Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football

The involvement of the central nervous system (CNS), specifically the white matter tracts in the cervical spinal cord, was examined with diffusion tensor imaging (DTI) following exposure to repetitive head acceleration events (HAEs) after a single season of collegiate football. Fifteen National Coll...

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Main Authors: Brian Johnson, Alexa E. Walter, James R. Wilkes, Linda Papa, Semyon M. Slobounov
Format: Article
Language:English
Published: Mary Ann Liebert 2021-02-01
Series:Neurotrauma Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/NEUR.2020.0035
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author Brian Johnson
Alexa E. Walter
James R. Wilkes
Linda Papa
Semyon M. Slobounov
author_facet Brian Johnson
Alexa E. Walter
James R. Wilkes
Linda Papa
Semyon M. Slobounov
author_sort Brian Johnson
collection DOAJ
description The involvement of the central nervous system (CNS), specifically the white matter tracts in the cervical spinal cord, was examined with diffusion tensor imaging (DTI) following exposure to repetitive head acceleration events (HAEs) after a single season of collegiate football. Fifteen National Collegiate Athletic Association (NCAA) Division 1 football players underwent DTI of the cervical spinal cord (vertebral level C1?4) at pre-season (before any contact practices began) and post-season (within 1 week of the last regular season game) intervals. Helmet accelerometer data were also collected in parallel throughout the season. From pre-season to post-season, a significant decrease (p?<?0.05) of axial diffusivity was seen within the right spino-olivary tract. In addition, a significant decrease (p?<?0.05) in global white matter fractional anisotropy (FA) along with increases (p?<?0.05) in global white matter mean diffusivity (MD) and radial diffusivity (RD) were found. These changes in FA from pre-season to post-season were significantly moderated by previous concussion history (p?<?0.05) and number of HAEs over 80 g (p?<?0.05). Despite the absence of sports-related concussion (SRC), we present measurable changes in the white matter integrity of the cervical spinal cord suggesting injury from repetitive HAEs, or SRC, may include the entirety of the CNS, not just the brain.
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spelling doaj.art-bdf98a412b204bd78c413f73becbf4112024-01-26T04:26:10ZengMary Ann LiebertNeurotrauma Reports2689-288X2021-02-0121849310.1089/NEUR.2020.0035Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate FootballBrian JohnsonAlexa E. WalterJames R. WilkesLinda PapaSemyon M. SlobounovThe involvement of the central nervous system (CNS), specifically the white matter tracts in the cervical spinal cord, was examined with diffusion tensor imaging (DTI) following exposure to repetitive head acceleration events (HAEs) after a single season of collegiate football. Fifteen National Collegiate Athletic Association (NCAA) Division 1 football players underwent DTI of the cervical spinal cord (vertebral level C1?4) at pre-season (before any contact practices began) and post-season (within 1 week of the last regular season game) intervals. Helmet accelerometer data were also collected in parallel throughout the season. From pre-season to post-season, a significant decrease (p?<?0.05) of axial diffusivity was seen within the right spino-olivary tract. In addition, a significant decrease (p?<?0.05) in global white matter fractional anisotropy (FA) along with increases (p?<?0.05) in global white matter mean diffusivity (MD) and radial diffusivity (RD) were found. These changes in FA from pre-season to post-season were significantly moderated by previous concussion history (p?<?0.05) and number of HAEs over 80 g (p?<?0.05). Despite the absence of sports-related concussion (SRC), we present measurable changes in the white matter integrity of the cervical spinal cord suggesting injury from repetitive HAEs, or SRC, may include the entirety of the CNS, not just the brain.https://www.liebertpub.com/doi/full/10.1089/NEUR.2020.0035cervical spinal corddiffusion tensor imagingfootballhead acceleration eventssubconcussion
spellingShingle Brian Johnson
Alexa E. Walter
James R. Wilkes
Linda Papa
Semyon M. Slobounov
Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
Neurotrauma Reports
cervical spinal cord
diffusion tensor imaging
football
head acceleration events
subconcussion
title Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
title_full Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
title_fullStr Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
title_full_unstemmed Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
title_short Changes in White Matter of the Cervical Spinal Cord after a Single Season of Collegiate Football
title_sort changes in white matter of the cervical spinal cord after a single season of collegiate football
topic cervical spinal cord
diffusion tensor imaging
football
head acceleration events
subconcussion
url https://www.liebertpub.com/doi/full/10.1089/NEUR.2020.0035
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