Effect of Selective Head-neck Cooling on Signs and Symptoms of Sport Originated Brain Injury in Amateur Sports: A Pilot Study

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aut.relation.endpage16070
aut.relation.issue4en_NZ
aut.relation.journalBiomedical Journal of Scientific & Technical Researchen_NZ
aut.relation.startpage16062
aut.relation.volume21en_NZ
aut.researcherHume, Patria
dc.contributor.authorKing, Den_NZ
dc.contributor.authorHume, PAen_NZ
dc.contributor.authorHind, Ken_NZ
dc.contributor.authorClark, Ten_NZ
dc.date.accessioned2019-12-01T21:32:28Z
dc.date.available2019-12-01T21:32:28Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground: During contact sports, body temperature can elevate to between 38.9°C and 40.0°C at the peak of activity, and the temperature increase may be more long-lasting in hot environments. Mild traumatic brain injury (mTBI) occurring during exercise-induced hyperthermia may result in a cumulatively worse brain injury. Aim: To investigate the effect of a portable head-neck cooling cap on people with sport originated brain injury (SOBI) and to record changes in the signs and symptoms of SOBI after a period of cooling (i.e. intervention) compared to people with SOBI and no cooling (i.e. control). Methods: Thirty-five players with an identified SOBI were offered use of a head-neck cooling cap. Following assessment with the Concussion Symptom Scale (CSS) 13 players selected to rest and 22 players selected to wear the cooling cap for up to 30 minutes following the SOBI. Post CSS assessments were made following the rest or cooling cap period. Results: Differences between cooling and non-cooling, irrespective of sex were a lower post Global Severity Index (14.6 ±4.8 vs. 18.9 ±4.4; χ2(1)=0.3; p=0.6091; t(12)=3.3; p=0.0063; d=0.93), Positive Symptom Total (1.4 ±1.0 vs. 2.9 ±0.8; χ2(1)=0.1; p=0.7041; t(12)=3.8; p=0.0026; d=1.66), CSS (29.6 ±21.7 vs. 64.5 ±17.6; χ2(1)=0.2; p=0.7032; t(12)=3.7; p=0.0026; d=1.77), and Positive Symptom Distress Index (1.9 ±0.9 vs. 3.2 ±0.6; χ2(1)=0.2; p=0.6682; t(12)=3.6; p=0.0033; d=1.70) for the cooling participants. Conclusion: Despite limited participants, this pilot study showed initial positive support for the use of cooling in the management of SOBI to reduce the total symptom score and severity of the CSS when compared with rest alone. Highlights a) Brain temperature is slightly higher but correlates well with body temperature. b) Brain hypothermia, with its broad and pleiotropic effects, presents as the most potent neuroprotection technique available to date. c) Short duration, active head-neck cooling immediately after a SOBI may aid in acute phase recovery. d) SOBI players described an improvement in feelings of wellbeing when using the Cryohelmet, and that their head instantly felt calmer and cooler.en_NZ
dc.identifier.citationBiomedical Journal of Scientific & Technical Research, September, 2019, Volume 21, 4, pp 16062-16070
dc.identifier.doi10.26717/BJSTR.2019.21.003639en_NZ
dc.identifier.issn2574-1241en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13054
dc.publisherBiomedical Research Network+
dc.relation.urihttps://biomedres.us/fulltexts/BJSTR.MS.ID.003639.php#
dc.rightsThis work is licensed under Creative Commons Attribution 4.0 License
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectR00en_NZ
dc.subjectZ0en_NZ
dc.subjectJournals on Biomedical Engineeringen_NZ
dc.subjectJournals on Biomedical Scienceen_NZ
dc.subjectJournals on Biomedical Imagingen_NZ
dc.subjectJournals on Biomedical Interventionen_NZ
dc.subjectOpen access medical journalen_NZ
dc.subjectJournal of Endometriosis and Pelvic Pain Disordersen_NZ
dc.subjectEndometriosisen_NZ
dc.subjectDiagnosis and Managementen_NZ
dc.subjectClinical Management of Endometriosisen_NZ
dc.subjectEndometriosis: A Disease That Remains Enigmaticen_NZ
dc.subjectProteinasesen_NZ
dc.subjectEnzymesen_NZ
dc.subjectEndometriosisen_NZ
dc.subjectDrugsen_NZ
dc.subjectEndometriumen_NZ
dc.subjectDiseaseen_NZ
dc.subjectAngiogenesisen_NZ
dc.subjectBlooden_NZ
dc.subjectMacrophagesen_NZ
dc.subjectSteroid Hormonesen_NZ
dc.titleEffect of Selective Head-neck Cooling on Signs and Symptoms of Sport Originated Brain Injury in Amateur Sports: A Pilot Studyen_NZ
dc.typeJournal Article
pubs.elements-id366485
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Sports & Recreation
pubs.organisational-data/AUT/Health & Environmental Science/SPRINZ
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF
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