Nelofar Kureshi

Health Data Scientist

Impact-detecting helmets as indicators of concussion and blood brain barrier integrity in university football players


Journal article


C. Jones, L. Audas, N. Kureshi, L. Kamintsky, L. Fenerty, L. Wilson, C. Atkinson, A. Friedman, D. Clarke
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, 2021

Semantic Scholar DOI
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APA   Click to copy
Jones, C., Audas, L., Kureshi, N., Kamintsky, L., Fenerty, L., Wilson, L., … Clarke, D. (2021). Impact-detecting helmets as indicators of concussion and blood brain barrier integrity in university football players. Canadian Journal of Neurological Sciences / Journal Canadien Des Sciences Neurologiques.


Chicago/Turabian   Click to copy
Jones, C., L. Audas, N. Kureshi, L. Kamintsky, L. Fenerty, L. Wilson, C. Atkinson, A. Friedman, and D. Clarke. “ Impact-Detecting Helmets as Indicators of Concussion and Blood Brain Barrier Integrity in University Football Players.” Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques (2021).


MLA   Click to copy
Jones, C., et al. “ Impact-Detecting Helmets as Indicators of Concussion and Blood Brain Barrier Integrity in University Football Players.” Canadian Journal of Neurological Sciences / Journal Canadien Des Sciences Neurologiques, 2021.


BibTeX   Click to copy

@article{c2021a,
  title = { Impact-detecting helmets as indicators of concussion and blood brain barrier integrity in university football players},
  year = {2021},
  journal = {Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques},
  author = {Jones, C. and Audas, L. and Kureshi, N. and Kamintsky, L. and Fenerty, L. and Wilson, L. and Atkinson, C. and Friedman, A. and Clarke, D.}
}

Abstract

Background: Repetitive sub-concussive head impacts have been associated with changes in brain architecture and neurological symptoms. In this study, we examined the association between repetitive sub-concussive impacts, impact burden, and blood brain barrier (BBB) integrity in university football players. Methods: 59 university football players were followed over the 2019 season. Athletes with diagnosed concussion and those sustaining impacts that alerted a sideline impact monitor (relayed by ferroelectric helmet sensors) underwent dynamic contrast-enhanced MRI (DCE-MRI) within one week of injury/alert, and 4 weeks following initial incident. Results: Helmets recorded 2648 impacts over 48 cumulative hours. 8 concussions occurred during the 2019 season (2.82 per 1000 activity hours). On average, athletes with a diagnosed concussion had 55.3 impacts to the front sensor, compared to 14.1 in non-concussed athletes. Athletes who consented to DCE-MRI (n=5) had 10.78% BBB-D within a week of concussion/alert, and 6.77% BBB-D at 4-weeks. Conclusions: We show quantification of BBB integrity relative to head impact burden for the first time. This preliminary study highlights the potential of impact-detecting helmets to provide relevant impact characteristics and offers a foundation for future work on neurological consequences of repetitive sub-concussive impacts.


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