Evaluation of the Effectiveness of Newer Helmet Designs with Emergent Shell and Padding Technologies Versus Older Helmet Models for Preserving White Matter Following a Season of High School Football
We aimed to objectively compare the effects of wearing newer, higher-ranked football helmets (HRank) vs. wearing older, lower-ranked helmets (LRank) on pre- to post-season alterations to neuroimaging-derived metrics of athletes’ white matter. Fifty-four high-school athletes wore an HRank helmet, and...
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creator | Diekfuss, Jed A. Yuan, Weihong Dudley, Jonathan A. DiCesare, Christopher A. Panzer, Matthew B. Talavage, Thomas M. Nauman, Eric Bonnette, Scott Slutsky-Ganesh, Alexis B. Clark, Joseph Anand, Manish Altaye, Mekibib Leach, James L. Lamplot, Joseph D. Galloway, Marc Pombo, Mathew W. Hammond, Kyle E. Myer, Gregory D. |
description | We aimed to objectively compare the effects of wearing newer, higher-ranked football helmets (HRank) vs. wearing older, lower-ranked helmets (LRank) on pre- to post-season alterations to neuroimaging-derived metrics of athletes’ white matter. Fifty-four high-school athletes wore an HRank helmet, and 62 athletes wore an LRank helmet during their competitive football season and completed pre- and post-season diffusion tensor imaging (DTI). Longitudinal within- and between-group DTI metrics [fractional anisotropy (FA) and mean/axial/radial diffusivity (MD, AD, RD)] were analyzed using tract-based spatial statistics. The LRank helmet group exhibited significant pre- to post-season reductions in MD, AD, and RD, the HRank helmet group displayed significant pre- to post-season increases in FA, and both groups showed significant pre- to post-season increases in AD (
p
’s < .05 [corrected]). Between-group analyses revealed the pre- to post-season increase in AD was significantly less for athletes wearing HRank compared to LRank (
p
< .05 [corrected]). These data provide
in vivo
evidence that wearing an HRank helmet may be efficacious for preserving white matter from head impact exposure during high school football. Future prospective longitudinal investigations with complimentary imaging and behavioral outcomes are warranted to corroborate these initial
in vivo
findings. |
doi_str_mv | 10.1007/s10439-021-02863-3 |
format | Article |
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p
’s < .05 [corrected]). Between-group analyses revealed the pre- to post-season increase in AD was significantly less for athletes wearing HRank compared to LRank (
p
< .05 [corrected]). These data provide
in vivo
evidence that wearing an HRank helmet may be efficacious for preserving white matter from head impact exposure during high school football. Future prospective longitudinal investigations with complimentary imaging and behavioral outcomes are warranted to corroborate these initial
in vivo
findings.</description><identifier>ISSN: 0090-6964</identifier><identifier>EISSN: 1573-9686</identifier><identifier>DOI: 10.1007/s10439-021-02863-3</identifier><identifier>PMID: 34585336</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Anisotropy ; Athletes ; Athletic Injuries - diagnostic imaging ; Biochemistry ; Biological and Medical Physics ; Biomedical and Life Sciences ; Biomedical Engineering and Bioengineering ; Biomedicine ; Biophysics ; Classical Mechanics ; Concussions in Sports ; Craniocerebral Trauma - diagnostic imaging ; Diffusion Tensor Imaging ; Equipment Design ; Football ; Football - injuries ; Head Protective Devices ; Helmets ; High school football ; Humans ; Magnetic resonance imaging ; Male ; Medical imaging ; Neuroimaging ; Protective equipment ; Schools ; Seasons ; Sports Equipment ; Substantia alba ; Tensors ; White Matter - diagnostic imaging</subject><ispartof>Annals of biomedical engineering, 2021-10, Vol.49 (10), p.2863-2874</ispartof><rights>Biomedical Engineering Society 2021</rights><rights>2021. Biomedical Engineering Society.</rights><rights>Biomedical Engineering Society 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-fa96b8d47968e57485232f2bb382f2737adb49be3b06b87e1db760ce2ccaa45f3</citedby><cites>FETCH-LOGICAL-c375t-fa96b8d47968e57485232f2bb382f2737adb49be3b06b87e1db760ce2ccaa45f3</cites><orcidid>0000-0003-3835-363X ; 0000-0002-5189-9568 ; 0000-0002-6514-4342</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10439-021-02863-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10439-021-02863-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34585336$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diekfuss, Jed A.</creatorcontrib><creatorcontrib>Yuan, Weihong</creatorcontrib><creatorcontrib>Dudley, Jonathan A.</creatorcontrib><creatorcontrib>DiCesare, Christopher A.</creatorcontrib><creatorcontrib>Panzer, Matthew B.</creatorcontrib><creatorcontrib>Talavage, Thomas M.</creatorcontrib><creatorcontrib>Nauman, Eric</creatorcontrib><creatorcontrib>Bonnette, Scott</creatorcontrib><creatorcontrib>Slutsky-Ganesh, Alexis B.</creatorcontrib><creatorcontrib>Clark, Joseph</creatorcontrib><creatorcontrib>Anand, Manish</creatorcontrib><creatorcontrib>Altaye, Mekibib</creatorcontrib><creatorcontrib>Leach, James L.</creatorcontrib><creatorcontrib>Lamplot, Joseph D.</creatorcontrib><creatorcontrib>Galloway, Marc</creatorcontrib><creatorcontrib>Pombo, Mathew W.</creatorcontrib><creatorcontrib>Hammond, Kyle E.</creatorcontrib><creatorcontrib>Myer, Gregory D.</creatorcontrib><title>Evaluation of the Effectiveness of Newer Helmet Designs with Emergent Shell and Padding Technologies Versus Older Helmet Models for Preserving White Matter Following a Season of High School Football</title><title>Annals of biomedical engineering</title><addtitle>Ann Biomed Eng</addtitle><addtitle>Ann Biomed Eng</addtitle><description>We aimed to objectively compare the effects of wearing newer, higher-ranked football helmets (HRank) vs. wearing older, lower-ranked helmets (LRank) on pre- to post-season alterations to neuroimaging-derived metrics of athletes’ white matter. Fifty-four high-school athletes wore an HRank helmet, and 62 athletes wore an LRank helmet during their competitive football season and completed pre- and post-season diffusion tensor imaging (DTI). Longitudinal within- and between-group DTI metrics [fractional anisotropy (FA) and mean/axial/radial diffusivity (MD, AD, RD)] were analyzed using tract-based spatial statistics. The LRank helmet group exhibited significant pre- to post-season reductions in MD, AD, and RD, the HRank helmet group displayed significant pre- to post-season increases in FA, and both groups showed significant pre- to post-season increases in AD (
