Evidence map›Paper›PMID 34585336›Full record

ArticleAnnals of biomedical engineering2021

Evaluation of the Effectiveness of Newer Helmet Designs with Emergent Shell and Padding Technologies Versus Older Helmet Models for Preserving White Matter Following a Season of High School Football.

Jed A Diekfuss, Weihong Yuan, Jonathan A Dudley, Christopher A DiCesare, Matthew B Panzer, Thomas M Talavage, Eric Nauman, Scott Bonnette, Alexis B Slutsky-Ganesh, Joseph Clark and 8 more

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Annals of biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Jed A DiekfussEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA. jed.a.diekfuss@emory.edu.ORCID http://orcid.org/0000-0003-3835-363X
Weihong YuanPediatric Neuroimaging Research Consortium, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-6514-4342
Jonathan A DudleyPediatric Neuroimaging Research Consortium, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-5189-9568
Christopher A DiCesareDepartment of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA.
Matthew B PanzerCenter for Applied Biomechanics, Department of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA, USA.
Thomas M TalavageWeldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.
Eric NaumanWeldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.
Scott BonnetteDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Alexis B Slutsky-GaneshEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA.
Joseph ClarkDepartment of Neurology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Manish AnandEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA.
Mekibib AltayeDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
James L LeachDepartment of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Joseph D LamplotDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA.
Marc GallowayMercy Health, Cincinnati, OH, USA.
Mathew W PomboDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA.
Kyle E HammondDepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA.
Gregory D MyerEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to objectively compare the effects of wearing newer, higher-ranked football helmets (HRank) vs. wearing older, lower-ranked helmets (LRank) on pre- to post-season alterations to neuroimaging-derived metrics of athletes' white matter. Fifty-four high-school athletes wore an HRank helmet, and 62 athletes wore an LRank helmet during their competitive football season and completed pre- and post-season diffusion tensor imaging (DTI). Longitudinal within- and between-group DTI metrics [fractional anisotropy (FA) and mean/axial/radial diffusivity (MD, AD, RD)] were analyzed using tract-based spatial statistics. The LRank helmet group exhibited significant pre- to post-season reductions in MD, AD, and RD, the HRank helmet group displayed significant pre- to post-season increases in FA, and both groups showed significant pre- to post-season increases in AD (p's < .05 [corrected]). Between-group analyses revealed the pre- to post-season increase in AD was significantly less for athletes wearing HRank compared to LRank (p < .05 [corrected]). These data provide in vivo evidence that wearing an HRank helmet may be efficacious for preserving white matter from head impact exposure during high school football. Future prospective longitudinal investigations with complimentary imaging and behavioral outcomes are warranted to corroborate these initial in vivo findings.

Indexed as

Head Protective DevicesSports EquipmentAdolescentAthletic InjuriesCraniocerebral TraumaDiffusion Tensor ImagingEquipment DesignFootballHumansMaleSchoolsSeasonsWhite MatterHelmet rankingsHigh-school sportsIn vivoMagnetic resonance imagingProspective longitudinal

Identifiers

What OpenQuestion holds

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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.