Evidence map›Paper›PMID 32893734›Full record

ArticleJournal of clinical and experimental neuropsychology2020

Comparison of season-long diffusivity measures in a cohort of non-concussed contact and non-contact athletes.

Zachary C Merz, Laura A Flashman, James C Ford, Brenna C McDonald, Thomas W McAllister

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of clinical and experimental neuropsychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

5 authors at 4 institutions in 1 country.

Zachary C MerzLeBauer Department of Neurology, Moses H. Cone Memorial Hospital , Greensboro, NC, USA.ORCID 0000-0001-7268-6265
Laura A FlashmanDepartment of Neurology, Wake Forest Baptist Health, Wake Forest University , Winston-Salem, NC, USA.
James C FordDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth , Hanover, NH, USA.
Brenna C McDonaldDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine , Indianapolis, IN, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine , Indianapolis, IN, USA.
Indiana University School of MedicineAtrium Health Wake Forest Baptist · USDartmouth–Hitchcock Medical Center · USMoses H Cone Memorial Hospital · US

Funding

Biomechanical Basis of Mild Traumatic Brain InjuryR01HD048638 · NICHD · SIMBEX, LLC · PI GREENWALD, RICHARD M · 2007 to 2011
$3.7M
Effect of Biomechanical Force Exposure on Cognition and Brain Activation in TBIR01NS055020 · NINDS · DARTMOUTH COLLEGE · PI MCALLISTER, THOMAS · 2007 to 2011
$2.1M
NICHD NIH HHS R01 HD048638NINDS NIH HHS R01 NS055020
6 · The paper itself

Abstract

introductionConcern surrounding short- and long-term consequences of participation in contact sports has become a significant public health topic. Previous literature utilizing diffusion tensor imaging in sports-related concussion has exhibited notable variety of analysis methods and analyzed regions of interest, and largely focuses on acute effects of concussion. The current study aimed to compare diffusivity metrics across a single season within athlete cohorts with no history of concussion.

methodsA prospective cohort of 75 contact and 79 non-contact division I athletes were compared across diffusion tensor imaging metrics (i.e. TRACULA); examinations were also performed assessing the relationship between neuroimaging metrics, head impact exposure metrics (in-helmet accelerometer), and neurocognitive variables. Assessment occurred at pre-and post-season time points.

resultsSeasonal changes in fractional anisotropy and mean diffusivity values did not differ between athlete cohorts, nor did they differ within cohort groups, across pre- and post-season scans. Specific to contact athletes, positive associations were found between uncinate fasciculus mean diffusivity values and season linear acceleration (p =.018), season rotational acceleration (p =.017), and season hit severity (p =.021).

conclusionsResults suggest an influence of impact frequency, type, and severity on white matter integrity in select brain regions in contact athletes. Current findings expand our knowledge of anatomical changes over the course of a single season, and underscore the importance of considering methodology when interpreting findings in this population, as differing image analysis techniques may lead to different conclusions regarding significant effects.

Indexed as

AccelerationAdolescentAnisotropyAthletesAthletic InjuriesBrain ConcussionCohort StudiesDiffusion Tensor ImagingFemaleFootballHumansMaleNeuropsychological TestsWhite MatterYoung Adultdiffusion tensor imagingSport-related concussionTRACULAwhite matter integrity

Identifiers

PMID32893734
PMCPMC7572734
OpenAlexW3084217158

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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.