High Energy Side and Rear American Football Head Impacts Cause Obvious Performance Decrement on Video.
American football
Concussion
Head impact sensor
Mouthguard
Obvious performance decrement
Video review
Journal
Annals of biomedical engineering
ISSN: 1573-9686
Titre abrégé: Ann Biomed Eng
Pays: United States
ID NLM: 0361512
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
06
07
2020
accepted:
24
09
2020
pubmed:
29
10
2020
medline:
19
8
2021
entrez:
28
10
2020
Statut:
ppublish
Résumé
The objective of this study was to compare head impact data acquired with an impact monitoring mouthguard (IMM) to the video-observed behavior of athletes' post-collision relative to their pre-collision behaviors. A total of n = 83 college and high school American football players wore the IMM and were video-recorded over 260 athlete-exposures. Ex-athletes and clinicians reviewed the video in a two-step process and categorized abnormal post-collision behaviors according to previously published Obvious Performance Decrement (OPD) definitions. Engineers qualitatively reviewed datasets to check head impact and non-head impact signal frequency and magnitude. The ex-athlete reviewers identified 2305 head impacts and 16 potential OPD impacts, 13 of which were separately categorized as Likely-OPD impacts by the clinical reviewers. All 13 Likely-OPD impacts were in the top 1% of impacts measured by the IMM (ranges 40-100 g, 3.3-7.0 m/s and 35-118 J) and 12 of the 13 impacts (92%) were to the side or rear of the head. These findings require confirmation in a larger data set before proposing any type of OPD impact magnitude or direction threshold exists. However, OPD cases in this study compare favorably with previously published impact monitoring studies in high school and college American football players that looked for OPD signs, impact magnitude and direction. Our OPD findings also compare well with NFL reconstruction studies for ranges of concussion and sub-concussive impact magnitudes in side/rear collisions, as well as prior theory, analytical models and empirical research that suggest a directional sensitivity to brain injury exists for single high-energy impacts.
Identifiants
pubmed: 33111969
doi: 10.1007/s10439-020-02640-8
pii: 10.1007/s10439-020-02640-8
pmc: PMC7674260
mid: NIHMS1641672
doi:
Types de publication
Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2667-2677Subventions
Organisme : U.S. Department of Defense
ID : W81XWH-17-1-0019
Organisme : NICHD NIH HHS
ID : R44 HD090763
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS110600
Pays : United States
Organisme : Foundation for the National Institutes of Health
ID : R44HD090763-01A1
Organisme : NINDS NIH HHS
ID : R43 NS076102
Pays : United States
Organisme : NCIPC CDC HHS
ID : R43 CE002082
Pays : United States
Organisme : NICHD NIH HHS
ID : R41 HD079158
Pays : United States
Organisme : U.S. Department of Defense
ID : W81XWH-14-2-0151
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