Faculty Opinions recommendation of Blood biomarkers for brain injury in concussed professional ice hockey players.

Author(s):  
W Dalton Dietrich
2014 ◽  
Vol 71 (6) ◽  
pp. 684 ◽  
Author(s):  
Pashtun Shahim ◽  
Yelverton Tegner ◽  
David H. Wilson ◽  
Jeffrey Randall ◽  
Tobias Skillbäck ◽  
...  

Author(s):  
Michael D. Cusimano ◽  
Mary L. Chipman ◽  
Richard Volpe ◽  
Peter Donnelly

Abstract:Background and Objectives:In Canada and the USA, ice hockey is a cause of traumatic brain injury. Post-concussive symptoms are the most important feature of the diagnosis of concussion in sports and it is recommended that athletes not return to play while still symptomatic. Lack of knowledge of concussions could therefore be one of the main detriments to concussion prevention in hockey. The purpose of this research is to describe what minor league hockey players, coaches, parents and trainers know about concussion and its management.Methods:A questionnaire to assess concussion knowledge and return to play guidelines was developed and administered to players at different competitive levels (n = 267), coaches, trainers and parents (total adults n = 142) from the Greater Toronto Area.Results:Although a majority of adults and players could identify mechanisms responsible for concussion, about one-quarter of adults and about a quarter to a half of children could not recall any symptoms or recalled only one symptom of a concussion. A significant number of players and some adults did not know what a concussion was or how it occurred. Almost half of the players and a fifth of the adults incorrectly stated that concussion was treated with medication or physical therapy. Nearly one quarter of all players did not know if an athlete experiencing symptoms of concussion should continue playing.Conclusions:This study demonstrated that a significant number of people held misconceptions about concussion in hockey which could lead to serious health consequences and creates a need for better preventive and educational strategies.


Author(s):  
Santiago de Grau ◽  
Andrew Post ◽  
T Blaine Hoshizaki ◽  
Michael D Gilchrist

In hockey, players experience different compliances during impacts to the head, from stiff ice to compliant collisions against other players. The objective of this study was to examine the effect of striking compliance in ice hockey impacts and its influence on dynamic response and brain tissue strain. Three striking caps of low, medium, and high compliances were used to impact a helmeted 50th-percentile Hybrid III headform. The headform was impacted at five locations at three velocities, representative of collision scenarios in hockey. The dependent variables, peak resultant linear and rotational acceleration as well as maximum principal strain were analyzed using a multivariate analysis of variance to determine significant differences between the compliances. The results indicated a significant effect of compliance on the responses of the headform. As expected, low-impact compliance resulted in higher linear and rotational accelerations when compared to the medium and high compliance conditions. However, while the linear and rotational acceleration responses of the medium and high compliance conditions would indicate a low chance of brain injury, the maximum principal strain magnitudes indicated a high likelihood of concussion. Medium- and high-impact compliances are a factor that has not been considered when designing and testing helmet technology in sport, with current methods reflective of low compliance surfaces, that is, those with high stiffness and rigidity. The results of this study demonstrate that an impact compliance is an important factor in producing brain injury and should be considered when certifying helmets through standard testing to mitigate the risk of brain injury.


2019 ◽  
Vol 14 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Sarah Hutchinson ◽  
Paul Ellison ◽  
Andrew Levy ◽  
David Marchant

Objective Concussion is a common injury in ice hockey, and previous research suggests some misconceptions and unsafe attitudes amongst players. The purpose of this study was to assess sport concussion knowledge, attitudes and the effect of sport concussion history in UK-based male ice hockey players across three levels of competition: professional, semi-professional and amateur. Methods Sixty-one participants across a number of UK ice hockey teams completed the Rosenbaum Concussion Knowledge and Attitudes Survey and reviewed a series of statements to assess knowledge (concussion knowledge index), attitudes (concussion attitude index) and misconceptions of concussion. Results Level of competition and concussion history had no significant effect on concussion knowledge index or concussion attitude index. A positive significant relationship exists between playing experience and concussion knowledge index and concussion attitude index. Statements identified common misconceptions and areas of accurate knowledge regarding concussion symptoms suggesting that male ice hockey players have a higher level knowledge compared to a sample of the UK general public. Playing experience was associated with increased knowledge and increasingly safe attitudes towards concussion. Conclusion Despite knowledge relating to loss of consciousness and correct management of symptoms being generally accurate, there are worryingly unsafe attitudes regarding aspects of concussion. Such attitudes may well pose significant threats to players’ safety and long-term health.


Author(s):  
Sara M. Lippa ◽  
Jessica Gill ◽  
Tracey A. Brickell ◽  
Louis M. French ◽  
Rael T. Lange

Abstract Objective: This study examines the relationship of serum total tau, neurofilament light (NFL), ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), and glial fibrillary acidic protein (GFAP) with neurocognitive performance in service members and veterans with a history of traumatic brain injury (TBI). Method: Service members (n = 488) with a history of uncomplicated mild (n = 172), complicated mild, moderate, severe, or penetrating TBI (sTBI; n = 126), injured controls (n = 116), and non-injured controls (n = 74) prospectively enrolled from Military Treatment Facilities. Participants completed a blood draw and neuropsychological assessment a year or more post-injury. Six neuropsychological composite scores and presence/absence of mild neurocognitive disorder (MNCD) were evaluated. Within each group, stepwise hierarchical regression models were conducted. Results: Within the sTBI group, increased serum UCH-L1 was related to worse immediate memory and delayed memory (R2Δ = .065–.084, ps < .05) performance, while increased GFAP was related to worse perceptual reasoning (R2Δ = .030, p = .036). Unexpectedly, within injured controls, UCH-L1 and GFAP were inversely related to working memory (R2Δ = .052–.071, ps < .05), and NFL was related to executive functioning (R2Δ = .039, p = .021) and MNCD (Exp(B) = 1.119, p = .029). Conclusions: Results suggest GFAP and UCH-L1 could play a role in predicting poor cognitive outcome following complicated mild and more severe TBI. Further investigation of blood biomarkers and cognition is warranted.


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