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  1. Article ; Online: Assessment of cardiovascular functioning following sport-related concussion: A physiological perspective.

    Ellingson, Chase J / Shafiq, M Abdullah / Ellingson, Cody A / Neary, J Patrick / Dehghani, Payam / Singh, Jyotpal

    Autonomic neuroscience : basic & clinical

    2024  Volume 252, Page(s) 103160

    Abstract: There is still much uncertainty surrounding the approach to diagnosing and managing a sport-related concussion (SRC). Neurobiological recovery may extend beyond clinical recovery following SRC, highlighting the need for objective physiological parameters ...

    Abstract There is still much uncertainty surrounding the approach to diagnosing and managing a sport-related concussion (SRC). Neurobiological recovery may extend beyond clinical recovery following SRC, highlighting the need for objective physiological parameters to guide diagnosis and management. With an increased understanding of the connection between the heart and the brain, the utility of assessing cardiovascular functioning following SRC has gained attention. As such, this review focuses on the assessment of cardiovascular parameters in the context of SRC. Although conflicting results have been reported, decreased heart rate variability, blood pressure variability, and systolic (ejection) time, in addition to increased spontaneous baroreflex sensitivity and magnitude of atrial contraction have been shown in acute SRC. We propose that these findings result from the neurometabolic cascade triggered by a concussion and represent alterations in myocardial calcium handling, autonomic dysfunction, and an exaggerated compensatory response that attempts to maintain homeostasis following a SRC. Assessment of the cardiovascular system has the potential to assist in diagnosing and managing SRC, contributing to a more comprehensive and multimodal assessment strategy.
    MeSH term(s) Humans ; Brain Concussion/diagnosis ; Blood Pressure ; Brain ; Baroreflex ; Heart Atria
    Language English
    Publishing date 2024-02-24
    Publishing country Netherlands
    Document type Review ; Journal Article
    ZDB-ID 2020105-9
    ISSN 1872-7484 ; 1566-0702
    ISSN (online) 1872-7484
    ISSN 1566-0702
    DOI 10.1016/j.autneu.2024.103160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cardiac cycle timing intervals in university varsity athletes.

    Singh, Jyotpal / Ellingson, Chase J / Ellingson, Cody A / Scott, Parker / Neary, J Patrick

    European journal of sport science

    2023  Volume 23, Issue 7, Page(s) 1457–1462

    Abstract: Cardiac cycle timing events in varsity athletes serve an important function for baseline assessment but are not reported in the literature. The purpose of this study was to characterise the cardiac cycle timing intervals and contractility parameters in ... ...

    Abstract Cardiac cycle timing events in varsity athletes serve an important function for baseline assessment but are not reported in the literature. The purpose of this study was to characterise the cardiac cycle timing intervals and contractility parameters in university-level varsity athletes. 152 males and 93 females were assessed using a non-invasive seismocardiography cardiac sensor attached to the sternum for 1-minute. Shorter isovolumic relaxation time (IVRT), systolic time, mitral valve open to E-wave (MVO to E) time, rapid ejection period (REP), atrial systole to mitral valve closure (AS to MVC) time, and diastolic performance index (IVRT/systolic time) were found in females, while heart rate was lower in males. Varying differences in timing intervals were found between sports. Systolic times were longer in male and female basketball players, while diastole was shortest in male football players, who also had higher heart rates than the other male sport athletes. These results add reference cardiac cycle timing data to the literature and imply that male and female athletes show different cardiac characteristics. Team differences suggest that different training for different sports can result in unique cardiac function changes, however, these appear to be related to the sex of the participants. The addition of these cardiac cycle timing intervals adds a valuable comparative tool to better understand cardiac physiology in the varsity athletic population.
    MeSH term(s) Humans ; Male ; Female ; Universities ; Heart ; Diastole/physiology ; Basketball ; Athletes
    Language English
    Publishing date 2023-02-23
    Publishing country England
    Document type Journal Article
    ISSN 1536-7290
    ISSN (online) 1536-7290
    DOI 10.1080/17461391.2023.2178329
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The influence of external stressors on physiological testing: Implication for return-to-play protocols.

    Ellingson, Chase J / Singh, Jyotpal / Ellingson, Cody A / Dech, Ryan / Piskorski, Jaroslaw / Neary, J Patrick

    Current research in physiology

    2022  Volume 5, Page(s) 240–245

    Abstract: External stressors such as alcohol, caffeine, and vigorous exercise are known to alter cellular homeostasis, affecting the autonomic nervous system (ANS) and overall physiological function. However, little direct evidence exists quantifying the impact of ...

