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Original research|Articles in Press

Computerized and functional reaction time in varsity-level female collegiate athletes with and without a concussion history

      Abstract

      Objectives

      To 1) determine the association between computerized and functional reaction time, and 2) compare functional reaction times between female athletes with and without a concussion history.

      Design

      Cross-sectional study.

      Methods

      Twenty female college athletes with concussion history (age = 19.1 ± 1.5 years, height = 166.9 ± 6.7 cm, mass = 62.8 ± 6.9 kg, median total concussion = 1.0 [interquartile range = 1.0, 2.0]), and 28 female college athletes without concussion history (age = 19.1 ± 1.0 years, height = 172.7 ± 8.3 cm, mass = 65.4 ± 8.4 kg). Functional reaction time was assessed during jump landing and dominant and non-dominant limb cutting. Computerized assessments included simple, complex, Stroop, and composite reaction times. Partial correlations investigated the associations between functional and computerized reaction time assessments while covarying for time between computerized and functional reaction time assessments. Analysis of covariance compared functional and computerized reaction time, covarying for time since concussion.

      Results

      There were no significant correlations between functional and computerized reaction time assessments (p-range = 0.318 to 0.999, partial correlation range = −0.149 to 0.072). Reaction time did not differ between groups during any functional (p-range = 0.057 to 0.920) or computerized (p-range = 0.605 to 0.860) reaction time assessments.

      Conclusions

      Post-concussion reaction time is commonly assessed via computerized measures, but our data suggest computerized reaction time assessments are not characterizing reaction time during sport-like movements in varsity-level female athletes. Future research should investigate confounding factors of functional reaction time.

      Keywords

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      References

        • Zuckerman S.L.
        • Kerr Z.Y.
        • Yengo-Kahn A.
        • et al.
        Epidemiology of sports-related concussion in NCAA athletes from 2009–2010 to 2013–2014: incidence, recurrence, and mechanisms.
        Am J Sports Med. 2015; 43: 2654-2662https://doi.org/10.1177/0363546515599634
        • Covassin T.
        • Moran R.
        • Elbin R.J.
        Sex differences in reported concussion injury rates and time loss from participation: an update of the National Collegiate Athletic Association Injury Surveillance Program from 2004–2005 through 2008–2009.
        J Athl Train. 2016; 51: 189-194https://doi.org/10.4085/1062-6050-51.3.05
        • McGroarty N.K.
        • Brown S.M.
        • Mulcahey M.K.
        Sport-related concussion in female athletes: a systematic review.
        Orthop J Sports Med. 2020; 8 (2325967120932306)https://doi.org/10.1177/2325967120932306
        • Preiss-Farzanegan S.J.
        • Chapman B.
        • Wong T.M.
        • et al.
        The relationship between gender and postconcussion symptoms after sport-related mild traumatic brain injury.
        PM R. 2009; 1: 245-253https://doi.org/10.1016/j.pmrj.2009.01.011
        • Broshek D.K.
        • Kaushik T.
        • Freeman J.R.
        • et al.
        Sex differences in outcome following sports-related concussion.
        J Neurosurg. 2005; 102: 856-863https://doi.org/10.3171/jns.2005.102.5.0856
        • Hutchinson M.R.
        • Ireland M.L.
        Knee injuries in female athletes.
        Sports Med. 1995; 19: 288-302https://doi.org/10.2165/00007256-199519040-00006
        • Houston M.N.
        • Hoch J.M.
        • Cameron K.L.
        • et al.
        Sex and number of concussions influence the association between concussion and musculoskeletal injury history in collegiate athletes.
        Brain Inj. 2018; 32: 1353-1358https://doi.org/10.1080/02699052.2018.1512718
        • Wilkerson G.B.
        • Simpson K.A.
        • Clark R.A.
        Assessment and training of visuomotor reaction time for football injury prevention.
        J Sport Rehabil. 2017; 26: 26-34https://doi.org/10.1123/jsr.2015-0068
      1. Lempke LB, Johnson RS, Schmidt JD, Lynall RC. Clinical versus functional reaction time: implications for postconcussion management. Med Sci Sports Exerc.;52(8):1650–1657. doi:https://doi.org/10.1249/MSS.0000000000002300

