The purpose of this study is to determine the neurologic and cognitive effects of playing tackle football in grade school and high school. During contact practices and games, players wear a football helmet containing an impact sensor. Before and after each season, players complete neurological testing to measure several different aspects of brain function. Two groups of football players will be in the study: 5th and 6th grade tackle football players from the Brighton Bulldogs Football and Cheer league (about 70 players). Varsity football players from Brighton High School (about 70 players per year). The study begins in July 2016 and will continue for 4 years (through the winter of 2020).
Football players wear a football helmet containing the InSite Impact Response System that measures when, how hard, and where the helmet is hit. Coaches (or athletic trainer) are notified of threshold impacts via a sideline handheld device. Each year pre and post-season, subjects will complete several tests of brain function during a clinic visit. These tests are listed in the "secondary outcomes" section. Specific Aims: 1. To quantify the cumulative head impact burden during consecutive seasons of youth tackle football and high school football. 2. To detect impairment in neurologic and cognitive function from playing youth tackle football and high school football. 3. To use cumulative head impact burden to predict the development of neurologic and neurocognitive impairment. 4. To compare the effect of head impacts on youth tackle football players verses high school football players.
Study Type
OBSERVATIONAL
Enrollment
280
The Sports Neurology Clinic at the CORE Institute
Brighton, Michigan, United States
RECRUITINGImpact Monitoring (g force)
Each subject in the study group will be fitted with a football helmet containing the InSite impact response system. Subjects will be monitored for impacts during all contact practices and games.
Time frame: The football season runs from early August through late October or November (3-4 months)
Neurological history
Determine family and personal neurological history of the subject
Time frame: Occurs pre-season & post season and continues for 4 years
Neurological physical examination
Physician performed neurological examination
Time frame: Occurs pre-season & post season and continues for 4 years
Cogstate
Brief computerized neurocognitive test
Time frame: Occurs pre-season & post-season and continues for 4 years
Pen and paper neuropsychological tests
Pen and paper tasks that assess memory, attention, and processing
Time frame: Occurs pre-season & post-season and continues for 4 years
Brain Network Activation (BNA) EEG test
evoked-response electroencephalogram
Time frame: Occurs pre-season & post-season and continues for 4 years
Vestibular/Ocular Motor Screening (VOMS) test
Assessment of eye movements and associated symptoms of headache, dizziness, nausea, and fogginess
Time frame: Occurs pre-season & post-season and continues for 4 years
MimicBalance!
video capture balance test that incorporates several different postures, including BESS postures
Time frame: Occurs pre-season & post-season and continues for 4 years
Strength and Difficulties Questionnaire
Self assessment questionnaire
Time frame: Occurs pre-season & post-season and continues for 4 years
SWAN ADHD Questionnaire
Strengths and weaknesses of ADHD symptoms and normal behavior (SWAN) questionnaire completed by parent or legal guardian.
Time frame: Occurs pre-season & post season and continues for 4 years
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