Study of Neuromuscular Function and Risk of Musculoskeletal Injury After Concussion in Military Service Members and Active Civilians Aged 18 to 40

What this Trial Is About

Musculoskeletal injuries MSKI and traumatic brain injury TBI, especially concussions, are common and serious issues affecting military Service Members and physically active civilians. This research aims to identify how neuromuscular control changes after concussion may increase the risk of MSKI. The study will compare individuals who have had a concussion with those who have not, to understand the reasons behind this increased injury risk and help develop targeted prevention strategies. Participants will undergo detailed assessments including dynamic movement tests like jump-landing, single leg hop, anticipated cut, and gait tasks, along with strength and muscle activation tests. Sensory evaluations will assess proprioception and light touch sensation. These assessments occur at three time points within 5 days of becoming asymptomatic post-concussion, then at 6 and 12 weeks after the initial assessment. Both concussed and matched non-concussed participants will complete the same testing and self-report psychosocial measures. During the study, participants will report any new musculoskeletal injuries and complete monthly questionnaires for about one year. Researchers will track changes in movement, muscle function, sensory abilities, and patient-reported outcomes over time. The study also monitors psychological factors such as anxiety, depression, and pain interference. This comprehensive approach will help measure how neuromuscular control evolves after concussion and its connection to injury risk.

Post-Concussion Musculoskeletal Injury Risks