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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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“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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Metadata
- 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 › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Clinical 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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