p
’s < .05 [corrected]). Between-group analyses revealed the pre- to post-season increase in AD was significantly less for athletes wearing HRank compared to LRank (
p
< .05 [corrected]). These data provide
in vivo
evidence that wearing an HRank helmet may be efficacious for preserving white matter from head impact exposure during high school football. Future prospective longitudinal investigations with complimentary imaging and behavioral outcomes are warranted to corroborate these initial
in vivo
findings.</description><subject>Adolescent</subject><subject>Anisotropy</subject><subject>Athletes</subject><subject>Athletic Injuries - diagnostic imaging</subject><subject>Biochemistry</subject><subject>Biological and Medical Physics</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedicine</subject><subject>Biophysics</subject><subject>Classical Mechanics</subject><subject>Concussions in Sports</subject><subject>Craniocerebral Trauma - diagnostic imaging</subject><subject>Diffusion Tensor Imaging</subject><subject>Equipment Design</subject><subject>Football</subject><subject>Football - injuries</subject><subject>Head Protective Devices</subject><subject>Helmets</subject><subject>High school football</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Neuroimaging</subject><subject>Protective 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of the Effectiveness of Newer Helmet Designs with Emergent Shell and Padding Technologies Versus Older Helmet Models for Preserving White Matter Following a Season of High School Football</title><author>Diekfuss, Jed A. ; Yuan, Weihong ; Dudley, Jonathan A. ; DiCesare, Christopher A. ; Panzer, Matthew B. ; Talavage, Thomas M. ; Nauman, Eric ; Bonnette, Scott ; Slutsky-Ganesh, Alexis B. ; Clark, Joseph ; Anand, Manish ; Altaye, Mekibib ; Leach, James L. ; Lamplot, Joseph D. ; Galloway, Marc ; Pombo, Mathew W. ; Hammond, Kyle E. ; Myer, Gregory D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-fa96b8d47968e57485232f2bb382f2737adb49be3b06b87e1db760ce2ccaa45f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Anisotropy</topic><topic>Athletes</topic><topic>Athletic Injuries - diagnostic imaging</topic><topic>Biochemistry</topic><topic>Biological 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Eng</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>49</volume><issue>10</issue><spage>2863</spage><epage>2874</epage><pages>2863-2874</pages><issn>0090-6964</issn><eissn>1573-9686</eissn><abstract>We aimed to objectively compare the effects of wearing newer, higher-ranked football helmets (HRank) vs. wearing older, lower-ranked helmets (LRank) on pre- to post-season alterations to neuroimaging-derived metrics of athletes’ white matter. Fifty-four high-school athletes wore an HRank helmet, and 62 athletes wore an LRank helmet during their competitive football season and completed pre- and post-season diffusion tensor imaging (DTI). Longitudinal within- and between-group DTI metrics [fractional anisotropy (FA) and mean/axial/radial diffusivity (MD, AD, RD)] were analyzed using tract-based spatial statistics. The LRank helmet group exhibited significant pre- to post-season reductions in MD, AD, and RD, the HRank helmet group displayed significant pre- to post-season increases in FA, and both groups showed significant pre- to post-season increases in AD (
p
’s < .05 [corrected]). Between-group analyses revealed the pre- to post-season increase in AD was significantly less for athletes wearing HRank compared to LRank (
p
< .05 [corrected]). These data provide
in vivo
evidence that wearing an HRank helmet may be efficacious for preserving white matter from head impact exposure during high school football. Future prospective longitudinal investigations with complimentary imaging and behavioral outcomes are warranted to corroborate these initial
in vivo
findings.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34585336</pmid><doi>10.1007/s10439-021-02863-3</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3835-363X</orcidid><orcidid>https://orcid.org/0000-0002-5189-9568</orcidid><orcidid>https://orcid.org/0000-0002-6514-4342</orcidid></addata></record> |
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issn | 0090-6964 1573-9686 |
language | eng |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Adolescent Anisotropy Athletes Athletic Injuries - diagnostic imaging Biochemistry Biological and Medical Physics Biomedical and Life Sciences Biomedical Engineering and Bioengineering Biomedicine Biophysics Classical Mechanics Concussions in Sports Craniocerebral Trauma - diagnostic imaging Diffusion Tensor Imaging Equipment Design Football Football - injuries Head Protective Devices Helmets High school football Humans Magnetic resonance imaging Male Medical imaging Neuroimaging Protective equipment Schools Seasons Sports Equipment Substantia alba Tensors White Matter - diagnostic imaging |
title | Evaluation of the Effectiveness of Newer Helmet Designs with Emergent Shell and Padding Technologies Versus Older Helmet Models for Preserving White Matter Following a Season of High School Football |
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