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Mitigating the effects of repetitive exposure to head trauma has become a major concern for the general population, given the growing body of evidence that even asymptomatic exposure to head accelerations is linked with increased risk for negative life outcomes and that risk increases as exposure is prolonged over many years. Among women's sports, soccer currently exhibits the highest growth in participation and reports the largest number of mild traumatic brain injuries annually, making female soccer athletes a relevant population in assessing the effects of repetitive exposure to head trauma. Cerebrovascular biomarkers may be useful in assessing the effects of repetitive head trauma, as these are thought to contribute directly to neurocognitive symptoms associated with mild traumatic brain injury. Here we use fMRI paired with a hypercapnic breath hold task along with monitoring of head acceleration events, to assess the relationship between cerebrovascular brain changes and exposure to repetitive head trauma over a season of play in female high school soccer athletes. We identified longitudinal changes in cerebrovascular reactivity that were significantly associated with prolonged accumulation to high magnitude (> 75th percentile) head acceleration events. Findings argue for active monitoring of athletes during periods of exposure to head acceleration events, illustrate the importance of collecting baseline (i.e., pre-exposure) measurements, and suggest modeling as a means of guiding policy to mitigate the effects of repetitive head trauma.

As participation in women's soccer continues to grow and the longevity of female athletes' careers continues to increase, prevention and care for mTBI in women's soccer has become a major concern for female athletes since the long-term risks associated with a history of mTBI are well documented. Among women's sports, soccer exhibits among the highest concussion rates, on par with those of men's football at the collegiate level. Head impact monitoring technology has revealed that "concussive hits" occurring directly before symptomatic injury are not predictive of mTBI, suggesting that the cumulative effect of repetitive head impacts experienced by collision sport athletes should be assessed. Neuroimaging biomarkers have proven to be valuable in detecting brain changes that occur before neurocognitive symptoms in collision sport athletes. Quantifying the relationship between changes in these biomarkers and head impacts experienced by female soccer athletes may prove valuable to developing preventative measures for mTBI. This study paired functional magnetic resonance imaging with head impact monitoring to track cerebrovascular reactivity changes throughout a season and to test whether the observed changes could be attributed to mechanical loading experienced by female athletes participating in high school soccer. Marked cerebrovascular reactivity changes were observed in female soccer athletes, relative both to non-collision sport control measures and pre-season measures and were localized to fronto-temporal aspects of the brain. These changes persisted 4-5 months after the season ended and recovered by 8 months after the season. Segregation of the total soccer cohort into cumulative loading groups revealed that population-level changes were driven by athletes experiencing high cumulative loads, although athletes experiencing lower cumulative loads still contributed to group changes. The results of this study imply a non-linear relationship between cumulative loading and cerebrovascular changes with a threshold, above which the risk, of injury likely increases significantly.

Within linguistics, words with a complex internal structure are commonly assumed to be decomposed into their constituent morphemes (e.g., un-help-ful). Nevertheless, an ongoing debate concerns the brain structures that subserve this process. Using functional magnetic resonance imaging, the present study varied the internal complexity of derived words while keeping the external surface structure constant as well as controlling relevant parameters that could affect word recognition. This allowed us to tease apart brain activations specifically related to morphological processing from those related to possible confounds of perceptual cues like word length or affix type. Increased task-related activity in left inferior frontal, bilateral temporo-occipital and right parietal areas was specifically related to the processing of derivations with high complex internal structure relative to those with low complex internal structure. Our results show, that morphologically complex words are decomposed and that the brain processes the degree of internal complexity of word derivations.

How is it that the human brain is capable of making sense from speech under many acoustically compromised conditions? The support through top-down knowledge is inevitable but can we identify brain measures of this matching process between degraded auditory input and possible meaning? To answer these questions, the present study investigated the modulation of the induced gamma-band activity (GBA) in the auditory domain in response to degraded speech. During an EEG experiment subjects first listened to digitally degraded unintelligible speech signals (derived from German nouns). In an exposure sequence, half of the nouns were presented in a non-degraded intelligible format and memorized, while in the crucial test sequence subjects listened to all degraded speech signals again and were asked to identify the words. The induced GBA (40-Hz range) showed an increase at left temporal electrode sites around 350 ms only for words correctly identified in the test sequence. No differences in induced GBA were evident in the baseline sequence; neither did the evoked brain potentials yield any comparable effect. We conclude that the observed enhancement in induced gamma-band activity reflects a matching process of top-down lexical memory traces with degraded sensory input to form a comprehendible speech percept. The findings are highly corroborant to analogous studies in the visual system. They lend further plausibility to a left-lateralized fronto-temporal network enabling lexically guided speech perception, and they demonstrate the complementary role of time-sensitive brain analyses in discerning the functional neuroanatomy of speech.

Background: How does the brain repair obliterated speech and cope with acoustically ambivalent situations? A widely discussed possibility is to use top-down information for solving the ambiguity problem. In the case of speech, this may lead to a match of bottom-up sensory input with lexical expectations resulting in resonant states which are reflected in the induced gamma-band activity (GBA). Methods: In the present EEG study, we compared the subject's pre-attentive GBA responses to obliterated speech segments presented after a series of correct words. The words were a minimal pair in German and differed with respect to the degree of specificity of segmental phonological information. Results: The induced GBA was larger when the expected lexical information was phonologically fully specified compared to the underspecified condition. Thus, the degree of specificity of phonological information in the mental lexicon correlates with the intensity of the matching process of bottom-up sensory input with lexical information. Conclusions: These results together with those of a behavioural control experiment support the notion of multi-level mechanisms involved in the repair of deficient speech. The delineated alignment of pre-existing knowledge with sensory input is in accordance with recent ideas about the role of internal forward models in speech perception. [ABSTRACT FROM AUTHOR]