Life Sciences Commons^™

Effects Of Caffeine On Measures Of Clinical Outcome And Recovery Following Mild Traumatic Brain Injury In Adolescents, Jacob Michael Eade

Theses and Dissertations

OBJECTIVE: The overarching purpose of this study was to investigate the influence of habitual caffeine consumption on mTBI outcomes in adolescents. BACKGROUND: Adolescents who suffer an mTBI have an increased risk for neurological impairment and symptomology. Thus, it is important to elucidate modifiable lifestyle factors that have the potential to influence injury outcomes and recovery. Caffeine is a legal psychoactive compound prevalent among the adolescent population. Marketed as an ergogenic aid caffeine coincides with recreational activities where incidence of mTBI is high. However, no human study has explored the influence of caffeine consumption on mTBI pathology. It was hypothesized that …

Salivary Microrna As A Concussion Biomarker And The Implications For Athletic Trainers' Practices, Thomas Richard Campbell

Rehabilitation Sciences Theses & Dissertations

Many concussions are sustained globally each year; however, research suggests that a large number may go undiagnosed due to a reliance on subjective information from patients and limitations of current objective measures. Recently, efforts have been focused on identifying clinical biomarkers of concussions, including salivary microRNA (miRNA), to improve healthcare professionals’ concussion management practices. Even if salivary miRNA were shown to be a valid and reliable measure for managing concussions, healthcare professionals, such as athletic trainers (ATs), must be familiar with the tool and have positive attitudes toward the implementation into clinical practice. Therefore, the purpose of this dissertation was …

Evaluating The Effects Of Cardiorespiratory Fitness Level And Gender On Outcomes Of The Buffalo Concussion Bike Test, Katie Stephenson

Graduate Theses and Dissertations

Background: Accurate assessment of concussion is crucial for creating a treatment plan. The Buffalo Concussion Bike Test (BCBT) is a 30-minute graded exercise protocol for a stationary bicycle. Previously this assessment has been reportedly used to screen for exercise intolerance secondary to autonomic dysfunction; however, the original purpose of the assessment was to find a sub-symptom threshold for exercise rehabilitation during concussion recovery. Starting resistance for the BCBT protocol is based solely on body mass. Other factors such as cardiorespiratory fitness level and sex have been noted to effect outcomes on similar assessments and are not considered in the BCBT …

Psychophysiological Biomarkers Of Concussion Recovery, Adam Todd Harrison

Theses and Dissertations

Each ach year a growing number of individuals report lingering deficits months-years following concussion. Persistent post-concussion symptoms (PPCS) can negatively impact day-today activities and if left untreated may manifest in severe neurological sequelae resulting in long-term cognitive impairment or advanced neurological degeneration (i.e., CTE). Current clinical diagnostic and prognostic assessments (e.g., symptom reports and neurocognitive testing) lack the sensitivity to quantify neurological function. Accordingly, there is a critical need to identify objective biomarkers specific to PPCS to improve an individual’s quality of life and prevent severe long-term neurological dysfunction.

Psychophysiological measurements (e.g., EEG derived event-related potentials, heart rate variability, and …

The Correlation Between Acl Injury & Concussion, Brandon Michael Phillips

Theses and Dissertations--Kinesiology and Health Promotion

Concussion (also known as mild traumatic brain injury) is a neurological injury that occurs after a blow to the head or neck area and can have affects to movement based on the severity of the injury. Mild traumatic brain injury has possible linkage to an increased risk of anterior cruciate ligament (ACL) injury. The purpose of this thesis was to assess the impact of prior concussion on lower extremity mechanics that are associated with risk of ACL injury. A total of 11 individuals with prior history of concussion and 11 healthy individuals without prior history of concussion (56.5 months since …

The Influence Of Adhd On Concussion In Ncaa College Athletes, Brett Steven Gunn

Theses and Dissertations

Evidence suggests attention deficit/hyperactivity disorder (ADHD) may be associated with an increased incidence of concussion; however, no study has cross-sectionally (Aim 1) and longitudinally (Aim 2) assessed the associations of ADHD with concussion. Additionally, there is reason to expect cognitive alterations following concussion in athletes with ADHD. Further, there is currently no study that has evaluated the influence of common medications often taken to mitigate some symptoms of ADHD, such as methylphenidate and amphetamines. Therefore, we sought to longitudinally assess cognitive profiles (Aim 3) of athletes with ADHD taking medication (ADHD+Rx) and not taking medication (ADHD_uRx) at baseline, 24-48 hours …

Effects Of A Dual-Task Paradigm On Tandem Gait Performance, Courtney Angela Perry

Cal Poly Humboldt theses and projects

In concussion management, a variety of cognitive and motor control tests, like the tandem gait, have been used for assessing the presence of a concussion injury at the sideline and through recovery. More recently, research suggests that introducing a secondary cognitive retention task during tandem gait (i.e., dual task) may provide a better assessment of concussion. The purpose of this study was to determine if a tandem gait test paired with a 6-digit retention is a valid and reliable tool. Participants completed three trials of both the single-task (ST) and dual-task (DT) tandem gait tests, and their average (MEAN) and …

Sex-Based Differences In Concussion Outcomes Among Adolescents And Young Adults, Jacob James Michael Kay

Theses and Dissertations

Concussive injuries among youth are a serious public health concern in the United States, with increasing incidence leading the Centers for Disease Control and Prevention to classify these injuries a “silent epidemic.” Though most concussions in youth resolve within a few weeks, a significant proportion (~15-20%) of individuals will experience persisting symptoms that can negatively affect important aspects of social life, as well as academic and vocational performance. Furthermore, guidelines from the most recent Consensus Statement on Concussion in Sport highlight the importance of considering individual characteristics that may modify the nature and outcomes of concussion. Biological sex is one …

