Subconcussive Head Impacts and Neurocognitive Function Over 3 Seasons of Youth Football.

Autor: Rose SC; Division of Child Neurology, 2647Nationwide Children's Hospital and The Ohio State University, Columbus, OH, USA., Yeates KO; Department of Psychology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, 2129University of Calgary, Calgary, Alberta, Canada., Nguyen JT; Sansom Consulting, San Antonio, TX, USA., Ercole PM; Sansom Consulting, San Antonio, TX, USA., Pizzimenti NM; MORE Foundation, Brighton, MI, USA., McCarthy MT; Summit Medical Group, Florham Park, NJ, USA.
Jazyk: angličtina
Zdroj: Journal of child neurology [J Child Neurol] 2021 Aug; Vol. 36 (9), pp. 768-775. Date of Electronic Publication: 2021 Apr 09.
DOI: 10.1177/08830738211004490
Abstrakt: Objective: To determine the association between repetitive subconcussive head impacts and neurobehavioral outcomes in youth tackle football players.
Methods: Using helmet-based sensors, we measured head impacts for 3 consecutive seasons of play in 29 male players age 9-11. Cumulative impact g 's were calculated. Players completed a battery of outcome measures before and after each season, including neuropsychological testing, vestibular-ocular sensitivity, and self- and parent-reported measures of symptoms and attention-deficit hyperactivity disorder (ADHD).
Results: Average cumulative impact over 3 seasons was 13 900 g . High-intensity hits predicted worse change for self-reported social adjustment ( P = .001). Cumulative impact did not predict change in any of the outcome measures. History of ADHD, anxiety, and depression predicted worse change for self-reported symptoms and social adjustment, independent of head impacts. When players were stratified into 3 groups based on cumulative impact across all 3 seasons, differences in outcome measures existed prior to the start of the first season. These differences did not further increase over the course of the 3 seasons.
Conclusion: Over 3 consecutive seasons of youth tackle football, we found no association between cumulative head impacts and neurobehavioral outcomes. Larger sample sizes and longer follow-up times would further assist in characterizing this relationship.
Databáze: MEDLINE