Second time around

Corticospinal responses following a secondary sports-related concussion within the same season. A transcranial magnetic stimulation study

Alan J Pearce, Daniel T Corp, Charlotte B Davies, Brendan P Major, Jerome Joseph Maller

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To investigate the degree of neurophysiological and cognitive performance changes resulting from repeat concussions sustained in a single season of Australian Rules football.

Methods: Three amateur football players were recruited after sustainingtwo concussions during a single season of playing. Each player was assessed at multiple time points by transcranial magnetic stimulation (TMS) and electromyography, as well as tested for fine motor and cognitive performance after each concussion.

Results: In all three cases, concussions resulted in reduction in fine dexterity and visuomotor reaction time, cognitive attention performance and increase in intracortical inhibition from TMS. No changes in performance or TMS outcomes were found as a result of the order of the concussions. However, changes observed were dependent on the severity of the concussion.

Conclusions: This multiple-case study has demonstrated that concussion result in increased intracortical inhibition and reduction in cognitive and motor performance. Further, TMS, in conjunction with tests of cognitive and motor performance, can be useful as a prognostic technique in assessing recovery from acute concussion injury.
Original languageEnglish
Pages (from-to)186-193
Number of pages8
JournalJournal of Acute Disease
Volume3
Issue number3
DOIs
Publication statusPublished - 2014

Keywords

  • Brain concussion
  • Sports
  • Transcranial magnetic stimulation
  • Recovery of function

Cite this

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title = "Second time around: Corticospinal responses following a secondary sports-related concussion within the same season. A transcranial magnetic stimulation study",
abstract = "Objective: To investigate the degree of neurophysiological and cognitive performance changes resulting from repeat concussions sustained in a single season of Australian Rules football.Methods: Three amateur football players were recruited after sustainingtwo concussions during a single season of playing. Each player was assessed at multiple time points by transcranial magnetic stimulation (TMS) and electromyography, as well as tested for fine motor and cognitive performance after each concussion.Results: In all three cases, concussions resulted in reduction in fine dexterity and visuomotor reaction time, cognitive attention performance and increase in intracortical inhibition from TMS. No changes in performance or TMS outcomes were found as a result of the order of the concussions. However, changes observed were dependent on the severity of the concussion.Conclusions: This multiple-case study has demonstrated that concussion result in increased intracortical inhibition and reduction in cognitive and motor performance. Further, TMS, in conjunction with tests of cognitive and motor performance, can be useful as a prognostic technique in assessing recovery from acute concussion injury.",
keywords = "Brain concussion, Sports, Transcranial magnetic stimulation, Recovery of function",
author = "Pearce, {Alan J} and Corp, {Daniel T} and Davies, {Charlotte B} and Major, {Brendan P} and Maller, {Jerome Joseph}",
year = "2014",
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Second time around : Corticospinal responses following a secondary sports-related concussion within the same season. A transcranial magnetic stimulation study. / Pearce, Alan J; Corp, Daniel T; Davies, Charlotte B; Major, Brendan P; Maller, Jerome Joseph.

In: Journal of Acute Disease , Vol. 3, No. 3, 2014, p. 186-193.

Research output: Contribution to journalArticleResearchpeer-review

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T2 - Corticospinal responses following a secondary sports-related concussion within the same season. A transcranial magnetic stimulation study

AU - Pearce, Alan J

AU - Corp, Daniel T

AU - Davies, Charlotte B

AU - Major, Brendan P

AU - Maller, Jerome Joseph

PY - 2014

Y1 - 2014

N2 - Objective: To investigate the degree of neurophysiological and cognitive performance changes resulting from repeat concussions sustained in a single season of Australian Rules football.Methods: Three amateur football players were recruited after sustainingtwo concussions during a single season of playing. Each player was assessed at multiple time points by transcranial magnetic stimulation (TMS) and electromyography, as well as tested for fine motor and cognitive performance after each concussion.Results: In all three cases, concussions resulted in reduction in fine dexterity and visuomotor reaction time, cognitive attention performance and increase in intracortical inhibition from TMS. No changes in performance or TMS outcomes were found as a result of the order of the concussions. However, changes observed were dependent on the severity of the concussion.Conclusions: This multiple-case study has demonstrated that concussion result in increased intracortical inhibition and reduction in cognitive and motor performance. Further, TMS, in conjunction with tests of cognitive and motor performance, can be useful as a prognostic technique in assessing recovery from acute concussion injury.

AB - Objective: To investigate the degree of neurophysiological and cognitive performance changes resulting from repeat concussions sustained in a single season of Australian Rules football.Methods: Three amateur football players were recruited after sustainingtwo concussions during a single season of playing. Each player was assessed at multiple time points by transcranial magnetic stimulation (TMS) and electromyography, as well as tested for fine motor and cognitive performance after each concussion.Results: In all three cases, concussions resulted in reduction in fine dexterity and visuomotor reaction time, cognitive attention performance and increase in intracortical inhibition from TMS. No changes in performance or TMS outcomes were found as a result of the order of the concussions. However, changes observed were dependent on the severity of the concussion.Conclusions: This multiple-case study has demonstrated that concussion result in increased intracortical inhibition and reduction in cognitive and motor performance. Further, TMS, in conjunction with tests of cognitive and motor performance, can be useful as a prognostic technique in assessing recovery from acute concussion injury.

KW - Brain concussion

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