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Cited by 106Traumatic Brain Injury ResearchHeart Rate Variability and Autonomic ControlSports injuries and prevention

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

Psychological and Physiological Markers of Stress in Concussed Athletes Across Recovery Milestones

Hutchison, Michael G., Mainwaring, Lynda, Senthinathan, Arrani, Churchill, Nathan, Thomas, Scott, Richards, Doug·2017·Journal of Head Trauma Rehabilitation
DOI 10.1097/htr.0000000000000252
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Abstract

Background: Sport-related concussions are associated with a range of physical, cognitive, and behavioral disturbances that are highly variable across individuals. Much remains unknown about the effects of sport concussion, and changes in markers of psychological and physiological stress over the recovery timeline. Objective: To examine psychological (mood, stress, sleep quality, and symptoms) and physiological (heart rate variability and salivary cortisol) measures in concussed athletes over clinical recovery milestones. Setting: University athletic program, sport medicine clinic, Canada. Participants: A sample of 52 interuniversity athletes (32 male and 20 female), 26 with concussion and 26 healthy controls. Design: Case-control repeated measures study at 3 time points of the clinical recovery process. Measures were administered to a matched control sample of uninjured athletes as well. Main Measures: Physiological measures were heart rate variability and salivary cortisol; psychological measures were mood, perceived stress, and quality of sleep. Results: Psychological measures were significantly worse for concussed athletes relative to controls at the symptomatic phase (acute injury), but significantly better at return-to-play (RTP). Multivariate analysis of heart rate variability identified main effects of sex and concussion, with reduced high-frequency heart rate variability for females and concussed athletes extending into the post-RTP phase. An interaction effect was also observed, showing the cardiac response of female athletes was more sensitive to concussion compared with males. Conversely, male athletes showed greater suppression of low-frequency heart rate variability associated with mood disturbances. Conclusion: This integrated study of psychological and physiological markers in concussed athletes confirmed the resolution of mood disturbances, symptoms, and sleep quality by RTP, but identified autonomic nervous system disturbances, as measured by depressed heart rate variability beyond RTP.

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Crossref · 10.1097/htr.0000000000000252

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Research works printed but not linked: 1

  1. Bashirelahi, 2014, Determining the feasibility of using heart rate variability for the identification of mild TBI in asymptomatic participants, J Neurotrauma, 31, A39

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Metadata

Authors
Hutchison, M. G., Mainwaring, L., Senthinathan, A., Churchill, N., Thomas, S., & Richards, D.
Affiliations
  • St. Michael's Hospital (CA)
  • University of Toronto (CA)
ORCID
Venue
Journal of Head Trauma Rehabilitation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2017-05
Volume
32
Issue
3
Pages
E38-E48
ISSN
0885-9701 (ISSN-L)
DOI
10.1097/htr.0000000000000252
OpenAlex
W2513771625
Cited by
106
References
57
Citations by year
2026: 6 · 2025: 8 · 2024: 10 · 2023: 10 · 2022: 12 · 2021: 18 · 2020: 13 · 2019: 8 · 2018: 13 · 2017: 8
FWCI
9.06
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Head Trauma Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research (2012-ABI-CAT1-971)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
Keywords
sports-related concussion, athletes, return to sport, heart rate variability, salivary cortisol, stress, mood disturbance, sleep quality, autonomic nervous system, sex differences
MeSH terms
Adult, Age Factors, Athletic Injuries, Brain Concussion, Canada, Female, Follow-Up Studies, Heart Rate, Humans, Hydrocortisone, Male, Neuropsychological Tests, Prognosis, Saliva, Sex Factors, Sleep Wake Disorders, Sports Medicine, Stress, Psychological, Biomarkers, Multivariate Analysis, Logistic Models, Case-Control Studies, Risk Assessment, Mood Disorders, Recovery of Function, Young Adult, Self Report

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