All text under the heading titled “Article” is a direct quote from an article titled “The Concussed Brain at Work: fMRI Study Documents Brain Activation During Concussion Recovery. The article was posted on 11/19/2013 by Neuroscience News.
For the first time, researchers have documented irregular brain activity within the first 24 hours of a concussive injury, as well as an increased level of brain activity weeks later—suggesting that the brain may compensate for the injury during the recovery time.
The findings are published in the September issue of the Journal of the International Neuropsychological Society.
Thomas Hammeke, PhD, professor of psychiatry and behavioral medicine at the Medical College of Wisconsin, is the lead author. Collaborators at the Cleveland Clinic; St. Mary’s Hospital in Enid, Okl.; the University of North Carolina; Franklin College in Franklin, Ind., and the Marshfield Clinic in Marshfield, Wis., co-authored the paper.
Using fMRI brain scans, the researchers noted decreased activity in select regions of the right hemisphere of the brain in concussed athletes. The image is a diagram of the forces on the brain in concussion.
To study the natural recovery from sports concussion, 12 concussed high school football athletes and 12 uninjured teammates were evaluated at 13 hours and again at seven weeks following concussive injury.
The concussed athletes showed the expected postconcussive symptoms, including decreased reaction time and lowered cognitive abilities. Imaging via fMRI (functional magnetic resonance imaging) showed decreased activity in select regions of the right hemisphere of the brain, which suggests the poor cognitive performance of concussion patients is related to that underactivation of attentional brain circuits.
Seven weeks post-injury, the concussed athletes showed improvement of cognitive abilities and normal reaction time. However, imaging at that time showed the post-concussed athletes had more activation in the brain’s attentional circuits than did the control athletes.
“This hyperactivation may represent a compensatory brain response that mediates recovery,” said Dr. Hammeke. “This is the first study to demonstrate that reversal in activation patterns, and that reversal matches the progression of symptoms from the time of the injury through clinical recovery.”
“Deciding when a concussed player should return to the playing field is currently an inexact science,” said Dr. Stephen Rao, director of the Schey Center for Cognitive Neuroimaging at the Cleveland Clinic and a senior author. “Measuring changes in brain activity during the acute recovery period can provide a scientific basis for making this critical decision.”
Each year, an estimated 3.8 million people sustain a traumatic brain injury (TBI). TBI is a contributing factor to a third of all injury-related deaths in the United States. More than three-quarters of the TBI’s that occur are concussions or other forms of mild TBI, many of which may go undiagnosed.
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Contact: Maureen Mack – Medical College of Wisconsin
Source: Medical College of Wisconsin press release
Original Research: Abstract for “Acute and Subacute Changes in Neural Activation during the Recovery from Sport-Related Concussion” by Thomas A. Hammeke, Michael McCrea, Sarah M. Coats, Matthew D. Verber, Sally Durgerian, Kristin Flora, Gary S. Olsen, Peter D. Leo, Thomas A. Gennarelli and Stephen M. Rao in Journal of the International Neuropsychological Society.
Additional credits: All people who, either directly or indirectly, made it possible for me to include the picture, video, and text in this post.