An acute bout of controlled subconcussive impacts can alter dynamic cerebral autoregulation indices: a preliminary investigation

• Published in: European journal of applied physiology 2022-04, Vol.122 (4), p.1059-1070
• Main Authors: Smirl, Jonathan D., Peacock, Dakota, Burma, Joel S., Wright, Alexander D., Bouliane, Kevin J., Dierijck, Jill, Kennefick, Michael, Wallace, Colin, van Donkelaar, Paul
• Format: Article
• Language: English
• Subjects: Biomedical and Life Sciences; Biomedicine; Concussion; Human Physiology; Occupational Medicine/Industrial Medicine; Original Article; Soccer; Sports Medicine
• ISSN: 1439-6319; 1439-6327
• DOI: 10.1007/s00421-022-04908-4

Objectives There is growing concern repetitive head contacts sustained by soccer players may lead to long-term health ramifications. Therefore, this preliminary investigation examined the impact an acute soccer heading bout has on dynamic cerebral autoregulation (dCA) metrics. Methods In this preliminary investigation, 40 successful soccer headers were performed in 20 min by 7 male elite soccer players (24.1 ± 1.5 years). Soccer balls were launched at 77.5 ± 3.7 km/h from JUGS soccer machine, located 35 m away from participants. Linear and rotational head accelerations impacts were measured using an accelerometer (xPatch). The SCAT3 indexed concussion symptom score and severity before and after: soccer headers, sham (body contact only), and control conditions. Squat-stand maneuvers were performed at 0.05 Hz and 0.10 Hz to quantity dCA through measures of coherence, phase, and gain. Results Cumulative linear and rotational accelerations during soccer headers were 1574 ± 97.9 g and 313,761 ± 23,966 rads/s 2 , respectively. SCAT3 symptom severity was elevated after the soccer heading bout (pre 3.7 ± 3.6, post 9.4 ± 7.6: p  = 0.030) and five of the seven participants reported an increase in concussion-like symptoms (pre: 2.6 ± 3.0, post: 6.7 ± 6.2; p  = 0.078). Phase at 0.10 Hz was elevated following soccer heading ( p  = 0.008) . No other dCA metric differed following the three conditions. Conclusion These preliminary results indicate an acute bout of soccer heading resulted in alterations to dCA metrics. Therefore, future research with larger sample sizes is warranted to fully comprehend short- and long-term physiological changes related to soccer heading.