The Effects of Subconcussive Events on Cognition

Study Overview
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Brief Summary
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The purpose of this study is to determine early detection of concussion for those at risk of developing symptoms and to be able to detect subconcussive cerebral impairment, and thus gaining a better understanding of the injury patterns for concussions in Men's and Women's Collegiate sports.

Detailed Description
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Description of the Research Subjects will be members of NYIT's Collegiate Athletic Teams. Potential subjects will be informed about the proposed study and asked if the athlete is interested in participating. If the athlete agrees, the key investigator will review the study procedures, what is expected of the subject, and complete the informed consent process. Participation will be completely voluntary and will have no impact on the quality of care the subject will receive. Inclusion and exclusion criteria will then be evaluated by the key investigator to determine if the subject is qualified to participate in this study. Following consent and review of inclusion and exclusion criteria, the subject will be assigned a subject identification number in which is intended to maintain confidentiality of the subject's personal health information. The number will be used for the duration of the study and in all analyses. Once enrolled, the subjects will complete a baseline questionnaire* that will include demographic information and personal history, as well as consent for de-identified information to be shared with a third party, Quadrant Biosciences, for research purposes. The subjects will be evaluated by a series of measurements, ClearEdge, Quadrant Bioscience Salivary Testing, King Devick, and Im PACT, in the preseason, midseason, and postseason, or if they are suspected of a concussion by the athletic trainer or team physician. Visit 1: Baseline Data Collection Assessment Tools Demographic/Baseline questionnaire* ImPACT King-Devick ClearEdge New York Institute of Technology Institutional Review Board Approved From 07/18/20 to 07/17/21 Quadrant Bioscience Salivary Testing Quadrant Bioscience Salivary Testing Questionnaire Estimated Time: 1.5 hours Visit 2: Mid-Season Collection Assessment Tools ImPACT King-Devick ClearEdge Quadrant Bioscience Salivary Testing Quadrant Bioscience Salivary Testing Questionnaire Estimated time: 1 hour Visit 3: Post-season Data Collection Assessment Tools ImPACT King-Devick ClearEdge Quadrant Bioscience Salivary Testing Quadrant Bioscience Salivary Testing Questionnaire Estimated time: 1 hr Visit 4: If athlete is suspected to have sustained a concussion by the athletic trainer or team physician, the athlete will come for an additional visit Assessment Tools ImPACT King-Devick ClearEdge Quadrant Bioscience Salivary Testing Quadrant Bioscience Salivary Testing Questionnaire Estimated time: 1 hr

Official Title
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The Effects of Subconcussive Events on Cognition

Conditions
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Cerebral Injury

Intervention / Treatment
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* Device: Vector Mouthguard


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject is at least 18 years age and younger than 50 years of age Subject experiences at least 8Gs of force on at least one occasion, as measured by accelerometer Exclusion Criteria: The subject suffered from any of the following at the time of event leading to a concussion: Loss of consciousness >2 minutes in the field as reported by witness Seizures Intractable vomiting Paralysis The subject has been diagnosed with an underlying neurodegenerative condition that may confound test results (e.g. Parkinson's Disease, Alzheimer's Disease) The subject has a current or previous spinal cord injury The subject is unable to complete assessment tools The subject is pregnant

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Device: Vector Mouthguard|The mouthguard will be used by athletes to measure the magnitude and number of impacts throughout one season.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in cognition secondary to impact | A mouthguard with built in sensors to collect data above the predetermined acceleration thresholds. The predetermined threshold for acceleration will be set to 5G in order to collect more data about subconcussive impacts, in addition to concussive impacts | 5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ImPACT Testing | Tool to help detect and assess the severity of concussion in athletes by establishing a baseline of memory and cognitive function | 5 months | 
| King-Devick Test | Objectively measures visual tracking and saccadic eye movements | 5 months | 
| C3 Logix | Concussion Assessment application with the ability to track a patient's dynamic vision reflexes and ability to focus on moving objects | 5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Subconcussive head injury