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Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol

SIMPLE SUMMARY: Following injury, players may seem medically fit to return to play, but skill levels may have deteriorated due to cognitive decline, resulting in the deterioration of cognitive abilities and skills. This suggestion may explain in part the reoccurrence of head injury linking concussiv...

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Autores principales: Irwin, Gareth, Rogatzki, Matthew J., Wiltshire, Huw D., Williams, Genevieve K. R., Gu, Yaodong, Ash, Garrett I., Tao, Dan, Baker, Julien S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452437/
https://www.ncbi.nlm.nih.gov/pubmed/37626975
http://dx.doi.org/10.3390/biology12081089
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author Irwin, Gareth
Rogatzki, Matthew J.
Wiltshire, Huw D.
Williams, Genevieve K. R.
Gu, Yaodong
Ash, Garrett I.
Tao, Dan
Baker, Julien S.
author_facet Irwin, Gareth
Rogatzki, Matthew J.
Wiltshire, Huw D.
Williams, Genevieve K. R.
Gu, Yaodong
Ash, Garrett I.
Tao, Dan
Baker, Julien S.
author_sort Irwin, Gareth
collection PubMed
description SIMPLE SUMMARY: Following injury, players may seem medically fit to return to play, but skill levels may have deteriorated due to cognitive decline, resulting in the deterioration of cognitive abilities and skills. This suggestion may explain in part the reoccurrence of head injury linking concussive events to future concussive events. As such, this study’s aim will be to investigate performance and physiological changes in rugby players post-game for head trauma and injury. ABSTRACT: Background: Taking part in moderate-to-vigorous exercise in contact sports on a regular basis may be linked to an increase in cerebrovascular injury and head trauma. Validated objective measures are lacking in the initial post-event diagnosis of head injury. The exercise style, duration, and intensity may also confound diagnostic indicators. As a result, we propose that the new Interdisciplinary Group in Movement & Performance from Acute & Chronic Head Trauma (IMPACT) analyze a variety of functional (biomechanical and motor control) tests as well as related biochemistry to see how they are affected by contact in sports and head injury. The study’s goal will be to look into the performance and physiological changes in rugby players after a game for head trauma and injury. Methods: This one-of-a-kind study will use a randomized controlled trial (RCT) utilizing a sport participation group and a non-participation control group. Forty male rugby 7 s players will be recruited for the study and allocated randomly to the experimental groups. The intervention group will participate in three straight rugby matches during a local 7 s rugby event. At the pre-match baseline, demographic and anthropometric data will be collected. This will be followed by the pre-match baseline collection of biochemical, biomechanical, and cognitive-motor task data. After three consecutive matches, the same measures will be taken. During each match, a notational analysis will be undertaken to obtain contact information. All measurements will be taken again 24, 48, and 72 h after the third match. Discussion: When the number of games increases owing to weariness and/or stressful circumstances, we expect a decline in body movement, coordination, and cognitive-motor tasks. Changes in blood biochemistry are expected to correspond to changes in biomechanics and cognitive-motor processes. This research proposal will generate considerable, ecologically valid data on the occurrence of head trauma events under game conditions, as well as the influence of these events on the biological systems of the performers. This will lead to a greater understanding of how sports participants react to exercise-induced injuries. This study’s scope will have far-reaching ramifications for doctors, coaches, managers, scientists, and sports regulatory bodies concerned with the health and well-being of athletic populations at all levels of competition, including all genders and ages.
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spelling pubmed-104524372023-08-26 Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol Irwin, Gareth Rogatzki, Matthew J. Wiltshire, Huw D. Williams, Genevieve K. R. Gu, Yaodong Ash, Garrett I. Tao, Dan Baker, Julien S. Biology (Basel) Study Protocol SIMPLE SUMMARY: Following injury, players may seem medically fit to return to play, but skill levels may have deteriorated due to cognitive decline, resulting in the deterioration of cognitive abilities and skills. This suggestion may explain in part the reoccurrence of head injury linking concussive events to future concussive events. As such, this study’s aim will be to investigate performance and physiological changes in rugby players post-game for head trauma and injury. ABSTRACT: Background: Taking part in moderate-to-vigorous exercise in contact sports on a regular basis may be linked to an increase in cerebrovascular injury and head trauma. Validated objective measures are lacking in the initial post-event diagnosis of head injury. The exercise style, duration, and intensity may also confound diagnostic indicators. As a result, we propose that the new Interdisciplinary Group in Movement & Performance from Acute & Chronic Head Trauma (IMPACT) analyze a variety of functional (biomechanical and motor control) tests as well as related biochemistry to see how they are affected by contact in sports and head injury. The study’s goal will be to look into the performance and physiological changes in rugby players after a game for head trauma and injury. Methods: This one-of-a-kind study will use a randomized controlled trial (RCT) utilizing a sport participation group and a non-participation control group. Forty male rugby 7 s players will be recruited for the study and allocated randomly to the experimental groups. The intervention group will participate in three straight rugby matches during a local 7 s rugby event. At the pre-match baseline, demographic and anthropometric data will be collected. This will be followed by the pre-match baseline collection of biochemical, biomechanical, and cognitive-motor task data. After three consecutive matches, the same measures will be taken. During each match, a notational analysis will be undertaken to obtain contact information. All measurements will be taken again 24, 48, and 72 h after the third match. Discussion: When the number of games increases owing to weariness and/or stressful circumstances, we expect a decline in body movement, coordination, and cognitive-motor tasks. Changes in blood biochemistry are expected to correspond to changes in biomechanics and cognitive-motor processes. This research proposal will generate considerable, ecologically valid data on the occurrence of head trauma events under game conditions, as well as the influence of these events on the biological systems of the performers. This will lead to a greater understanding of how sports participants react to exercise-induced injuries. This study’s scope will have far-reaching ramifications for doctors, coaches, managers, scientists, and sports regulatory bodies concerned with the health and well-being of athletic populations at all levels of competition, including all genders and ages. MDPI 2023-08-04 /pmc/articles/PMC10452437/ /pubmed/37626975 http://dx.doi.org/10.3390/biology12081089 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Study Protocol
Irwin, Gareth
Rogatzki, Matthew J.
Wiltshire, Huw D.
Williams, Genevieve K. R.
Gu, Yaodong
Ash, Garrett I.
Tao, Dan
Baker, Julien S.
Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title_full Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title_fullStr Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title_full_unstemmed Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title_short Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol
title_sort sports-related concussion assessment: a new physiological, biomechanical, and cognitive methodology incorporating a randomized controlled trial study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452437/
https://www.ncbi.nlm.nih.gov/pubmed/37626975
http://dx.doi.org/10.3390/biology12081089
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