaction time and 2 tests of whole-body reactive agility were administered. The whole-body tests required lateral or diagonal responses to virtual-reality targets, which provided measures of reaction time, speed, acceleration, and deceleration. MAIN OUTCOME MEASURE(S): Sport-related concussion history, which was reported by 54% (n = 19) of the athletes in the primary cohort and 45% (n = 18) of the athletes in the secondary cohort.
resultsUnivariable analyses identified 12 strong predictors of sport-related concussion history, which we combined to create a composite metric with maximum predictive value. Composite lateral asymmetry for whole-body reactive movements and persisting effects of previous musculoskeletal injury yielded a logistic regression model with exceptionally good discrimination (area under the curve = 0.845) and calibration (predicted-observed probabilities within 7 subgroups: r = 0.959, P = .001). Application of the derived model to compatible data acquired from another cohort of elite athletes demonstrated very good discrimination (area under the curve = 0.772) and calibration (within 8 subgroups: r = 0.849, P = .008).
conclusionsAsymmetry in whole-body reactive movement capabilities may be a manifestation of a subtle abnormality in the functional connectivity of brain networks that might be relevant to previously reported associations between sport-related concussion history and musculoskeletal injury occurrence.
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