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Neurocognitive profile of disability-seeking retired National Football League players with a history of concussion.

机译:寻求残障的美国国家橄榄球联盟历史上有脑震荡的球员的神经认知特征。

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摘要

The concussion rate among professional football players in the NFL is higher than most sports, with a rate of 0.41 concussions per NFL game. Moreover, a player receives an estimated 900 to 1500 subconcussive impacts each season. Repetitive head trauma can lead to significant and permanent declines in functioning, including cognitive impairment, memory loss, movement disorders, and emotional disturbances. Given the cognitive implications associated with repetitive concussions/subconcussive impacts, many retired NFL players are pursuing worker's compensation evaluations which include comprehensive neurocognitive assessment. To date, however, population-specific norms for applicable neurocognitive assessment measures have not been established. Using archived data, this study explores the appropriateness of currently utilized, population-based norms when assessing individuals from this population. Ninety-seven retired NFL players were assessed as part of a worker's compensation evaluation. Means and standard deviations for several neurocognitive measures are presented and contrasted against established, general population norms. One-way multivariate and univariate analyses of variance (MANOVAs and ANOVAs, respectively) were used to examine differences between various levels of athletic exposure on all neuropsychological measures. Various levels of AE were compared to existing general population norms on all neuropsychological outcome variables using Cohen's d and Hedge's g. Overall, findings do not evidence expected cognitive declines, however, other trends not reaching statistical significance emerged. Given discrepancies on select neuropsychological measures, general population norms may be of limited use when interpreting neurocognitive data of retired NFL players. Neuropsychologists serving this population should consider the role of biological, psychosocial, social, and alternative etiological factors when determining diagnostic impressions and treatment recommendations.
机译:NFL中职业足球运动员的脑震荡率高于大多数运动项目,每场NFL比赛中脑震荡率为0.41。此外,玩家每个赛季估计会收到900到1500次次脑震荡。重复性头部外伤可导致功能的永久性严重下降,包括认知障碍,记忆力减退,运动障碍和情绪障碍。考虑到与重复性脑震荡/亚脑震荡影响相关的认知含义,许多退休的NFL球员正在寻求包括综合神经认知评估在内的工人薪酬评估。但是,迄今为止,尚未建立适用于神经认知评估措施的特定人群规范。本研究使用存档的数据,在评估来自该人群的个体时,探索了当前使用的基于人群的规范的适当性。作为一名工人薪酬评估的一部分,评估了97名退休的NFL球员。提出了几种神经认知措施的平均值和标准差,并与已建立的总体人群规范进行了对比。单因素方差的多变量和单变量分析(分别为MANOVA和ANOVA)用于检查所有神经心理学指标上不同水平的运动暴露之间的差异。使用Cohen的d和Hedge的g在所有神经心理学结果变量上将各种水平的AE与现有的一般人群规范进行比较。总体而言,研究结果不能证明预期的认知能力下降,但是,出现了其他尚未达到统计学意义的趋势。鉴于在选择的神经心理学方法上存在差异,在解释已退休的NFL球员的神经认知数据时,一般人群规范可能用途有限。在确定诊断印象和治疗建议时,为该人群服务的神经心理学家应考虑生物学,心理,社会和其他病因的作用。

著录项

  • 作者

    Bennett, Lauren L.;

  • 作者单位

    Alliant International University.;

  • 授予单位 Alliant International University.;
  • 学科 Cognitive psychology.;Sports Management.;Neurosciences.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 189 p.
  • 总页数 189
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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