Time Delta Head Impact Frequency: An Analysis on Head Impact Exposure in the Lead Up to a Concussion: Findings from the NCAA-DOD Care Consortium
Abstract
Sport-related concussions can result from a single high magnitude impact that generates concussive symptoms, repeated subconcussive head impacts aggregating to generate concussive symptoms, or a combined effect from the two mechanisms. The array of symptoms produced by these mechanisms may be clinically interpreted as a sport-related concussion. It was hypothesized that head impact exposure resulting in concussion is influenced by severity, total number, and frequency of subconcussive head impacts. The influence of total number and magnitude of impacts was previously explored, but frequency was investigated to a lesser degree. In this analysis, head impact frequency was investigated over a new metric called ‘time delta’, the time difference from the first recorded head impact of the day until the concussive impact. Four exposure metrics were analyzed over the time delta to determine whether frequency of head impact exposure was greater for athletes on their concussion date relative to other dates of contact participation. Those metrics included head impact frequency, head impact accrual rate, risk weighted exposure (RWE), and RWE accrual rate. Athletes experienced an elevated median number of impacts, RWE, and RWE accrual rate over the time delta on their concussion date compared to non-injury sessions. This finding suggests elevated frequency of head impact exposure on the concussion date compared to other dates that may precipitate the onset of concussion.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Aug 06, 2022
- Source ID
- 10.1007/s10439-022-03032-w
Entities
People
- Alison Brooks
- Alok S. Shah
- Brian D Stemper
- Christopher C. Giza
- Gerald Mcginty
- Jack Seifert
- Jaroslaw Harezlak
- Jason P Mihalik
- Jonathan C. Jackson
- Joshua Goldman
- Kenneth L Cameron
- Kevin M. Guskiewicz
- Larry Riggen
- Megan N Houston
- Michael A. Mccrea
- Paul F Pasquina
- Stefan Duma
- Steven P Broglio
- Steven Rowson
- Thomas W. McAllister
Organizations
- National Collegiate Athletic Association
- National Institute of Neurological Disorders and Stroke
- United States Department of Defense