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Foundations of Sport-Related Brain Injuries pp 407–430Cite as

Neural, Behavioral and Psychological Effects of Injury in Athletes

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Abstract

Injury is one of the unfortunate risks that collegiate athletes are faced with today. Even worse, is the possibility that some athletes experience re-injury or multiples injuries during their athletic careers. Athletes who experience multiple injuries are often labeled as injury prone and are treated numerous times for their physical injuries, but are never examined or treated for possible neural, behavioral or psychological deficits. For standard orthopedic injuries, it is assumed that the athlete is healthy once motor performance has reached pre-injury levels. For athletes that suffer concussions, it is assumed that the athlete is healthy once they are asymptomatic. Recent research has begun to target these misconceptions by providing data which suggest that neural symptoms, behavioral and psychological factors may exist as a by product of injury. Additionally, if injured athletes harbor any of these deficits during return to play, they may become more susceptible to re-injury. This paper attempts to attack the issue of re-injury by specifically addressing the psychological issues of fear related to re-injury of all sorts as well as neural substrates and behavioral deficits existing in concussed athletes. Using neural (EEG) basis of behavioral data (Balance), and psychological data (Tampa Scale of Kinesiophobia) we will ultimately be able to identify athletes at risk for re-injury. The results presented differences in athletes related to fear levels and gender, severity of injury and number of injuries experienced. EEG data was consistent in its findings in that concussed subjects showed an increase in the frequency bands of delta and theta, and a decrease in alpha compared to non-concussed subjects. Differences were also found in Balance levels in which concussed subjects showed high levels of instability particularly during eyes closed conditions in comparison to non-concussed subjects. Specific data analysis gives rise to psychological interventions that may help to identify athletes at risk for re-injury. With this identification athletes may seek the training needed to address neural, behavioral and psychological deficits.

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References

  • Bergandi, T.A. (1985), Psychological variables relating to the incidence of athletic injury. International Journal of Sports Psychology, 16, 141–149.

    Google Scholar 

  • Noble, H.B., Porter, M., Bachman, D.C. (1982). Athletic Trainers: Their place in the health care system. Illinois Medical Journal, 162, 41–44

    PubMed  CAS  Google Scholar 

  • Weiss, Maureen R. (2003). Psychological aspects of Sport-Injury rehabilitation: A developmental perspective. Journal of Athletic Training, 38(2), 172–175.

    PubMed  Google Scholar 

  • Keefe, F.J., Wilkins, R.H., Cook, W.A. (1984). Direct observation of pain behavior in low back pain patients during physical examination. Pain, 20(1), 59–68.

    Article  PubMed  CAS  Google Scholar 

  • Keefe, F.J., Bradley, L.A., Crisson, J.E. (1990). Behavioral Assessment of low back pain: identification of pain behavior subgroups. Pain, 40(2), 153–160.

    Article  PubMed  CAS  Google Scholar 

  • Keefe, F.J., Wilkins, R.H., Cook, W.A. (1984). Direct observation of pain behavior in low back pain patients during physical examination. Pain, 20(1), 59–68.

    Article  PubMed  CAS  Google Scholar 

  • Yukelson, D. (1986). Psychology of Sport and the Injured Athlete. In D.B. Bernhart (Ed.), Clinics in Physical Therapy. New York: Churchill Livingstone, pp. 175–195.

    Google Scholar 

  • Heil, J. (1993). Psychology of Sport Injury. Human Kinetics. Champaign, IL.

    Google Scholar 

  • Kübler-Ross, E. (1969). On death and Dying. London. Tavistock.

    Google Scholar 

  • Kori, S.H., Miller, R.P., Todd, D.D. (1990). Kinesiophobia: A new view of chronic pain behaviour. Pain Management, 19, 35–43.

    Google Scholar 

  • Miller, R.P., Kori, S.H., Todd, D.D. (1991). The Tampa Scale of Kinesiophobia. Ref Type: Unpublished Work.

    Google Scholar 

  • Swinkels-Meewisse, I.E.J., Swinkles R.A.H.M., Verbeek, A., Vlaeyen, J., Oostendorp, R. (2003). Psychometric properties of the Tampa Scale for Kinesiophobia and fear-avoidance beliefs questionnaire in acute low back pain. Manual Therapy, 8(1), 29–36.

