Evidence for acute electrophysiological and cognitive changes following routine soccer heading

Thomas G. Di Virgilio, Angus Hunter, Lindsay Wilson, William Stewart, Stuart Goodall, Glyn Howatson, David I. Donaldson, Magdalena Ietswaart*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction

There is growing concern around the effects of concussion and sub-concussive impacts in sport. Routine game-play in soccer involves intentional and repeated head impacts through ball heading. Although heading is frequently cited as a risk to brain health, little data exist regarding the consequences of this activity. This study aims to assess the immediate outcomes of routine football heading using direct and sensitive measures of brain function.

Methods

Nineteen amateur football players (5 females; age 22 ± 3 y) headed machine-projected soccer balls at standardized speeds, modelling routine soccer practice. The primary outcome measure of corticomotor inhibition measured using transcranial magnetic stimulation, was assessed prior to heading and repeated immediately, 24 h, 48 h and 2 weeks post-heading. Secondary outcome measures were cortical excitability, postural control, and cognitive function.

Results

Immediately following heading an increase in corticomotor inhibition was detected; further to these electrophysiological alterations, measurable reduction memory function were also found. These acute changes appear transient, with values normalizing 24 h post-heading.

Discussion

Sub-concussive head impacts routine in soccer heading are associated with immediate, measurable electrophysiological and cognitive impairments. Although these changes in brain function were transient, these effects may signal direct consequences of routine soccer heading on (long-term) brain health which requires further study.

Original languageEnglish
Pages (from-to)66-71
Number of pages6
JournalEBioMedicine
Volume13
Early online date23 Oct 2016
DOIs
Publication statusPublished - Nov 2016

Keywords

  • Sports concussion
  • Sub-concussion
  • Transcranial magnetic stimulation
  • Traumatic brain injury

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