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Enrolling by invitationNCT06852300Updated Mar 6, 2025

Sport-Related Concussion Recovery in Athletes

An observational study in Concussion Mild and Concussion, Brain, sponsored by University of Central Arkansas. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 26 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-06.

Sponsored by University of Central Arkansas · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years to 26 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 418 studies in Brain Concussion with a site in United States — 100 open to participants now, 121 under way, 5 of them phase 3. Brain Concussion · United States.

Planned enrollment
9th of 96
1,000 · median 147
Started
2016
with 34 others
Observational
96 of 418
17 open now
Primary completion
2030-05
later than 115 of 120 live
Registered
370th of 418
by date

Among the 418 studies in Brain Concussion with a site in United States, this one is the 9th largest by planned enrollment of the 96 observational ones, is one of 35 that started in 2016, is one of 96 observational ones, reaches primary completion later than 115 of the 120 other live ones, and was the 370th registered.

By phase

418 studies; the count open now beside each. This study's row is marked.

No phase264 · 62 open
Observationalthis study96 · 17 open
Phase 223 · 8 open
Phase 118 · 5 open
Phase 37 · 3 open
Phase 45 · 2 open
Phase 1/23 · 1 open
Phase 2/32 · 2 open

By the year they started

First in 1998; this study’s year is marked. 35 started in 2016.

Size and results

Median enrollment 60 across the 321 interventional studies, 147 across the 96 observational. Of the 259 that completed or were terminated, 68 (26%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 418 studies in Brain Concussion with a site in United States, or all of them as a file.
02

Study summary

The goal of this study is to enhance the accuracy and sensitivity of concussion evaluation by integrating traditional assessment tools with emerging neuroimaging technologies, such as Functional Near-Infrared Spectroscopy (fNIRS). By systematically collecting data across multiple assessment domains-including sideline evaluations, neurocognitive testing, balance assessments, vestibular/ocular-motor screening (VOMS), and brain activity measurements-this study aims to improve the diagnostic process and ensure a safer return-to-play protocol for athletes recovering from sport-related concussions.

Research Questions:

  1. How do traditional concussion assessment tools (SCAT, computerized neurocognitive tests, balance tests, and VOMS) compare to fNIRS in detecting changes in brain function following a sport-related concussion?
  2. What is the relationship between pre-injury baseline measures, acute post- injury assessments, and recovery-phase evaluations in athletes diagnosed with a sport-related concussion?
  3. Can fNIRS improve the sensitivity and specificity of concussion diagnosis compared to existing clinical assessments?
  4. How do clinical symptoms, medical history, and other individual factors influence concussion recovery and return-to-play timelines?
  5. Does integrating fNIRS with traditional assessment tools enhance the ability to track recovery progression and inform return-to-play decisions?

This study provides a comprehensive evaluation of concussion diagnosis and recovery while assessing the added value of fNIRS technology in improving clinical decision-making.

Read the detailed description
  1. Study Description This study aims to enhance the accuracy of concussion evaluation and improve return-to-play decisions for athletes recovering from sport-related concussions. By incorporating both traditional assessment tools and advanced neuroimaging technology, such as Functional Near-Infrared Spectroscopy (fNIRS), this research seeks to refine how concussions are diagnosed and monitored.
  2. Who is Participating?

    College athletes will be recruited as part of their routine concussion baseline testing. Participants will include:

    • Athletes diagnosed with a sport-related concussion by healthcare providers.
    • Matched control athletes who have not sustained a concussion, assessed on the same schedule as concussed athletes.
    • Contact and non-contact sport athletes who have not experienced head injuries, tested before and after the season.
  3. How is the Study Conducted?