The Effects Of Concussion On Tandem Gait Performance With Secondary Cognitive Tasks, Angel Lomeli

Cal Poly Humboldt theses and projects

Identifying concussions occurs with a battery of cognitive and motor tests. However, these tests are performed independently as primary tasks. Research has demonstrated amplified motor differences due to concussion when performing simultaneous cognitive tasks (i.e. dual-tasks). The Tandem Gait Test (TGT) is used in concussion assessment and has only moderate sensitivity and specificity alone. The aim of this study was to determine the effect of concussion on TGT performance with secondary cognitive tasks. Six concussed participants (age 22.6 ± 2.8) and fourteen healthy participants (age 23.8 ± 2.7) were recruited through the North Coast Concussion Program within 13 days (7 …

Effect Of American Football Helmet Chin Strap Placement On Measures Of Blunt Impact, Terrie Lane Jackson

Honors Theses

Approximately 1.8 to 3.6 million concussions occur annually across all sports.3 Although concussion is prevalent and is a growing concern, the mechanism behind this brain injury is still vaguely understood. The purpose of this research was to determine if chinstrap attachment location effects standard measures of helmet performance associated with concussion. To test this, three Schutt F7 American Football Helmets were impacted at the front, side, and rear locations under two conditions (high and low chinstrap attachment). Each helmet was fitted to an anthropometric test device outfitted with a 3-2-2-2 accelerometer and impacted by a steel impactor head affixed to …

The Effect Of Normal Helmet Degradation In Division I Football Players Over The Period Of One Half Of A Competitive Season, Matthew Mcmullan

Honors Theses

The purpose of this thesis is to evaluate the effect of normal helmet use by athletes from a Division I football team over the period of the first half of a competitive season upon the impact performance characteristics as measured by peak g values obtained through the application of the NOCSAE drop impact testing protocol. The goal of this research is to determine if one half of a season is enough time exposure to result in a significant decrease in a helmet’s performance quality. This study tracks changes in performance in overall function, as well as the function of each …

Comparing Before-And After-School Neurocognitive Performance In High School Athletes- Implications For Concussion Management, Morgan Anderson

Graduate Theses and Dissertations

There are several factors that influence computerized neurocognitive testing performance however, one factor that has not been examined is the potential deleterious effects of cognitive fatigue from an academic school day combined with time of computerized neurocognitive testing (CNT) administration. The primary purpose of this study was to compare before-and after-school CNT performance and total symptoms in non-concussed high school student athletes. The secondary purpose of this study was to compare before-school and after-school CNT performance and total symptoms and chronotypes in non-concussed student athletes. A crossover design was used to compare before-and after-school CNT performance and total symptoms of …

Examining Fear Of Re-Injury In High School Athletes With Sport-Related Concussion, Melissa Nicole Anderson

Graduate Theses and Dissertations

Recent consensus statements have advocated for research on the emotional sequelae that is associated with sport-related concussion (McCrory et al., 2012). However, changes in fear of re-injury throughout SRC recovery are understudied. The purpose of this study was two-fold: 1) to describe fear of re-injury in high school athletes with SRC, and 2) to document changes in fear of re-injury throughout SRC recovery. This study addressed several exploratory questions regarding fear of re-injury in high school athletes with SRC that pertain to identifying predictors of fear of re-injury as well as examining the relationship between fear of re-injury and locus …

The Effects Of A Concussion On Dynamic Stability And Cognitive Performance During Single And Dual Task Tandem Gait, Erin Lodwick

Cal Poly Humboldt theses and projects

PURPOSE: It is estimated that between 1.6 and 3.8 million concussions occur in the United States every year during competitive sports. To limit the risk of returning an athlete to play too soon a sensitive and reliable assessment is needed. Static balance assessments that are used currently only detect very short term balance deficits (1-3 days). The purpose of this study is to examine the effects of a concussion on dynamic stability and more specifically if those effects are seen to a greater degree with the addition of a secondary cognitive task. METHODS: This study used 18 Humboldt State University …

Longitudinal Examination Of Perceived Stress And Depression Symptomology In Division I Student-Athletes, Bobby Daigle

Electronic Theses and Dissertations

CONTEXT: Concussions are all too prevalent in amongst athletes. Concussions make up almost 5 percent of all collegiate athletic injuries. Concussions have been linked with many long lasting effects including depression and increased stress or anxiety.

OBJECTIVE: To longitudinally examine post-concussion depression and stress levels in National Collegiate Athletic Association Division 1 athletes.

DESIGN: Descriptive longitudinal study.

SETTING: National Collegiate Athletic Association Division I collegiate athletics.

PARTICIPANTS: Concussed and uninjured Division I collegiate athletes, ages 18-22, competing in football, women’s soccer, baseball, softball, and women’s track.

INTERVENTION(S): Participants completed the CES-D at baseline, 1 week, 1 month, and 3 months …

An Assessment Of High School Coaches Knowledge Of Sport-Related Concussion, Erin M. O'Donoghue

Human Movement Sciences & Special Education Theses & Dissertations

Sport-related concussion is a common occurrence in high-risk sports and can occur during participation in all sports. The purpose of this study was to assess the knowledge base high school athletic coaches possess about concussion signs and symptoms in regards to recognition, management, and prevention of this condition. A 25 question demographic questionnaire was used to gather background information and a 24 question multiple-choice assessment was used to determine knowledge of recognition, management, and prevention of sport-related concussion. A panel of eight experts in the fields of sport-related concussion and/or survey research reviewed and modified the survey instrument, which were …