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Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion
Objective: High school athletes are administered ImPACT at the start of the academic year or sport season and again after suspected concussion. Concussion management involves the comparison of baseline and post-injury cognitive scores with declines in scores providing evidence for concussive injury....
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9953817/ https://www.ncbi.nlm.nih.gov/pubmed/36831720 http://dx.doi.org/10.3390/brainsci13020177 |
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author | Goodwin, Grace J. John, Samantha E. Donohue, Bradley Keene, Jennifer Kuwabara, Hana C. Maietta, Julia E. Kinsora, Thomas F. Ross, Staci Allen, Daniel N. |
author_facet | Goodwin, Grace J. John, Samantha E. Donohue, Bradley Keene, Jennifer Kuwabara, Hana C. Maietta, Julia E. Kinsora, Thomas F. Ross, Staci Allen, Daniel N. |
author_sort | Goodwin, Grace J. |
collection | PubMed |
description | Objective: High school athletes are administered ImPACT at the start of the academic year or sport season and again after suspected concussion. Concussion management involves the comparison of baseline and post-injury cognitive scores with declines in scores providing evidence for concussive injury. A network framework may provide additional information about post-concussive cognitive changes and expand characterization of sport-related concussion (SRC) recovery. Design: Retrospective cohort study. Setting: High school. Participants: High school athletes (n = 1553) were administered ImPACT at baseline (T1), post-SRC (T2 = 72 h of injury), and prior to return to play (T3 = within two weeks post-injury). Independent Variables: ImPACT cognitive subtest scores. Main Outcome Measures: Cognitive networks were calculated and compared over three time points. Centrality indices were calculated to determine the relative importance of cognitive variables within networks. Results: Network connectivity increased from T1 to T2 and remained hyperconnected at T3. There was evidence of network reorganization between T1 and T3. Processing speed was central within each network, and visual memory and impulsivity became more central over time. Conclusions: The results suggest potential evidence of cognitive network change over time. Centrality findings suggest research specific to visual memory and impulse control difficulties during the post-concussion recovery period is warranted. Network analysis may provide additional information about cognitive recovery following SRC and could potentially serve as an effective means of monitoring persisting cognitive symptoms after concussion. |
format | Online Article Text |
id | pubmed-9953817 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99538172023-02-25 Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion Goodwin, Grace J. John, Samantha E. Donohue, Bradley Keene, Jennifer Kuwabara, Hana C. Maietta, Julia E. Kinsora, Thomas F. Ross, Staci Allen, Daniel N. Brain Sci Article Objective: High school athletes are administered ImPACT at the start of the academic year or sport season and again after suspected concussion. Concussion management involves the comparison of baseline and post-injury cognitive scores with declines in scores providing evidence for concussive injury. A network framework may provide additional information about post-concussive cognitive changes and expand characterization of sport-related concussion (SRC) recovery. Design: Retrospective cohort study. Setting: High school. Participants: High school athletes (n = 1553) were administered ImPACT at baseline (T1), post-SRC (T2 = 72 h of injury), and prior to return to play (T3 = within two weeks post-injury). Independent Variables: ImPACT cognitive subtest scores. Main Outcome Measures: Cognitive networks were calculated and compared over three time points. Centrality indices were calculated to determine the relative importance of cognitive variables within networks. Results: Network connectivity increased from T1 to T2 and remained hyperconnected at T3. There was evidence of network reorganization between T1 and T3. Processing speed was central within each network, and visual memory and impulsivity became more central over time. Conclusions: The results suggest potential evidence of cognitive network change over time. Centrality findings suggest research specific to visual memory and impulse control difficulties during the post-concussion recovery period is warranted. Network analysis may provide additional information about cognitive recovery following SRC and could potentially serve as an effective means of monitoring persisting cognitive symptoms after concussion. MDPI 2023-01-20 /pmc/articles/PMC9953817/ /pubmed/36831720 http://dx.doi.org/10.3390/brainsci13020177 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 | Article Goodwin, Grace J. John, Samantha E. Donohue, Bradley Keene, Jennifer Kuwabara, Hana C. Maietta, Julia E. Kinsora, Thomas F. Ross, Staci Allen, Daniel N. Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title | Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title_full | Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title_fullStr | Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title_full_unstemmed | Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title_short | Changes in ImPACT Cognitive Subtest Networks Following Sport-Related Concussion |
title_sort | changes in impact cognitive subtest networks following sport-related concussion |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9953817/ https://www.ncbi.nlm.nih.gov/pubmed/36831720 http://dx.doi.org/10.3390/brainsci13020177 |
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