A-108 Differential Change in Eye Movement Performance Among Male Collegiate Athletes With Variable Exposure to Head Impacts

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Abstract Objective The primary aim of this study was to evaluate the use of eye movement testing to detect change in cognitive and sensorimotor processing among male club collegiate athletes following a season of participation in collision sports of variable exposure. We predicted that collision sport athletes (COLL) exposed to subconcussive head trauma would demonstrate longer reaction times (latency) on saccadic eye movement tasks with executive demands (antisaccade and memory-guided saccade [MGS] tasks), greater antisaccade inhibitory errors, and poorer MGS accuracy, a measure of spatial working memory, from pre-season to post-season, whereas non-collision sport athletes (NON-COLL) would demonstrate stability overtime. We predicted that longitudinal change in eye movement performance would be greater than change observed on ImPACT (Immediate Post-Concussion Assessment and Cognitive Test). Method Collegiate club athletes with variable exposure to contact sports participation [COLL-High Dose, n = 8; COLL-Low Dose, n = 9; NON-COLL, n = 17] completed eye movement and ImPACT assessments pre-season and post-season. Results NON-COLL demonstrated shorter post-season versus pre-season antisaccade and MGS latencies, whereas COLL groups showed stable, longer, or more attenuated (relative to NON-COLL) shorter latencies (ps ≤ .001). NON-COLL demonstrated improved MGS spatial accuracy over the season, whereas COLL groups showed poorer or stable accuracy (ps < .05). No differential change was observed in pre-season to post-season ImPACT performance among groups. Conclusions This pilot study provides preliminary evidence for the use of eye movement testing as a sensitive marker of subtle changes in attentional control and working memory resulting from participation in collision sports.