Association between Preseason/Regular Season Head Impact Exposure and Concussion Incidence in NCAA Football

dc.contributor.authorStemper, Brian D.
dc.contributor.authorHarezlak, Jaroslaw
dc.contributor.authorShah, Alok S.
dc.contributor.authorRowson, Steven
dc.contributor.authorMihalik, Jason P.
dc.contributor.authorRiggen, Larry
dc.contributor.authorDuma, Stefan
dc.contributor.authorPasquina, Paul
dc.contributor.authorBroglio, Steven P.
dc.contributor.authorMcallister, Thomas W.
dc.contributor.authorMccrea, Michael A.
dc.contributor.authorCARE Consortium Investigators
dc.contributor.departmentPsychiatry, School of Medicine
dc.date.accessioned2023-11-01T19:02:28Z
dc.date.available2023-11-01T19:02:28Z
dc.date.issued2022-06
dc.description.abstractPurpose Contact sport athletes are exposed to a unique environment where they sustain repeated head impacts throughout the season and can sustain hundreds of head impacts over a few months. Accordingly, recent studies outlined the role that head impact exposure (HIE) has in concussion biomechanics and in the development of cognitive and brain-based changes. Those studies focused on time-bound effects by quantifying exposure leading up to the concussion, or cognitive changes after a season in which athletes had high HIE. However, HIE may have a more prolonged effect. This study identified associations between HIE and concussion incidence during different periods of the college football fall season. Methods This study included 1120 athlete seasons from six National Collegiate Athletic Association Division I football programs across 5 yr. Athletes were instrumented with the Head Impact Telemetry System to record daily HIE. The analysis quantified associations of preseason/regular season/total season concussion incidence with HIE during those periods. Results Strong associations were identified between HIE and concussion incidence during different periods of the season. Preseason HIE was associated with preseason and total season concussion incidence, and total season HIE was associated with total season concussion incidence. Conclusions These findings demonstrate a prolonged effect of HIE on concussion risk, wherein elevated preseason HIE was associated with higher concussion risk both during the preseason and throughout the entire fall season. This investigation is the first to provide evidence supporting the hypothesis of a relationship between elevated HIE during the college football preseason and a sustained decreased tolerance for concussion throughout that season.
dc.eprint.versionFinal published version
dc.identifier.citationStemper, B. D., Harezlak, J., Shah, A. S., Rowson, S., Mihalik, J. P., Riggen, L., Duma, S., Pasquina, P., Broglio, S. P., McAllister, T. W., McCrea, M. A., & CARE Consortium Investigators. (2022). Association between Preseason/Regular Season Head Impact Exposure and Concussion Incidence in NCAA Football. Medicine and Science in Sports and Exercise, 54(6), 912–922. https://doi.org/10.1249/MSS.0000000000002874
dc.identifier.urihttps://hdl.handle.net/1805/36855
dc.language.isoen_US
dc.publisherACSM
dc.relation.isversionof10.1249/MSS.0000000000002874
dc.relation.journalMedicine and Science in Sports and Exercise
dc.rightsCC0 1.0 Universalen
dc.rights.urihttps://creativecommons.org/publicdomain/zero/1.0
dc.sourcePublisher
dc.subjectHead injuries/concussion
dc.subjectHead impact exposure
dc.subjectBiomechanics
dc.subjectFootball (American)
dc.titleAssociation between Preseason/Regular Season Head Impact Exposure and Concussion Incidence in NCAA Football
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Stemper2022Association-PUBLICDOMAIN.pdf
Size:
652.31 KB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.99 KB
Format:
Item-specific license agreed upon to submission
Description: