TY - JOUR
T1 - Understanding the consequences of repetitive subconcussive head impacts in sport
T2 - brain changes and dampened motor control are seen after boxing practice
AU - Di Virgilio, Thomas G.
AU - Ietswaart, Magdalena
AU - Wilson, Lindsay
AU - Donaldson, David I.
AU - Hunter, Angus M.
N1 - LW was supported by FP7 grant number 602150-2 (CENTER-TBI)
PY - 2019/9/10
Y1 - 2019/9/10
N2 - Objectives: The potential effects of exposure to
repetitive subconcussive head impacts through routine participation in
sport are not understood. To investigate the effects of repetitive
subconcussive head impacts we studied boxers following customary
training (sparring) using transcranial magnetic stimulation (TMS),
decomposition electromyographic (EMG) and tests of memory.
Methods: Twenty amateur boxers performed three
3-min sparring bouts. Parameters of brain function and motor control
were assessed prior to sparring and again immediately, 1 h and 24 h
post-sparring. Twenty control participants were assessed following
mock-sparring.
Results: One hour after sparring boxers showed
increased corticomotor inhibition, altered motor unit recruitment
strategies, and decreased memory performance relative to controls, with
values returning to baseline by the 24 h follow up.
Conclusion: Repetitive subconcussive head impacts
associated with sparring resulted in acute and transient brain changes
similar to those previously reported in soccer heading, providing
convergent evidence that sport-related head impacts produce a GABAergic
response. These acute changes in brain health are reminiscent of effects
seen following brain injury, and suggest a potential mechanism
underlying the damaging long-term effects of routine repetitive head
impacts in sport.
AB - Objectives: The potential effects of exposure to
repetitive subconcussive head impacts through routine participation in
sport are not understood. To investigate the effects of repetitive
subconcussive head impacts we studied boxers following customary
training (sparring) using transcranial magnetic stimulation (TMS),
decomposition electromyographic (EMG) and tests of memory.
Methods: Twenty amateur boxers performed three
3-min sparring bouts. Parameters of brain function and motor control
were assessed prior to sparring and again immediately, 1 h and 24 h
post-sparring. Twenty control participants were assessed following
mock-sparring.
Results: One hour after sparring boxers showed
increased corticomotor inhibition, altered motor unit recruitment
strategies, and decreased memory performance relative to controls, with
values returning to baseline by the 24 h follow up.
Conclusion: Repetitive subconcussive head impacts
associated with sparring resulted in acute and transient brain changes
similar to those previously reported in soccer heading, providing
convergent evidence that sport-related head impacts produce a GABAergic
response. These acute changes in brain health are reminiscent of effects
seen following brain injury, and suggest a potential mechanism
underlying the damaging long-term effects of routine repetitive head
impacts in sport.
KW - Boxing
KW - Motor unit behavior
KW - Subconcussive head impacts
KW - TBI
KW - Transcranial magnetic stimulation
U2 - 10.3389/fnhum.2019.00294
DO - 10.3389/fnhum.2019.00294
M3 - Article
AN - SCOPUS:85072881156
SN - 1662-5161
VL - 13
JO - Frontiers in Human Neuroscience
JF - Frontiers in Human Neuroscience
M1 - 294
ER -