The effects of sports‐related concussion history on female adolescent brain activity and connectivity for bilateral lower extremity knee motor control.

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Title: The effects of sports‐related concussion history on female adolescent brain activity and connectivity for bilateral lower extremity knee motor control.
Authors: Zuleger, Taylor M. (AUTHOR), Slutsky‐Ganesh, Alexis B. (AUTHOR), Anand, Manish (AUTHOR), Kim, HoWon (AUTHOR), Warren, Shayla M. (AUTHOR), Grooms, Dustin R. (AUTHOR), Barber Foss, Kim D. (AUTHOR), Riley, Michael A. (AUTHOR), Yuan, Weihong (AUTHOR), Gore, Russell K. (AUTHOR), Myer, Gregory D. (AUTHOR), Diekfuss, Jed A. (AUTHOR)
Source: Psychophysiology. Sep2023, Vol. 60 Issue 9, p1-20. 20p. 1 Color Photograph, 3 Illustrations, 4 Charts, 1 Graph.
Subjects: Brain concussion, Attention control, Functional magnetic resonance imaging, Parietal lobe, Teenage girls, Contact sports, Leg injuries, Cingulate cortex, High school athletes
Abstract: Sports‐related concussions (SRCs) are associated with neuromuscular control deficits in athletes following return to play. However, the connection between SRC and potentially disrupted neural regulation of lower extremity motor control has not been investigated. The purpose of this study was to investigate brain activity and connectivity during a functional magnetic resonance imaging (fMRI) lower extremity motor control task (bilateral leg press) in female adolescent athletes with a history of SRC. Nineteen female adolescent athletes with a history of SRC and nineteen uninjured (without a history of SRC) age‐ and sport‐matched control athletes participated in this study. Athletes with a history of SRC exhibited less neural activity in the left inferior parietal lobule/supramarginal gyrus (IPL) during the bilateral leg press compared to matched controls. Based upon signal change detected in the brain activity analysis, a 6 mm region of interest (seed) was defined to perform secondary connectivity analyses using psychophysiological interaction (PPI) analyses. During the motor control task, the left IPL (seed) was significantly connected to the right posterior cingulate gyrus/precuneus cortex and right IPL for athletes with a history of SRC. The left IPL was significantly connected to the left primary motor cortex (M1) and primary somatosensory cortex (S1), right inferior temporal gyrus, and right S1 for matched controls. Altered neural activity in brain regions important for sensorimotor integration and motor attention, combined with unique connectivity to regions responsible for attentional, cognitive, and proprioceptive processing, indicate compensatory neural mechanisms may underlie the lingering neuromuscular control deficits associated with SRC. Our research provides a new perspective on motor control alterations in female adolescent athletes with a history of sports‐related concussion (SRC), by identifying neural alterations via functional magnetic resonance imaging during lower extremity movement. This work complements previous evidence of neuromuscular control impairments in athletes following a concussion and identifies a potential underlying mechanism for lower extremity injury risk in female adolescent athletes with a history of SRC. [ABSTRACT FROM AUTHOR]
Copyright of Psychophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: The effects of sports‐related concussion history on female adolescent brain activity and connectivity for bilateral lower extremity knee motor control.
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  Data: <searchLink fieldCode="AR" term="%22Zuleger%2C+Taylor+M%2E%22">Zuleger, Taylor M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slutsky‐Ganesh%2C+Alexis+B%2E%22">Slutsky‐Ganesh, Alexis B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anand%2C+Manish%22">Anand, Manish</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+HoWon%22">Kim, HoWon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Warren%2C+Shayla+M%2E%22">Warren, Shayla M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grooms%2C+Dustin+R%2E%22">Grooms, Dustin R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barber Foss%2C+Kim+D%2E%22">Barber Foss, Kim D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Riley%2C+Michael+A%2E%22">Riley, Michael A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yuan%2C+Weihong%22">Yuan, Weihong</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gore%2C+Russell+K%2E%22">Gore, Russell K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Myer%2C+Gregory+D%2E%22">Myer, Gregory D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Diekfuss%2C+Jed+A%2E%22">Diekfuss, Jed A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychophysiology%22">Psychophysiology</searchLink>. Sep2023, Vol. 60 Issue 9, p1-20. 20p. 1 Color Photograph, 3 Illustrations, 4 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Brain+concussion%22">Brain concussion</searchLink><br /><searchLink fieldCode="DE" term="%22Attention+control%22">Attention control</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+magnetic+resonance+imaging%22">Functional magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Parietal+lobe%22">Parietal lobe</searchLink><br /><searchLink fieldCode="DE" term="%22Teenage+girls%22">Teenage girls</searchLink><br /><searchLink fieldCode="DE" term="%22Contact+sports%22">Contact sports</searchLink><br /><searchLink fieldCode="DE" term="%22Leg+injuries%22">Leg injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Cingulate+cortex%22">Cingulate cortex</searchLink><br /><searchLink fieldCode="DE" term="%22High+school+athletes%22">High school athletes</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Sports‐related concussions (SRCs) are associated with neuromuscular control deficits in athletes following return to play. However, the connection between SRC and potentially disrupted neural regulation of lower extremity motor control has not been investigated. The purpose of this study was to investigate brain activity and connectivity during a functional magnetic resonance imaging (fMRI) lower extremity motor control task (bilateral leg press) in female adolescent athletes with a history of SRC. Nineteen female adolescent athletes with a history of SRC and nineteen uninjured (without a history of SRC) age‐ and sport‐matched control athletes participated in this study. Athletes with a history of SRC exhibited less neural activity in the left inferior parietal lobule/supramarginal gyrus (IPL) during the bilateral leg press compared to matched controls. Based upon signal change detected in the brain activity analysis, a 6 mm region of interest (seed) was defined to perform secondary connectivity analyses using psychophysiological interaction (PPI) analyses. During the motor control task, the left IPL (seed) was significantly connected to the right posterior cingulate gyrus/precuneus cortex and right IPL for athletes with a history of SRC. The left IPL was significantly connected to the left primary motor cortex (M1) and primary somatosensory cortex (S1), right inferior temporal gyrus, and right S1 for matched controls. Altered neural activity in brain regions important for sensorimotor integration and motor attention, combined with unique connectivity to regions responsible for attentional, cognitive, and proprioceptive processing, indicate compensatory neural mechanisms may underlie the lingering neuromuscular control deficits associated with SRC. Our research provides a new perspective on motor control alterations in female adolescent athletes with a history of sports‐related concussion (SRC), by identifying neural alterations via functional magnetic resonance imaging during lower extremity movement. This work complements previous evidence of neuromuscular control impairments in athletes following a concussion and identifies a potential underlying mechanism for lower extremity injury risk in female adolescent athletes with a history of SRC. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/psyp.14314
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      – Code: eng
        Text: English
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        PageCount: 20
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    Subjects:
      – SubjectFull: Brain concussion
        Type: general
      – SubjectFull: Attention control
        Type: general
      – SubjectFull: Functional magnetic resonance imaging
        Type: general
      – SubjectFull: Parietal lobe
        Type: general
      – SubjectFull: Teenage girls
        Type: general
      – SubjectFull: Contact sports
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      – SubjectFull: Leg injuries
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      – SubjectFull: Cingulate cortex
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      – SubjectFull: High school athletes
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      – TitleFull: The effects of sports‐related concussion history on female adolescent brain activity and connectivity for bilateral lower extremity knee motor control.
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              Text: Sep2023
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              Y: 2023
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