        • Buckley T.A.
        • Howard C.M.
        • Oldham J.R.
        • et al.
        No clinical predictors of postconcussion musculoskeletal injury in college athletes.
        Med Sci Sports Exerc. 2020; 52: 1256-1262https://doi.org/10.1249/MSS.0000000000002269
        • Tomczyk C.P.
        • Mormile M.
        • Wittenberg M.S.
        • et al.
        An examination of adolescent athletes and nonathletes on baseline neuropsychological test scores.
        J Athl Train. 2018; 53: 404-409https://doi.org/10.4085/1062-6050-84-17
        • D’Lauro C.
        • Johnson B.R.
        • McGinty G.
        • et al.
        Reconsidering return-to-play times: a broader perspective on concussion recovery.
        Orthop J Sports Med. 2018; 6 (2325967118760854)https://doi.org/10.1177/2325967118760854
        • Sharma V.K.
        • Subramanian S.K.
        • Rajendran R.
        Comparison of cognitive auditory event related potentials and executive functions in adolescent athletes and non-athletes - a cross sectional study.
        Int J Physiol Pathophysiol Pharmacol. 2019; 11: 274-282
        • Broglio S.P.
        • Kontos A.P.
        • Levin H.
        • et al.
        National Institute of Neurological Disorders and Stroke and Department of Defense Sport-Related Concussion Common Data Elements Version 1.0 recommendations.
        J Neurotrauma. 2018; 35: 2776-2783https://doi.org/10.1089/neu.2018.5643
        • Rahman-Filipiak A.A.
        • Woodard J.L.
        Administration and environment considerations in computer-based sports-concussion assessment.
        Neuropsychol Rev. 2013; 23: 314-334https://doi.org/10.1007/s11065-013-9241-6
        • Lynall R.C.
        • Blackburn J.T.
        • Guskiewicz K.M.
        • et al.
        Reaction time and joint kinematics during functional movement in recently concussed individuals.
        Arch Phys Med Rehabil. 2018; 99: 880-886https://doi.org/10.1016/j.apmr.2017.12.011
        • Kim S.
        Package ‘ppcor’.
        (published online)
        • Lempke L.B.
        • Schmidt J.D.
        • Lynall R.C.
        Athletic trainers’ concussion-assessment and concussion-management practices: an update.
        J Athl Train. 2020; 55: 17-26https://doi.org/10.4085/1062-6050-322-18
        • Lempke L.B.
        • Howell D.R.
        • Eckner J.T.
        • et al.
        Examination of reaction time deficits following concussion: a systematic review and meta-analysis.
        Sports Med. 2020; 50: 1341-1359https://doi.org/10.1007/s40279-020-01281-0
        • Büttner F.
        • Howell D.R.
        • Ardern C.L.
        • et al.
        Concussed athletes walk slower than non-concussed athletes during cognitive-motor dual-task assessments but not during single-task assessments 2 months after sports concussion: a systematic review and meta-analysis using individual participant data.
        Br J Sports Med. 2020; 54: 94-101https://doi.org/10.1136/bjsports-2018-100164
        • Swanik C.B.
        • Covassin T.
        • Stearne D.J.
        • et al.
        The relationship between neurocognitive function and noncontact anterior cruciate ligament injuries.
        Am J Sports Med. 2007; 35: 943-948https://doi.org/10.1177/0363546507299532
        • Avedesian J.M.
        • Covassin T.
        • Baez S.
        • et al.
        Relationship between cognitive performance and lower extremity biomechanics: implications for sports-related concussion.
        Orthop J Sports Med. 2021; 923259671211032250https://doi.org/10.1177/23259671211032246
        • Kamimori G.H.
        • McLellan T.M.
        • Tate C.M.
        • et al.
        Caffeine improves reaction time, vigilance and logical reasoning during extended periods with restricted opportunities for sleep.
        Psychopharmacology (Berl). 2015; 232: 2031-2042https://doi.org/10.1007/s00213-014-3834-5
        • Cain S.W.
        • Silva E.J.
        • Chang A.M.
        • et al.
        One night of sleep deprivation affects reaction time, but not interference or facilitation in a Stroop task.
        Brain Cogn. 2011; 76: 37-42https://doi.org/10.1016/j.bandc.2011.03.005
        • Santos V.G.F.
        • Santos V.R.F.
        • Felippe L.J.C.
        • et al.
        Caffeine reduces reaction time and improves performance in simulated-contest of taekwondo.
        Nutrients. 2014; 6: 637-649https://doi.org/10.3390/nu6020637
        • Lempke L.B.
        • Passalugo S.
        • Baranker B.T.
        • et al.
        Relationship and latent factors between clinical concussion assessments and the functional Standardized Assessment of Reaction Time (StART).
        Clin J Sport Med. 2022; 32: e591-e597https://doi.org/10.1097/JSM.0000000000001061
        • Oldham J.R.
        • Howell D.R.
        • Knight C.A.
        • et al.
        Single-task and dual-task tandem gait performance across clinical concussion milestones in collegiate student-athletes.
        Clin J Sport Med. 2021; 31: e392-e397https://doi.org/10.1097/JSM.0000000000000836
        • D’Lauro C.
        • Jones E.R.
        • Swope L.M.
        • et al.
        Under-representation of female athletes in research informing influential concussion consensus and position statements: an evidence review and synthesis.
        Br J Sports Med. 2022; (published online)https://doi.org/10.1136/bjsports-2021-105045
        • Katz B.P.
        • Kudela M.
        • Harezlak J.
        • et al.
        Baseline performance of NCAA athletes on a concussion assessment battery: a report from the CARE Consortium.
        Sports Med. 2018; 48: 1971-1985https://doi.org/10.1007/s40279-018-0875-7
        • Eckner J.T.
        • Whitacre R.D.
        • Kirsch N.L.
        • et al.
        Evaluating a clinical measure of reaction time: an observational study.
        Percept Mot Skills. 2009; 108: 717-720https://doi.org/10.2466/pms.108.3.717-720