Purpose The purpose of this study was to determine how cumulative repetitive head impacts (RHI) over a single season affects functional brain activity in high school football players that are clinically asymptomatic for concussion. Method Pre-season and post-season magnetoencephalography (275 channel CTF MEG) and MRI were acquired for 88 football participant seasons (mean age = 16.09 yrs, mean BMI = 26.32). Helmet-based accelerometer data was collected for each practice and game. Cumulative risk-weighted exposure from linear acceleration (RWELinear) was calculated for each subject. Standard processing and source localization of 8-minutes eyes-open-resting state MEG data was performed using Brainstorm2. Voxel-wise relative power spectral density (PSD) was calculated for the theta frequency band (5-7 Hz). After transformation to MNI space2, pre-season to post-season percent change in PSD (%theta) was calculated and spatial clusters significantly correlated with RWELinear were identified using SPM8 (a = 0.05 and false discovery correction to account for multiple corrections). Mean cluster values were extracted, and linear regression analysis performed in R 3.21 with covariates of BMI, age, and time between scans. Results After covariate adjustment, there was a significant positive correlation between RWELinear and %Δtheta PSD in the right postcentral gyrus and inferior parietal lobe (p = 9.342e-05, adj. R2 = 0.2092), with no other significant associations noted. Conclusions Changes in functional brain activity may be associated with RHI specifically in the right postcentral gyrus and inferior parietal lobe over a typical football season. Future research will include examining how these affected areas are associated with cognitive performance.
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Johnson et al. (2024) studied this question.
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