    Article  PubMed  CAS  Google Scholar 

  • Vlaeyen, J., Kole-Snijders, A., Boeren, R., Eek, H. (1995). Fear of movement/ (re)injury in chronic low back pain an its relation to behavioral performance. European Journal of Pain, 62, 363–372.

    CAS  Google Scholar 

  • Roelofs, J., Liesbet G., Peteers, M., Vlaeyen, J., Crombez, G. (2004). The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. European Journal of Pain, 24, 495–502.

    Article  Google Scholar 

  • Boersma, K., Linton, S., Overmeer, T., Jansson, M., Vlaeyan, J., Jong, J. (2004). Lowering fear-avoidance and enhancing function through exposure in vivo: A multiple baseline study across six patients with back pain. European Journal of Pain, 108, 8–16.

    Google Scholar 

  • Rose, A., Robert, L., Williams, R., Thomson, L., Forsyth, A. (2000). Functional Instability in non-contact ankle ligament injuries. British Journal of Sports Medicine, 34, 352–358.

    Article  PubMed  CAS  Google Scholar 

  • Susco, T., Valovich McLeod, T., Gansneder, M., Schultz, S. (2004). Balance Recovers Within 20 Minutes After Exertion as Measured by the Balance Scoring Error System. Journal of Athletic Training, 39(3), 241–246.

    PubMed  Google Scholar 

  • Slobounov, S., Poole, S., Simon, R., Slobounova, E., Bush, J., Sebastianelli, W., Kraemer, W. (1999). The efficacy of modern technology to improve healthy and injured shoulder joint position sense. Journal of Sport Rehabilitation, 8(1), 10–23.

    Google Scholar 

  • Lishman, W. A. (1988). Physiogenesis and psychogenesis in the post-concussional syndrome. Biological Journal of Psychiatry, 153, 460–469.

    Article  CAS  Google Scholar 

  • Ingelsoll, C. D., & Armstrong, C. W. (1992). The effect of closed-head injury on postural sway. Medicine in Science, Sports & Exercise, 24, 739–743.

    Google Scholar 

  • Wober, C., Oder, W., Kollegger, H., Prayer, L., Baumgartner, C., & Wober-Bingol, C. (1993). Posturagraphic measurement of body sway in survivors of severe closed-head injury. Archive of Physical Medical Rehabilitation, 74, 1151–1156.

    CAS  Google Scholar 

  • Geurts, A., Knoop, J., & van Limbeck, J. (1999). Is postural control associated with mental functioning is the persistent postconcussion syndrome? Archive Physical Rehabilitation, 80, 144–149.

    Article  CAS  Google Scholar 

  • Woollacott, M, & Shumway-Cook, A. (1990). Changes in posture control across the life-span — a system approach. Physical Therapy, 70, 799–807.

    PubMed  CAS  Google Scholar 

  • Woollacott, M., & Shumway-Cook, A. (2002). Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture, 16(1), 1–14.

    Article  PubMed  Google Scholar 

  • Guskiewicz, K.M., Riemann, B.L., Perrin, D.H., Nashner, L.M. (1997). Alternative Approaches to the Assessment of Mild Head Injury in Athletes. Medicine and Science in Sports and Exercise, 29(7), 213–221.

    Google Scholar 

  • Guskiewicz, K.M. (2001). Postural Stability Assessment Following Concusion: One Piece of the Puzzle. Clinical Journal of Sport Medicine, 11, 82–189.

    Article  Google Scholar 

  • Guskiewicz, K.M., Ross, S.E., Marshall, S.W. (2001). Postural Stability and Neuropsychological Deficits After Concussion in Collegiate Athletes. Journal of Athletic Training, 36(3), 263–273.

    PubMed  Google Scholar 

  • Guskiewicz, K. (2003). Assessment of postural stability following sport-related concussion. Current Sport Medicine Reports, 2(1), 24–30.

    Google Scholar 

  • Rieman, B. & Guskiewicz, K. (2002). Effect of mild head injury on postural stability as measured through clinical balance testing. Journal of Athletic Training, 35, 19–25.

    Google Scholar 

  • Valovich, T., Periin, D., Gansneder, B. (2003). Repeat administration elicits a practice effect with the balance error scoring system but not with the standardized assessment of concussion in high school athletes. Journal of Athletic Training, 38(10), 51–56.

