Evidence map›Paper›PMID 39562417›Full record

ArticleSports medicine (Auckland, N.Z.)2025

Associations Between Instrumented Mouthguard-Measured Head Acceleration Events and Post-Match Biomarkers of Astroglial and Axonal Injury in Male Amateur Australian Football Players.

Lauren J Evans, William T O'Brien, Gershon Spitz, Steven Mutimer, Becca Xie, Lauren P Giesler, Brendan P Major, James W Hickey, Spencer S H Roberts, Biswadev Mitra and 3 more

Abstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2025. 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.

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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

13 authors.

Lauren J Evans *Department of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-5472-5918
William T O'Brien *Department of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-9966-0134
Gershon SpitzDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-7810-1480
Steven MutimerDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0009-0004-8462-823X
Becca XieDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0009-0008-8030-5934
Lauren P GieslerDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-0209-6427
Brendan P MajorDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0003-0991-5656
James W HickeyDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0009-0002-4625-7496
Spencer S H RobertsSchool of Exercise and Nutrition Sciences, Deakin University, Burwood, VIC, Australia.ORCID 0000-0002-9095-7070
Biswadev MitraEmergency and Trauma Centre, The Alfred Hospital, Melbourne, VIC, Australia.ORCID 0000-0002-0508-2450
Terence J O'BrienDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-7198-8621
Sandy R ShultzDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia.ORCID 0000-0002-2525-8775
Stuart J McDonaldDepartment of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, Australia. stuart.mcdonald@monash.edu.ORCID 0000-0001-5190-3179

Funding

National Health and Medical Research Council APP1176426National Health and Medical Research Council APP2002689
6 · The paper itself

Abstract

backgroundAdvances in instrumented mouthguards (iMGs) allow for accurate quantification of single high-acceleration head impacts and cumulative head acceleration exposure in collision sports. However, relationships between these measures and risk of brain cell injury remain unclear.

aimThe purpose of this study was to quantify measures of non-concussive head impact exposure and assess their association with blood glial fibrillary acidic protein (GFAP), neurofilament light (NfL) and phosphorylated-tau-181 (p-tau-181) levels in male Australian football players.

methodsA total of 31 athletes underwent in-season (24 h post-match) and post-season (> 5 weeks) blood collections and/or wore HITIQ Nexus A9 iMGs measuring peak linear (PLA) and rotational (PRA) acceleration. Match footage was used to verify and code impacts. Blood GFAP, NfL, and p-tau-181 were quantified using Simoa and natural log transformed for analysis. Associations between post-match biomarkers and within match maximum single impact and cumulative PLA/PRA were assessed with linear mixed models.

resultsIn-season versus post-season elevations were found for GFAP (mean difference 0.14, 95% CI 0.01-0.26, p = 0.033), NfL (mean difference = 0.21, 95% CI 0.09-0.32, p = 0.001) and p-tau-181 (mean difference = 0.49, 95% CI 0.33-0.65, p < 0.001). Post-match GFAP was associated with maximum single impact PLA (B = 0.003, 95% CI 0.0002-0.005, p = 0.036), cumulative PLA (B = 0.001, 95% CI 0.0002-0.002, p = 0.017), cumulative PRA (B = 0.01, 95% CI 0.002-0.02, p = 0.014), and impact number (B = 0.03, 95% CI 0.003-0.05, p = 0.029) within a single match. Change in NfL levels between two-matches correlated with cumulative PLA (r = 0.80, 95% CI 0.38-0.95, p = 0.005), PRA (r = 0.71, 95% CI 0.19-0.92, p = 0.019) and impact number (r = 0.63, 95% CI 0.05-0.89, p = 0.038).

conclusionMaximum and cumulative head accelerations in Australian football, measured by iMGs, were associated with elevated blood biomarkers of brain injury, highlighting the potential of both technologies for head impact management in collision sports.

Indexed as

AccelerationFootballMouth ProtectorsAdultAthletic InjuriesAustraliaBiomarkersBrain ConcussionGlial Fibrillary Acidic ProteinHumansMaleNeurofilament Proteinstau ProteinsYoung AdultBiomarkersGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament Proteinstau Proteins

Identifiers

PMID39562417
PMCPMC12011967

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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.