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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Veröffentlicht in:Annals of biomedical engineering 2021-10, Vol.49 (10), p.2863-2874
Hauptverfasser: 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.
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container_end_page 2874
container_issue 10
container_start_page 2863
container_title Annals of biomedical engineering
container_volume 49
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
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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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