    PubMed  Google Scholar 

  • Peterson, C., Ferrara, M., Mrazik, M., Piland, S., Elliott, R. (2003). Evaluation of neuropsychological domain scores and postural stability following cerebral concussion in sport. Clinical Journal of Sport Medicine, 13(4), 230–237.

    Article  PubMed  Google Scholar 

  • Kushner, D. (1998). Mild traumatic brain injury: Toward understanding manifestations and treatment. Archive of Internal Medicine, 158, 10–24.

    Article  Google Scholar 

  • Povlishock, J. T., Erb, D. E., & Astruc, J. (1992). Axonal response to traumatic brain injury: reactive axonal change, deafferentation and neuroplasticity, Journal of Neurotrauma, 9(suppl.1), 189–200.

    Google Scholar 

  • Jahanshahi, M., & Hallett, M. (2003). The Bereitschaftpotential: Movement-related cortical potentials. Kluger Academic/Plenum Publishers. NY.

    Google Scholar 

  • Jasper, H., & Penfield, W. (1949). Electrocorticograms in man: effect of voluntary movement upon the electrical activity of the precentral gyrus. Arch. Psychiat. Vol.183, pp.163–174.

    Article  Google Scholar 

  • Pfurtscheller, G. (1981). Central beta rhythm during sensory motor activities in man. EEC and Clinical Neurophysiology, 51, 253–264.

    Article  CAS  Google Scholar 

  • Sheer. D.E, (1976). Focused arousal and 40 Hz-EEG. In R. M. Knight and D. J. Bakker (Eds.), The Neuropsychology of Leaning Disorders, (pp. 71–87). University Park Press, Baltimore.

    Google Scholar 

  • Basar, E., & Demiralp, T. (1995). Fast rhythms in the hippocampus are a part of the diffuse gamma response system. Hippocampus, 5, 240–241.

    Article  PubMed  CAS  Google Scholar 

  • Tallon-Baudry, C., Bertrand, O., Delpuech, C., & Pernier, J. (1996). Stimulus specificity of phase-locked and non-phase-locked 40 Hz visual responses in human. Journal of Neuroscience, 16(3), 4240–4249.

    PubMed  CAS  Google Scholar 

  • Tallon-Baudry, C., Bertrand, O., Delpuech, C., & Pernier, J. (1997). Oscillatory gamma-band (30–70 Hz) activity induced by a visual search task in humans. Journal of Neuroscience, 17(2), 722–734.

    PubMed  CAS  Google Scholar 

  • Slobounov, S., Tutwiler, R. Slobounova, E. (1998c). Perception of postural instability as revealed by wavelet transform. IEEE Signal Processing, 12(5), 234–238.

    Google Scholar 

  • Geets. W., & Louette, N (1985). Early EEG in 300 cerebral concussions. EEC and Clinical Neurophysiology, 14(4), 333–338.

    CAS  Google Scholar 

  • Tebano, T. M., Cameroni, M., Gallozzi, G., Loizzo, A., Palazzino, G., Pessizi, G., & Ricci, G. F. (1988). EEG spectral analysis after minor head injury in man. EEG and Clinical Neurophysiology, 70, 185–189.

    Article  CAS  Google Scholar 

  • Pratar-Chand, R., Sinniah, M., & Salem, F. A. (1988). Cognitive evoked potential (P300): a metric for cerebral concussion. Acta Neurologia Scandinavia, 78, 185–189.

    Google Scholar 

  • Watson, W. R., Fenton, R. J., McClelland, J., Lumbsden, J., Headley, M., & Rutherford, W. H. (1995). The post-concussional state: Neurophysiological aspects. British Journal of Psychiatry, 167, 514–521.

    PubMed  CAS  Google Scholar 

  • Thatcher, R. W., Biver, C., McAlister, R., Camacho, M., Salazar, A. (1998). Biophysical linkage between MRI and EEG amplitude in closed head injury. Neuroimage, 7, 352–367.

    Article  PubMed  CAS  Google Scholar 

  • Thornton, K. E. (1999). Exploratory investigation into mild brain injury and discriminant analysis with high frequency bands (32-64 Hz). Brain Injury, 13(7), 477–488.

    Article  PubMed  CAS  Google Scholar 

  • Slobounov, S., Sebastianelli, W., Simon, R. (2002d). Neurophysiological and behavioral Concomitants of Mild Brain Injury in College Athletes. Clinical Neurophysiology, 113, 185–193.

