MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS: RELATIONSHIP BETWEEN HEAD IMPACT BIOMECHANICS AND ACUTE CLINICAL OUTCOME AFTER CONCUSSION
Abstract
OBJECTIVE: To determine the relationship between recorded head accelerations and impact locations and acute clinical outcome of symptomatology, neuropsychological, and postural stability tests after cerebral concussion in Division I collegiate football players. METHODS: A prospective field study was used in which accelerometers were embedded in the football helmets of 88 collegiate football players. Linear and rotational accelerations of all head impacts sustained over the course of 2004 to 2006 National Collegiate Athletic Association football seasons were collected in real-time. Change scores were calculated on clinical measures from the players' preseason baseline to postinjury (within 48 h) and regressed against the recorded linear and rotational accelerations of the head at the time of the concussion. RESULTS: Thirteen concussions were recorded ranging in impact magnitudes of 60.51 to 168.71 g. Linear regression showed no significant relationships between impact magnitude (linear or rotational acceleration) or impact location and change scores for symptom severity, postural stability, or neurocognitive function (P > 0.05). CONCLUSION: Our findings suggest that football players are concussed by impacts to the head that occur at a wide range of magnitudes and that clinical measures of acute symptom severity, postural stability, and neuropsychological function all appear to be largely independent of impact magnitude and location. Because of the varying magnitudes and locations of impacts resulting in concussion as well as other factors such as the frequency of subconcussive impacts and number of previous concussions, it may be difficult to establish a threshold for concussive injury that can be applied to all football players.
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The early and predominant involvement of PHF-tau pathology in the superior and dorsolateral frontal lobes in football players parallels the high frequency of impacts to the top of the head compared to the front, back, and side of the head in football, as well as fMRI data showing activation impairment in dorsolateral prefrontal cortex associated with higher numbers of head collisions to the top--
“The early and predominant involvement of PHF-tau pathology in the superior and dorsolateral frontal lobes in football players parallels the high frequency of impacts to the top of the head compared to those to the front, back, and side of the head in football [79], as well as fMRI data showing activation impairment in dorsolateral prefrontal cortex that is associated with significantly higher num”
From The neuropathology of sport (2014) · cites this paper as [79]
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- Authors
- Guskiewicz, K. M., Mihalik, J. P., Shankar, V., Marshall, S. W., Crowell, D. H., Oliaro, S. M., Ciocca, M. F., & Hooker, D. N.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Neurosurgery
- Published
- 2007-12
- Volume
- 61
- Issue
- 6
- Pages
- 1244-1253
- ISSN
- 0148-396X (ISSN-L)
- OpenAlex
- W2051940062
- Cited by
- 423
- References
- 47
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 11 · 2023: 9 · 2022: 19 · 2021: 23 · 2020: 28 · 2019: 34 · 2018: 19 · 2017: 40 · 2016: 34 · 2015: 24 · 2014: 42 · 2013: 31 · 2012: 28
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (5-R49-CE000196)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Keywords
- concussion, head impact acceleration, college football, impact location, angular acceleration, linear acceleration, postural stability, neuropsychological performance, concussion symptom severity, impact threshold
- MeSH terms
- Acceleration, Adolescent, Adult, Athletic Injuries, Brain Concussion, Postural Balance, Follow-Up Studies, Football, Head Protective Devices, Humans, Male, Models, Biological, Neuropsychological Tests, Prospective Studies, Retrospective Studies, Universities, Linear Models, Outcome Assessment, Health Care, Head Movements
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