    Abstract External stressors such as alcohol, caffeine, and vigorous exercise are known to alter cellular homeostasis, affecting the autonomic nervous system (ANS) and overall physiological function. However, little direct evidence exists quantifying the impact of these external stressors on physiological testing. We assessed the impact of the above-listed stressors on spontaneous baroreflex sensitivity (BRS), heart rate variability (HRV), heart rate asymmetry (HRA), and systolic blood pressure variability (BPV). Seventeen male university varsity American-style football athletes completed two identical assessments on separate days, once presenting with one or more stressors (recent intake of caffeine, alcohol, or exercise participation; contraindicated assessment) and another with no stressors present (repeat assessment). Both assessments were conducted within one week and at the same time of day. The testing protocol consisted of 5-min of rest followed by 5-min of a squat-stand maneuver (0.05 Hz). Continuous beat-to-beat blood pressure and electrocardiogram measurements were collected and allowed for calculations of BRS, HRV, HRA, and BPV. Significant decreases (p < 0.05) in HRV and HRA metrics (SDNN, SD2, SDNNd, SDNNa, SD2a, SD2d), HRV total power, and BRS-up sequence were found during the contraindicated assessment in comparison to the repeat assessment. When assessing those with exercise as their only stressor, high-frequency HRV and BRS-pooled were significantly decreased and increased, respectively, during the contraindicated assessment. Pre-season physiological baseline testing in sport is becoming increasingly prevalent and thus must consider external stressors to ascertain accurate and reliable data. This data confirms the need for stringent and standardized guidelines for pre-participation baseline physiological testing.
    Language English
    Publishing date 2022-06-14
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2665-9441
    ISSN (online) 2665-9441
    DOI 10.1016/j.crphys.2022.06.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cardiac cycle timing and contractility following acute sport-related concussion.

    Singh, Jyotpal / Ellingson, Chase J / Ellingson, Cody A / Scott, Parker / Neary, J Patrick

    Research in sports medicine (Print)

    2022  Volume 32, Issue 2, Page(s) 260–267

    Abstract: Cardiac sequelae following sport-related concussion are not well understood. This study describes changes in the cardiac cycle timing intervals and contractility parameters during the acute phase of concussion. Twelve athletes (21 ± 2 years, height = 182  ...

    Abstract Cardiac sequelae following sport-related concussion are not well understood. This study describes changes in the cardiac cycle timing intervals and contractility parameters during the acute phase of concussion. Twelve athletes (21 ± 2 years, height = 182 ± 9 cm, mass = 86 ± 15 kg, BMI = 26 ± 3 kg/m
    MeSH term(s) Humans ; Heart ; Systole ; Diastole ; Brain Concussion ; Sports
    Language English
    Publishing date 2022-07-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2116093-4
    ISSN 1543-8635 ; 1543-8627
    ISSN (online) 1543-8635
    ISSN 1543-8627
    DOI 10.1080/15438627.2022.2102918
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sport-related concussion alters cerebral hemodynamic activity during controlled respiration.

    Ellingson, Cody A / Singh, Jyotpal / Ellingson, Chase J / Shafiq, M Abdullah / Sirant, Luke W / Dorsch, Kim D / Gruszecki, Marcin / Kratzig, Gregory P / Neary, J Patrick

    Journal of neurophysiology

    2024  Volume 131, Issue 3, Page(s) 556–561

    Abstract: Sport-related concussion (SRC) is known to disrupt neurohemodynamic activity, cardiac function, and blood pressure (BP) autoregulation. This study aims to observe changes in cerebrovascular and cardiovascular responses during controlled respiration after ...

    Abstract Sport-related concussion (SRC) is known to disrupt neurohemodynamic activity, cardiac function, and blood pressure (BP) autoregulation. This study aims to observe changes in cerebrovascular and cardiovascular responses during controlled respiration after sustaining an SRC. University varsity athletes (
    MeSH term(s) Humans ; Hemodynamics ; Brain Concussion ; Prefrontal Cortex ; Hemoglobins ; Respiration ; Cerebrovascular Circulation/physiology
    Chemical Substances Hemoglobins
    Language English
    Publishing date 2024-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80161-6
    ISSN 1522-1598 ; 0022-3077
    ISSN (online) 1522-1598
    ISSN 0022-3077
    DOI 10.1152/jn.00477.2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Alterations in Baroreflex Sensitivity and Blood Pressure Variability Following Sport-Related Concussion.

    Ellingson, Chase J / Singh, Jyotpal / Ellingson, Cody A / Sirant, Luke W / Krätzig, Gregory P / Dorsch, Kim D / Piskorski, Jaroslaw / Neary, J Patrick

    Life (Basel, Switzerland)

    2022  Volume 12, Issue 9

    Abstract: Current methods to diagnose concussions are subjective and difficult to confirm. A variety of physiological biomarkers have been reported, but with conflicting results. This study assessed heart rate variability (HRV), spontaneous baroreflex sensitivity ( ...

    Abstract Current methods to diagnose concussions are subjective and difficult to confirm. A variety of physiological biomarkers have been reported, but with conflicting results. This study assessed heart rate variability (HRV), spontaneous baroreflex sensitivity (BRS), and systolic blood pressure variability (BPV) in concussed athletes. The assessment consisted of a 5-min seated rest followed by a 5-min (0.1 Hz) controlled breathing protocol. Thirty participants completed baseline assessments. The protocol was repeated during the post-injury acute phase (days one to five). Total (
    Language English
    Publishing date 2022-09-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life12091400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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