    Article  PubMed  CAS  Google Scholar 

  • Thompson, J, Sebastianelli, W., Slobounov, S. (2005). EEG and postural correlates of mild traumatic brain injury in athletes. Neuroscience Letters, 337(3), 158–163.

    Article  CAS  Google Scholar 

  • Mouhsine, E., Crevoisier, X., Leyvraz, P.F., Akiki, A., Dutoit, M., Garofalo, R. (2004). Post-traumatic Overload or Acute Syndrome of the os trigonum: a possible cause of posterior ankle impingement. Knee Surgery Sports Traumatol Arthroscopy, 12, 250–253.

    Article  CAS  Google Scholar 

  • Grobler, L.A., Collins, M., Lambert, M.I., Sinclair-Smith, C., Derman, W., Gibson, A., Noakes, T.D. (2004). Skeletal Muscle Pathology in Endurance Athletes with Acquired Training Intolerance. British Journal of Sports Medicine, 38(6), 697–703.

    Article  PubMed  CAS  Google Scholar 

  • Langburt, C., Cohen, B., Akhthar, N., O’neill, K., Lee, J.C. (2001). Incidence of Concussion in High School Football players of Ohio and Pennsylvania. Journal of Child Neurology, 16(2), 83–85.

    PubMed  CAS  Google Scholar 

  • Iverson, G.L., Gaetz, ML, Lovell, M.R., Collins, M.W. (2004). Cumulative effects of Concussion in Amateur Athletes. Journal of Brain Injury, 18(5), 433–443.

    Article  Google Scholar 

  • Ravdin, L.D., Barr, W.B., Jordan, B., Lathan, W.E., Relkin, N.R. (2003). Assessment of Cognitive Recovery following sports Related Head Trauma in Boxers. Clinical Journal of Sports Medicine, 13(1), 21–27.

    Article  Google Scholar 

  • Tjepkema, M. (2003). Repetitive Strain Injury. Health Reports, 14(4), 11–30.

    PubMed  Google Scholar 

  • Collins, MW., Field, ML, Lovell, MR., Iverson, G., Johnston, KM., Maroon, J., Fu, FH. (2003). Relationship between postconcussion headache and neuropsychological test performance in high school athletes. American Journal of Sports Med. Mar–Apr;31(2), 168–73.

    Google Scholar 

  • DeRoss, A.L., Adams, J.E., Vane, D.W., Russell, S.J., Terrella, A.M., Wald, S.L. (2002). Multiple head Injuries in Rats: Effects on Behavior. Journal of Trauma, 52(4), 708–714.

    Article  PubMed  Google Scholar 

  • Gravetter, FJ., Larry B. Wallnau. (2000). Statistics for the behavioral sciences: a first course for students of psychology and education. 2nd ed., West Pub. Co. St. Paul, MN.

    Google Scholar 

  • Martin, SB. (2005). High school and college athletes’ attitude toward sport psychology consulting. Journal of Applied Sport Psychology, 17(2), 127–140.

    Google Scholar 

  • Messner, MA. (1992). Power at play: Sports and the problem of masculinity. Boston: Beacon Press.

    Google Scholar 

  • Nixon, HL. (1996). Explaining pain and injury attitudes and experiences in sport in terms of gender, race, and sports status factor. Journal of Sport and Social Issues, 20, 33–44.

    Google Scholar 

  • Addis, ME., Mahalik, JR. (2003). Man, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5–14.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. The Department of Kinesiology, The Pennsylvania State University, 19 Recreation Hall, University Park, PA, 16802

    Rashanna A. Moss

  2. The Department of Kinesiology, The Pennsylvania State University, 268 Recreation Hall, University Park, PA, 16802

    Semyon Slobounov

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  1. Rashanna A. Moss
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  2. Semyon Slobounov
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Editors and Affiliations

  1. Penn State University, USA

    Semyon Slobounov  & Wayne Sebastianelli  & 

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© 2006 Springer Science+Business Media, Inc.

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Moss, R.A., Slobounov, S. (2006). Neural, Behavioral and Psychological Effects of Injury in Athletes. In: Slobounov, S., Sebastianelli, W. (eds) Foundations of Sport-Related Brain Injuries. Springer, Boston, MA . https://doi.org/10.1007/0-387-32565-4_18

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  • DOI: https://doi.org/10.1007/0-387-32565-4_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-32564-4

  • Online ISBN: 978-0-387-32565-1

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