Assessing Head/Neck Dynamic Response to Head Perturbation: A Systematic Review

Sports Medicine
Enora Le FlaoD King

Abstract

Head/neck dynamic response to perturbation has been proposed as a risk factor for sports-related concussion. The aim of this systematic review was to compare methodologies utilised to assess head/neck dynamic response to perturbation, report on magnitude, validity and reliability of the response, and to describe modifying factors. A systematic search of databases resulted in 19 articles that met the inclusion and exclusion criteria. Perturbation methods for head/neck dynamic response included load dropping, quick release and direct impact. Magnitudes of perturbation energy varied from 0.1 to 11.8 J. Head/neck response was reported as neck muscle latency (18.6-88.0 ms), neck stiffness (147.2-721.9 N/rad, 14-1145.3 Nm/rad) and head acceleration (0.2-3.8g). Reliability was only reported in two studies. Modifying factors for head/neck response included younger and older participants presenting increased responses, females showing better muscular reactivity but similar or increased head kinematics compared with males, and bracing for impact limiting muscular activity and head kinematics. Substantial differences in experimental and reporting methodologies limited comparison of results. Methodological factors such as impact magnitude ...Continue Reading

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Citations

May 17, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Bara AlsalaheenMatthew Lorincz
Feb 9, 2021·The Physician and Sportsmedicine·Christian Chavarro-NietoKim Hébert-Losier
Mar 27, 2021·Annals of Biomedical Engineering·Mohammad HomayounpourAndrew S Merryweather
Aug 8, 2021·Journal of Biomechanics·Curran ReddyXudong Zhang

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