The aim of this study was to determine whether the cumulative effects of head impacts from a season of high school football produce magnetic resonance imaging (MRI) measureable changes in the brain in the absence of clinically diagnosed concussion. Players from a local high school football team were instrumented with the Head Impact Telemetry System (HITSÔ) during all practices and games. All players received pre-and postseason MRI, including diffusion tensor imaging (DTI). Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) was also conducted. Total impacts and risk-weighted cumulative exposure (RWE), including linear (RWE Linear ), rotational (RWE Rotational ), and combined components (RWE CP ), were computed from the sensor data. Fractional, linear, planar, and spherical anisotropies (FA, C L , C P , and C S , respectively), as well as mean diffusivity (MD), were used to determine total number of abnormal white matter voxels defined as 2 standard deviations above or below the group mean. Delta (post-preseason) ImPACT scores for each individual were computed and compared to the DTI measures using Spearman's rank correlation coefficient. None of the players analyzed experienced clinical concussion (N = 24). Regression analysis revealed a statistically significant linear relationship between RWE CP and FA. Secondary analyses demonstrated additional statistically significant linear associations between RWE (RWE CP and RWE Linear ) and all DTI measures. There was also a strong correlation between DTI measures and change in Verbal Memory subscore of the ImPACT. We demonstrate that a single season of football can produce brain MRI changes in the absence of clinical concussion. Similar brain MRI changes have been previously associated with mild traumatic brain injury.

A moving target disappeared behind a screen and subjects predicted when the target passed behind a marker on the screen. When the target moved with constant velocity, predictions were extremely accurate, regardless of the spatial and temporal exposure and concealment of the target and regardless of its rate of velocity. When the target accelerated, accuracy of prediction decreased with increasing acceleration and with increasing target concealment. Analyses of the results suggest that the perception of velocity and acceleration is direct and accurate and that extrapolation of velocity and acceleration incorporates concrete and abstract characteristics of the motion that was seen. It is proposed that the motion perception system is tuned to accelerated rather than to constant velocity movement.

Because reaction time (RT) tasks are generally repetitive and temporally regular, participants may use timing strategies that affect response speed and accuracy. This hypothesis was tested in 3 serial choice RT experiments in which participants were presented with stimuli that sometimes arrived earlier or later than normal. RTs increased and errors decreased when stimuli came earlier than normal, and RTs decreased and errors increased when stimuli came later than normal. The results were consistent with an elaboration of R. Ratcliff's diffusion model (R. Ratcliff, 1978; R. Ratcliff & J. N. Rouder, 1998; R. Ratcliff, T. Van Zandt, & G. McKoon, 1999), supplemented by a hypothesis developed by D. Laming (1979a, 1979b), according to which participants initiate stimulus sampling before the onset of the stimulus at a time governed by an internal timekeeper. The success of this model suggests that timing is used in the service of decision making.

The purpose of this study was to determine whether the effects of cumulative head impacts during a season of high school football produce changes in diffusional kurtosis imaging (DKI) metrics in the absence of clinically diagnosed concussion. Subjects were recruited from a high school football team and were outfitted with the Head Impact Telemetry System (HITS) during all practices and games. Biomechanical head impact exposure metrics were calculated, including: total impacts, summed acceleration, and Risk Weighted Cumulative Exposure (RWE). Twenty-four players completed pre-and post-season magnetic resonance imaging, including DKI; players who experienced clinical concussion were excluded. Fourteen subjects completed pre-and post-season Immediate Post-Concussion Assessment and Cognitive Testing (Im-PACT). DKI-derived metrics included mean kurtosis (MK), axial kurtosis (K axial), and radial kurtosis (K radial), and white matter modeling (WMM) parameters included axonal water fraction, tortuosity of the extra-axonal space, extraaxonal diffusivity (D e axial and radial), and intra-axonal diffusivity (D a ). These metrics were used to determine the total number of abnormal voxels, defined as 2 standard deviations above or below the group mean. Linear regression analysis revealed a statistically significant relationship between RWE combined probability (RWE CP ) and MK. Secondary analysis of other DKI-derived and WMM metrics demonstrated statistically significant linear relationships with RWE CP after covariate adjustment. These results were compared with the results of DTI-derived metrics from the same imaging sessions in this exact same cohort. Several of the DKI-derived scalars (D a , MK, K axial, and K radial) explained more variance, compared with RWE CP , suggesting that DKI may be more sensitive to subconcussive head impacts. No significant relationships between DKI-derived metrics and ImPACT measures were found. It is important to note that the pathological implications of these metrics are not well understood. In summary, we demonstrate a single season of high school football can produce DKI measurable changes in the absence of clinically diagnosed concussion.Keywords: concussion; diffusion kurtosis imaging; football; Head Impact Telemetry System; Risk Weighted Cumulative Exposure Introduction F ootball has the highest concussion rate of any competitive contact sport.1 Parents, coaches, and physicians of youth athletes are becoming increasingly concerned about the effects of head impacts. These concerns are reflected in the recent 9.5% decrease in participation in the Pop Warner youth football program.2 While concussion can represent a serious and immediate clinical manifestation of any head impact, the effects of repeated subconcussive impacts on youth and high school populations are largely unknown.Previous research has focused primarily on collegiate football players. [3][4][5][6][7] Recent biomechanical studies of head impacts have shown impact distributions for youth and high school players to ...

M. J. Spivey, M. Grosjean, and G. Knoblich showed that in a phonological competitor task, participants' mouse cursor movements showed more curvature toward the competitor item when the competitor and target were phonologically similar than when the competitor and target were phonologically dissimilar. Spivey et al. interpreted this result as evidence for continuous cascading of information during the processing of spoken words. Here we show that the results of Spivey et al.need not be ascribed to continuous speech processing. Instead, their results can be ascribed to discrete processing of speech, provided one appeals to an already supported model of motor control that asserts that switching movements from 1 target to another relies on superposition of the 2nd movement onto the 1st. The latter process is a continuous cascade, a fact that indirectly strengthens the plausibility of continuous cascade models. However, the fact that we can simulate the results of Spivey et al.with a continuous motor output model and a discrete perceptual model shows that the implications of Spivey et al.'s experiment are less clear than these authors supposed.