Evidence map›Paper›PMID 33111969›Full record

Trial reportAnnals of biomedical engineering2020

High Energy Side and Rear American Football Head Impacts Cause Obvious Performance Decrement on Video.

Adam J Bartsch, Daniel Hedin, Jay Alberts, Edward C Benzel, Jason Cruickshank, Robert S Gray, Kenneth Cameron, Megan N Houston, Tyler Rooks, Gerald McGinty and 9 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. On-Field Deployment and Validation for Wearable Devices.Annals of biomedical engineering · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
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

19 authors at 10 institutions in 2 countries.

Adam J BartschPrevent Biometrics, Minneapolis, MN, USA. abartsch@preventbiometrics.com.ORCID http://orcid.org/0000-0003-1385-5553
Daniel HedinAdvanced Medical Electronics, Maple Grove, MN, USA.
Jay AlbertsCleveland Clinic, Cleveland, OH, USA.
Edward C BenzelCleveland Clinic, Cleveland, OH, USA.
Jason CruickshankCleveland Clinic, Cleveland, OH, USA.
Robert S GrayCleveland Clinic, Cleveland, OH, USA.
Kenneth CameronKeller Army Community Hospital, West Point, NY, USA.
Megan N HoustonKeller Army Community Hospital, West Point, NY, USA.
Tyler RooksUnited States Army Aeromedical Research Laboratory, Fort Rucker, AL, USA.
Gerald McGintyUnited States Air Force Academy, Air Force Academy, CO, USA.
Erick KozlowskiUnited States Air Force Academy, Air Force Academy, CO, USA.
Steven RowsonVirginia Tech University, Blacksburg, VA, USA.
Joseph C MaroonUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Vincent J MieleUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
J Chris AshtonTwin Cities Orthopedics, Maple Grove, MN, USA.
Gunter P SiegmundSchool of Kinesiology, University of British Columbia, Vancouver, BC, USA.
Alok ShahMedical College of Wisconsin, Wauwatosa, WI, USA.
Michael McCreaMedical College of Wisconsin, Wauwatosa, WI, USA.
Brian StemperMedical College of Wisconsin, Wauwatosa, WI, USA.
Cleveland Clinic · USMedical College of Wisconsin · USKeller Army Community Hospital · USUnited States Air Force Academy · USUniversity of Pittsburgh Medical Center · USAdvanced Medical Electronics (United States) · USTwin Cities Orthopedics · USUnited States Army Aeromedical Research Lab · USVirginia Tech · USZimmer Biomet (Netherlands) · NL

Funding

Effects of Head Impact Exposure During Contact Sport on Middle School and High School AthletesR01NS110600 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI MCCREA, MICHAEL A, WANG, YANG · 2019 to 2024
$3.0M
Mouthpiece for mTBI Detection during Adolescent Contact and Collision SportsR44HD090763 · NICHD · ADVANCED MEDICAL ELECTRONICS CORPORATION · PI HEDIN, DANIEL S · 2017 to 2018
$1.5M
INTELLIGENT MOUTHGUARD FOR MEASURING HEAD IMPACTS IN YOUTH ATHLETESR41HD079158 · NICHD · SPORTSGUARD LABORATORIES, INC. · PI BARTSCH, ADAM JESSE · 2015 to 2015
$225k
Mouthpiece for mTBI Detection during Adolescent Contact and Collision SportsR43NS076102 · NINDS · ADVANCED MEDICAL ELECTRONICS CORPORATION · PI GIBSON, PAUL L · 2012 to 2012
$179k
Affordable Adolescent Athletic Mild Traumatic Brain Injury Risk Management SystemR43CE002082 · CE · ADVANCED MEDICAL ELECTRONICS CORPORATION · PI HEDIN, DANIEL S · 2011 to 2011
$168k
Foundation for the National Institutes of Health R44HD090763-01A1NCIPC CDC HHS R43 CE002082NICHD NIH HHS R41 HD079158NICHD NIH HHS R44 HD090763NINDS NIH HHS R01 NS110600NINDS NIH HHS R43 NS076102U.S. Department of Defense W81XWH-14-2-0151U.S. Department of Defense W81XWH-17-1-0019
6 · The paper itself

Abstract

The objective of this study was to compare head impact data acquired with an impact monitoring mouthguard (IMM) to the video-observed behavior of athletes' post-collision relative to their pre-collision behaviors. A total of n = 83 college and high school American football players wore the IMM and were video-recorded over 260 athlete-exposures. Ex-athletes and clinicians reviewed the video in a two-step process and categorized abnormal post-collision behaviors according to previously published Obvious Performance Decrement (OPD) definitions. Engineers qualitatively reviewed datasets to check head impact and non-head impact signal frequency and magnitude. The ex-athlete reviewers identified 2305 head impacts and 16 potential OPD impacts, 13 of which were separately categorized as Likely-OPD impacts by the clinical reviewers. All 13 Likely-OPD impacts were in the top 1% of impacts measured by the IMM (ranges 40-100 g, 3.3-7.0 m/s and 35-118 J) and 12 of the 13 impacts (92%) were to the side or rear of the head. These findings require confirmation in a larger data set before proposing any type of OPD impact magnitude or direction threshold exists. However, OPD cases in this study compare favorably with previously published impact monitoring studies in high school and college American football players that looked for OPD signs, impact magnitude and direction. Our OPD findings also compare well with NFL reconstruction studies for ranges of concussion and sub-concussive impact magnitudes in side/rear collisions, as well as prior theory, analytical models and empirical research that suggest a directional sensitivity to brain injury exists for single high-energy impacts.

Indexed as

AccelerometryAthletesBrain ConcussionHead Protective DevicesVideo RecordingAdultBiomechanical PhenomenaFootballHeadHumansMaleUnited StatesAmerican footballConcussionHead impact sensorMouthguardObvious performance decrementVideo review

Identifiers

PMID33111969
PMCPMC7674260
OpenAlexW3096435466

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.