FUNCTIONAL BRAIN ABNORMALITIES ARE RELATED TO CLINICAL RECOVERY AND TIME TO RETURN-TO-PLAY IN ATHLETES
Abstract
OBJECTIVE: The relationship between athlete reports of symptoms, neurophysiological activation, and neuropsychological functioning is investigated in a sample of high school athletes. METHODS: All athletes were evaluated using functional magnetic resonance imaging (fMRI), a computer-based battery of neurocognitive tests, and a subjective symptom scale. Athletes were evaluated within approximately 1 week of injury and again after clinical recovery using all assessment modalities. RESULTS: This study found that abnormal fMRI results during the first week of recovery predicted clinical recovery. As a group, athletes who demonstrated hyperactivation on fMRI scans at the time of their first fMRI scan demonstrated a more prolonged clinical recovery than athletes who did not demonstrate hyperactivation at the time of their first fMRI scan. CONCLUSION: These results demonstrate the relationship between neurophysiological, neuropsychological, and subjective symptom data in a relatively large sample composed primarily of concussed high school athletes. fMRI represents an important evolving technology for the understanding of brain recovery after concussion and may help shape return-to-play guidelines in the future.
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Abnormal brain activation patterns after mTBI can remain for months after injury, despite normal neurocognitive task performance.
“These abnormal brain activation patterns can remain for months after injury, despite normal neurocognitive task performance [115, 122].”
From The neuropathology of sport (2014) · cites this paper as [115]
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- Authors
- Lovell, M. R., Pardini, J. E., Welling, J., Collins, M. W., Bakal, J., Lazar, N., Roush, R., Eddy, W. F., & Becker, J. T.
- Affiliations
- University of Georgia (US)
- Venue
- Neurosurgery
- Published
- 2007-08
- Volume
- 61
- Issue
- 2
- Pages
- 352-360
- ISSN
- 0148-396X (ISSN-L)
- OpenAlex
- W2160075898
- Cited by
- 197
- References
- 40
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 10 · 2022: 4 · 2021: 3 · 2020: 10 · 2019: 9 · 2018: 13 · 2017: 12 · 2016: 8 · 2015: 18 · 2014: 21 · 2013: 19 · 2012: 12
- FWCI
- 8.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- concussion, return to sport, clinical recovery, functional MRI, high school athletes, neurocognitive function, sports-related concussion, recovery prediction
- MeSH terms
- Adult, Athletic Injuries, Brain Concussion, Humans, Magnetic Resonance Imaging, Memory, Middle Aged, Neuropsychological Tests, Predictive Value of Tests, Students, Recovery of Function
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