Longitudinal assessment of local and global functional connectivity following sports-related concussion.

Growing evidence suggests that sports-related concussions (SRC) may lead to acute changes in intrinsic functional connectivity, although most studies to date have been cross-sectional in nature with relatively modest sample sizes. We longitudinally assessed changes in local and global resting state...

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Published in:Brain Imaging & Behavior Vol. 11; no. 1; pp. 129 - 141
Main Authors: Meier, Timothy, Bellgowan, Patrick, Mayer, Andrew, Meier, Timothy B, Bellgowan, Patrick S F, Mayer, Andrew R
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Feb2017
Online Access:View this record in EBSCOhost
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          Meier, Timothy
          Bellgowan, Patrick
          Mayer, Andrew
          Meier, Timothy B
          Bellgowan, Patrick S F
          Mayer, Andrew R
        affil: National Institute of Neurological Disorders and Stroke , National Institutes of Health , North Bethesda MD 20892 USA
      sug:
        subj:
          Brain Physiopathology
          Brain Concussion Physiopathology
          Brain Concussion Etiology
          Athletic Injuries Physiopathology
          Relaxation
          Athletic Injuries
          Diagnosis, Neurologic
          Male
          Young Adult
          Students
          Prospective Studies
          Colleges and Universities
          Cross Sectional Studies
          Athletes
          Female
          Brain
          Brain Concussion
          Human
          Male
          Female
      ab: Growing evidence suggests that sports-related concussions (SRC) may lead to acute changes in intrinsic functional connectivity, although most studies to date have been cross-sectional in nature with relatively modest sample sizes. We longitudinally assessed changes in local and global resting state functional connectivity using metrics that do not require a priori seed or network selection (regional homogeneity; ReHo and global brain connectivity; GBC, respectively). A large sample of collegiate athletes (N = 43) was assessed approximately one day (1.74 days post-injury, N = 34), one week (8.44 days, N = 34), and one month post-concussion (32.47 days, N = 30). Healthy contact sport-athletes served as controls (N = 51). Concussed athletes showed improvement in mood symptoms at each time point (p's < 0.05), but had significantly higher mood scores than healthy athletes at every time point (p's < 0.05). In contrast, self-reported symptoms and cognitive deficits improved over time following concussion (p's < 0.001), returning to healthy levels by one week post-concussion. ReHo in sensorimotor, visual, and temporal cortices increased over time post-concussion, and was greatest at one month post-injury. Conversely, ReHo in the frontal cortex decreased over time following SRC, with the greatest decrease evident at one month post-concussion. Differences in ReHo relative to healthy athletes were primarily observed at one month post-concussion rather than the more acute time points. Contrary to our hypothesis, no significant cross-sectional or longitudinal differences in GBC were observed. These results are suggestive of a delayed onset of local connectivity changes following SRC.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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