Evidence for Acute Electrophysiological and Cognitive Changes Following Routine Soccer Heading

Introduction  There is growing concern around the effects of concussion and sub-concussive impacts in sport. Routine game-play in soccer involves intentional and repeated head impacts through ball heading. Although heading is frequently cited as a risk to brain health, little data exist regarding the consequences of this activity. This study aims to assess the immediate outcomes of routine football heading using direct and sensitive measures of brain function.  Methods  Nineteen amateur football players (5 females; age 22±3 y) headed machine-projected soccer balls at standardized speeds, modelling routine soccer practice. The primary outcome measure of corticomotor inhibition measured using transcranial magnetic stimulation, was assessed prior to heading and repeated immediately, 24 h, 48 h and 2 weeks post-heading. Secondary outcome measures were cortical excitability, postural control, and cognitive function.  Results  Immediately following heading an increase in corticomotor inhibition was detected; further to these electrophysiological alterations, measurable reduction memory function were also found. These acute changes appear transient, with values normalizing 24 h post-heading.  Discussion  Sub-concussive head impacts routine in soccer heading are associated with immediate, measurable electrophysiological and cognitive impairments. Although these changes in brain function were transient, these effects may signal direct consequences of routine soccer heading on (long-term) brain health which requires further study

Evidence for acute electrophysiological and cognitive changes following routine soccer heading

This work was supported by the National Institute for Health Research (NIHR) Brain Injury Healthcare Technology Cooperative. This work was supported by existing funding awarded to L.W. as part of Framework 7 programme of the European Union (CENTER-TBI, Grant number: 602150-2). The work made use of a TMS coil to which the company Smartfish contributed £1500 for purchase of. T.DiV.'s postgraduate study is support by the research office of Stirling University. W.S. is supported by a NHS Research Scotland Career Researcher Fellowship. D.I.D. and M.I. are members of SINAPSE – see www.sinapse.ac.uk.Introduction There is growing concern around the effects of concussion and sub-concussive impacts in sport. Routine game-play in soccer involves intentional and repeated head impacts through ball heading. Although heading is frequently cited as a risk to brain health, little data exist regarding the consequences of this activity. This study aims to assess the immediate outcomes of routine football heading using direct and sensitive measures of brain function. Methods Nineteen amateur football players (5 females; age 22 ± 3 y) headed machine-projected soccer balls at standardized speeds, modelling routine soccer practice. The primary outcome measure of corticomotor inhibition measured using transcranial magnetic stimulation, was assessed prior to heading and repeated immediately, 24 h, 48 h and 2 weeks post-heading. Secondary outcome measures were cortical excitability, postural control, and cognitive function. Results Immediately following heading an increase in corticomotor inhibition was detected; further to these electrophysiological alterations, measurable reduction memory function were also found. These acute changes appear transient, with values normalizing 24 h post-heading. Discussion Sub-concussive head impacts routine in soccer heading are associated with immediate, measurable electrophysiological and cognitive impairments. Although these changes in brain function were transient, these effects may signal direct consequences of routine soccer heading on (long-term) brain health which requires further study.Publisher PDFPeer reviewe

Modulation of human corticospinal excitability by paired associative stimulation

Paired Associative Stimulation (PAS) has come to prominence as a potential therapeutic intervention for the treatment of brain injury/disease, and as an experimental method with which to investigate Hebbian principles of neural plasticity in humans. Prototypically, a single electrical stimulus is directed to a peripheral nerve in advance of transcranial magnetic stimulation (TMS) delivered to the contralateral primary motor cortex (M1). Repeated pairing of the stimuli (i.e., association) over an extended period may increase or decrease the excitability of corticospinal projections from M1, in manner that depends on the interstimulus interval (ISI). It has been suggested that these effects represent a form of associative long-term potentiation (LTP) and depression (LTD) that bears resemblance to spike-timing dependent plasticity (STDP) as it has been elaborated in animal models. With a large body of empirical evidence having emerged since the cardinal features of PAS were first described, and in light of the variations from the original protocols that have been implemented, it is opportune to consider whether the phenomenology of PAS remains consistent with the characteristic features that were initially disclosed. This assessment necessarily has bearing upon interpretation of the effects of PAS in relation to the specific cellular pathways that are putatively engaged, including those that adhere to the rules of STDP. The balance of evidence suggests that the mechanisms that contribute to the LTP- and LTD-type responses to PAS differ depending on the precise nature of the induction protocol that is used. In addition to emphasizing the requirement for additional explanatory models, in the present analysis we highlight the key features of the PAS phenomenology that require interpretation

Cortical hyperexcitability in Amyotrophic Lateral Sclerosis: Diagnostic and pathophysiological biomarker

Amyotrophic lateral sclerosis (ALS) is a progressive and degenerative disease of the motor system clinically defined by the presence of upper and lower motor neuron (UMN/LMN) signs. In this thesis the current diagnostic criteria were evaluated, both with a meta-analytical approach and a prospective multicenter design. The lack of an objective UMN biomarker resulted in a delayed diagnosis. Hence a novel threshold tracking transcranial magnetic stimulation (TMS) technique was utilised to measure cortical hyperexcitability, as a biomarker of UMN dysfunction. Cortical hyperexcitability facilitated an earlier diagnosis. This technique was then utilised to gain insights in familial ALS (c9orf72 repeat expansion). Cortical and peripheral nerve abnormalities were evident in familial ALS, but asymptomatic carriers had no evidence of cortical or peripheral nerve dysfunction. We then studied atypical ALS phenotypes such as the clinically UMN predominant variant, primary lateral sclerosis (PLS), reliably differentiating PLS from mimic disorders such as hereditary spastic paraparesis (HSP). In the lower motor neuron variant of ALS, termed flail leg syndrome, cortical hyperexcitability was only evident in patients with upper motor neuron signs. Taken together, these findings suggest that cortical hyperexcitability is a potentially robust diagnostic and pathophysiological biomarker in sporadic, familial and some atypical ALS variants

Modeling an Asynchronous Circuit Dedicated to the Protection Against Physical Attacks

Asynchronous circuits have several advantages for security applications, in particular their good resistance to attacks. In this paper, we report on experiments with modeling, at various abstraction levels, a patented asynchronous circuit for detecting physical attacks, such as cutting wires or producing short-circuits.Comment: In Proceedings MARS 2020, arXiv:2004.1240

A comparative study of synchronous and self-timed systolic array architectures.

This thesis examines systolic array architectures and their methods of control and communication synchronisation. Systolic array processors suffer from synchronisation problems associated with the clocking mechanism that causally restricts their scalability. To overcome this problem both return-to-zero (RTZ) and non-return-to zero (NRTZ) delay-insensitive self-timed (ST) techniques can be used to realise architectures that operate correctly in the presence of arbitrary delays at all levels in their design. As a consequence, RTZ and NRTZ versions of an existing systolic array architecture, namely the Single instruction Systolic Array (SISA), have been developed in order to investigate the potential for realising architecturally scaleable systolic arrays. The new architectures, called the RTZ and NRTZ ST-SISAs, have been compared with each other and against their synchronous counterpart to establish their relative trade-offs. The new designs exhibit several novel features including: variable length bit-serial data words, average case processing speeds dependent on data word length as well as computational complexity, a novel autonomous inter-processor data communication mechanism and architectural scalability independent of fabrication technology. This thesis introduces an implementation of the RTZ and NRTZ ST-SISA architectures, along with their performance and area characteristics. Guidelines have been developed from the resulting RTZ and NRTZ architectures allowing novel self-timed systolic architectures to be derived