Predictive Power of Head Impact Intensity Measures for Recognition Memory Performance

• Published in: Military medicine Vol. 184; no. Supplement_1; pp. 206 - 217
• Main Authors: Leeds, Daniel D, D’Lauro, Christopher, Johnson, Brian R
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.03.2019
• Subjects: Boxing; Memory; Principal components analysis; Head impact measures; Concussion; Principal Component Analysis; Memory
• ISSN: 0026-4075; 1930-613X
• DOI: 10.1093/milmed/usy415

Abstract Subconcussive head injuries are connected to both short-term cognitive changes and long-term neurodegeneration. Further study is required to understand what types of subconcussive impacts might prove detrimental to cognition. We studied cadets at the US Air Force Academy engaged in boxing and physical development, measuring head impact motions during exercise with accelerometers. These head impact measures were compared with post-exercise memory performance. Investigators explored multiple techniques for characterizing the magnitude of head impacts. Boxers received more head impacts and achieved lower performance in post-exercise memory than non-boxers. For several measures of impact motion, impact intensity appeared to set an upper bound on post-exercise memory performance – stronger impacts led to lower expected memory performance. This trend was most significant when impact intensity was measured through a novel technique, applying principal component analysis to boxer motion. Principal component analysis measures also captured more distinct impact information than seven traditional impact measures also tested.