ArticleSports medicine - open2025
Cerebral Haemodynamic Assessment Following Sport-related Concussion (Mild Traumatic Brain Injury) in Youth and Amateur Rugby Union Players.
Article in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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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.
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Corrections and comments
- Erratum issued
Authors and funding
12 authors.
Funding
Abstract
backgroundUsing functional near-infrared spectroscopy (fNIRS) as an objective diagnostic tool, we aimed to (1) compare fNIRS measurements in adult and youth male rugby players against controls over a playing season, and 2) document the fNIRS changes that occur in concussed rugby players during the England Rugby Football Union Graduated Return-To-Play programme (GRTP). Sixty-seven participants (rugby = 41 (26 adults: 27.5 ± 4.4 years; 15 youth: 16.5 ± 0.6 years; control = 26 (11 adult: 30.5 ± 5.2 years; 15 youth: 16.9 ± 0.4 years) completed fNIRS assessments at pre, mid and end-season. Eight players (five youth, three adult) sustained concussions, and completed fNIRS and the Graded Symptom Checklist from the Sport Concussion Assessment Tool version 5 (SCAT5) assessment throughout the GRTP period. Mixed linear models were utilised to assess the effect of group and time on fNIRS measures of oxyhaemoglobin (∆O
resultsThere were significant differences in fNIRS indices over time in adult and youth groups (p < 0.05) but no significant differences between rugby and control groups (p > 0.05). Seven out of eight (87.5%) concussed players showed changes greater than TE during the GRTP period for both ∆O
conclusionCurrent GRTP protocols alone are problematic and there is a need for a more individualised approach to concussion management, utilising objective biomarker tools such as fNIRS.
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