Sensors (Nov 2024)

An Objective Assessment of Neuromotor Control Using a Smartphone App After Repeated Subconcussive Blast Exposure

  • Charlend K. Howard,
  • Masahiro Yamada,
  • Marcia Dovel,
  • Rie Leverett,
  • Alexander Hill,
  • Kenneth A. Manlapaz,
  • David O. Keyser,
  • Rene S. Hernandez,
  • Sheilah S. Rowe,
  • Walter S. Carr,
  • Michael J. Roy,
  • Christopher K. Rhea

DOI
https://doi.org/10.3390/s24217064
Journal volume & issue
Vol. 24, no. 21
p. 7064

Abstract

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Subconcussive blast exposure has been shown to alter neurological functioning. However, the extent to which neurological dysfunction persists after blast exposure is unknown. This longitudinal study examined the potential short- and long-term effects of repeated subconcussive blast exposure on neuromotor performance from heavy weapons training in military personnel. A total of 214 participants were assessed; 137 were exposed to repeated subconcussive blasts and 77 were not exposed to blasts (controls). Participants completed a short stepping-in-place task while an Android smartphone app placed on their thigh recorded movement kinematics. We showed acute suppression of neuromotor variability 6 h after subconcussive blast exposure, followed by a rebound to levels not different from baseline at the 72 h, 2-week, and 3-month post-tests. It is postulated that this suppression of neuromotor variability results from a reduction in the functional degrees of freedom from the subconcussive neurological insult. It is important to note that this change in behavior is short-lived, with a return to pre-blast exposure movement kinematics within 72 h.

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