Evidence map›Paper›PMID 38272157›Full record

ArticleBrain research2024

High magnitude exposure to repetitive head impacts alters female adolescent brain activity for lower extremity motor control.

Taylor M Zuleger, Alexis B Slutsky-Ganesh, Dustin R Grooms, Weihong Yuan, Kim D Barber Foss, David R Howell, Gregory D Myer, Jed A Diekfuss

Open access · greenAbstract read
In one paragraph

Article in Brain research, 2024. 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
1.2field-weighted citation impact, top 23% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 4 institutions in 2 countries.

Taylor M ZulegerEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; University of Cincinnati, Neuroscience Graduate Program, Cincinnati, OH, USA. Electronic address: taylor.zuleger@emory.edu.
Alexis B Slutsky-GaneshEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC, USA.
Dustin R GroomsOhio Musculoskeletal & Neurological Institute, Ohio University, Athens, OH, USA; Division of Athletic Training, School of Applied Health Sciences and Wellness, College of Health Sciences and Professions, Ohio University, Athens, OH, USA; Division of Physical Therapy, School of Rehabilitation and Communication Sciences, College of Health Science and Professions, Ohio University, Grover Center, Athens, OH, USA.
Weihong YuanPediatric Neuroimaging Research Consortium, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Kim D Barber FossEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA.
David R HowellSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA; Department of Orthopaedics, University of Colorado School of Medicine, Aurora, CO, USA.
Gregory D MyerEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; Youth Physical Development Centre, Cardiff Metropolitan University, Wales, UK; The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.
Jed A DiekfussEmory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: jed.a.diekfuss@emory.edu.
Emory Healthcare · USChildren's Hospital Colorado · USCincinnati Children's Hospital Medical Center · USOhio University · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
Multi-site Randomized Clinical Trial of FIT Teens for Juvenile FibromyalgiaR01AR070474 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2017 to 2023
$8.7M
Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female AthletesR01AR055563 · NIAMS · OHIO STATE UNIVERSITY · PI BATES, NATHANIEL ANDREW, KRYCH, AARON · 2008 to 2022
$5.9M
PREDOCTORAL TRAINING PROGRAM IN THE NEUROSCIENCEST32NS007453 · NINDS · UNIVERSITY OF CINCINNATI · PI HERMAN, JAMES P · 1997 to 2025
$4.0M
Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual RealityU01AR067997 · NIAMS · EMORY UNIVERSITY · PI MYER, GREGORY DONALD · 2016 to 2022
$3.6M
Modulating Exercise Dosage to Improve Concussion Rehabilitation: A Randomized Clinical TrialR01HD108133 · NICHD · UNIVERSITY OF COLORADO DENVER · PI David R. Howell · 2022 to 2026
$3.3M
Sex Differences in Brain Structure and Function After Sports-Related ConcussionR01NS100952 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI KOERTE, INGA KATHARINA · 2017 to 2022
$2.9M
Neuroplastic Mechanisms for Acquisition and Transfer of Injury-Resistant Movement Patterns Assessed in VR Simulated SportR01AR076153 · NIAMS · EMORY UNIVERSITY · PI GROOMS, DUSTIN ROBERT, MYER, GREGORY DONALD · 2020 to 2022
$1.1M
Discovery of the Neural Drivers Underlying Injury-Risk BiomechanicsR01AR077248 · NIAMS · OHIO UNIVERSITY ATHENS · PI GROOMS, DUSTIN ROBERT · 2021 to 2023
$557k
Innovative Neurophysiological Techniques for Assessing Trunk Muscle Control and FunctionR21AT009339 · NCCIH · OHIO UNIVERSITY ATHENS · PI CLARK, BRIAN C · 2016 to 2017
$415k
Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
NCATS NIH HHS UL1 TR002535NCATS NIH HHS UM1 TR004399NCCIH NIH HHS R21 AT009339NIAMS NIH HHS R01 AR055563NIAMS NIH HHS R01 AR070474NIAMS NIH HHS R01 AR076153NIAMS NIH HHS R01 AR077248NIAMS NIH HHS R13 AR080451NIAMS NIH HHS U01 AR067997NICHD NIH HHS R01 HD108133NICHD NIH HHS R03 HD094560NINDS NIH HHS R01 NS100952NINDS NIH HHS R43 NS108823NINDS NIH HHS T32 NS007453
6 · The paper itself

Abstract

Contact and collision sport participation among adolescent athletes has raised concerns about the potential negative effects of cumulative repetitive head impacts (RHIs) on brain function. Impairments from RHIs and sports-related concussions (SRC) may propagate into lingering neuromuscular control. However, the neural mechanisms that link RHIs to altered motor control processes remain unknown. The purpose of this study was to isolate changes in neural activity for a lower extremity motor control task associated with the frequency and magnitude of RHI exposure. A cohort of fifteen high school female soccer players participated in a prospective longitudinal study and underwent pre- and post-season functional magnetic resonance imaging (fMRI). During fMRI, athletes completed simultaneous bilateral ankle, knee, and hip flexion/extension movements against resistance (bilateral leg press) to characterize neural activity associated with lower extremity motor control. RHI data were binned into continuous categories between 20 g - 120 g (defined by progressively greater intervals), with the number of impacts independently modeled within the fMRI analyses. Results revealed that differential exposure to high magnitude RHIs (≥90 g - < 110 g and ≥ 110 g) was associated with acute changes in neural activity for the bilateral leg press (broadly inclusive of motor, visual, and cognitive regions; all p < 0.05 & z > 3.1). Greater exposure to high magnitude RHIs may impair lower extremity motor control through maladaptive neural mechanisms. Future work is warranted to extend these mechanistic findings and examine the linkages between RHI exposure and neural activity as it relates to subsequent neuromuscular control deficits.

Indexed as

Brain ConcussionAdolescentBrainFemaleHumansLongitudinal StudiesLower ExtremityProspective StudiesBilateral Motor ControlFemale Adolescent AthletesfMRIRepetitive Head Impacts

Identifiers

PMID38272157
PMCPMC11110884
OpenAlexW4391152208

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.