    Testing occurs at four key time points:

    • Pre-Season (Baseline): Athletes complete a series of tests to establish their normal cognitive and physical function before any injuries occur.
    • Post-Injury (Within 72 Hours and Asymptomatic): If an athlete sustains a concussion, they undergo assessments shortly after the injury to measure its immediate effects.
    • Return-to-Play: Once the athlete has completed the necessary recovery steps and is cleared to return to play, they are reassessed to evaluate their recovery progress.
    • Re-Baseline (Six Months Post-Injury): Concussed athletes undergo follow- up testing at least six months after the injury to assess long-term recovery and determine whether any persistent neurophysiological changes remain.
  4. What is Being Measured?

    This study utilizes a comprehensive concussion evaluation approach that includes:

    • Sideline assessments (e.g., Sports Concussion Assessment Tool [SCAT])
    • Computerized neurocognitive testing (Immediate Post-Concussion Assessment and Cognitive Testing)
    • Objective balance tests (NeuroCom VSR Sport)
    • Vestibular/Ocular-Motor Screening (VOMS)
    • Functional Near-Infrared Spectroscopy (fNIRS) to measure brain activity non-invasively
    • Clinical symptom tracking and medical history review
  5. Why is This Study Important? The data collected will contribute to a robust database aimed at improving concussion assessment methods. By integrating fNIRS with standard concussion tests, this research seeks to enhance diagnostic accuracy, improve the ability to track recovery, and ensure a safer return to play for athletes. Additionally, the inclusion of a re-baseline assessment at six months post-injury will provide valuable insight into the long-term effects of concussion, informing future guidelines for concussion management. Ultimately, these findings could lead to more reliable tools for healthcare providers managing sport-related concussions.
03

Conditions studied

  • Concussion Mild
  • Concussion, Brain

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04

Who can participate

Ages eligible
18 Years to 26 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will be recruited through university-affiliated sports medicine providers. When a student-athlete, including intramural sports participants, exhibits any signs, symptoms, or behaviors consistent with a sport-related concussion, they will be removed from practice or competition by either a member of the coaching staff or the sports medicine staff.

Upon confirmation of a concussion diagnosis by the medical staff, the concussed athlete will be selected as a study participant and will be required to follow the post-concussion protocol outlined by the participating institution, which adheres to NCAA standards.

Whenever possible, control subjects will be recruited from the same team, other sports teams, and/or students at the participating university who meet the inclusion criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants will be recruited from athletes who have sustained a concussion and/or mild traumatic brain injury (mTBI), as determined by a physical examination conducted by medical staff based on the established concussion definition: biomechnical forces, typically resulting from a direct blow to the head, face, neck, or elsewhere on the body with an impulsive force transmitted to the head.

Exclusion criteria

Exclusion Criteria:

  • Current diagnosis of a psychiatric illness, attention deficit disorder, or learning disability.
  • Current use of psychoactive medications.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Concussed and Matched control Pool

    The concussed group consists of collegiate athletes who have been diagnosed with a sport-related concussion by healthcare providers and meet the specified inclusion criteria. Injured participants will undergo testing within 72 hours of the injury and at predetermined time points post-concussion. Matched control participants will be assessed at the same time intervals as their injured counterparts to ensure comparability. The concussion test battery will comprise five assessments designed to evaluate sport-related concussion: 1. Health Questionnaire, 2. Sport Concussion Assessment Tool (SCAT), 3. Vestibular Ocular Motor Screening (VOMS) 4. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), 5. Balance Assessment. Additionally, the NIRSIT scanner will be utilized at each testing session to assess cognitive function and brain activity through Functional Near-Infrared Spectroscopy (fNIRS).

    Device: Concussion Assessment Battery

  • Pre-season and Post-Season Subject Pool

    Participants will complete baseline concussion testing upon initiation into their intercollegiate athletic program. This group will consist of uninjured collegiate athletes from both contact and non-contact sports. Testing will be conducted at two time points: pre-season and post-season.

    Device: Concussion Assessment Battery

Interventions

  • DeviceConcussion Assessment Battery

    The conclusion test battery will comprise five assessment designed to evaluate sport-related concussion: 1. Health Questionnaire - Including as assessment of signs and symptoms. 2. Sport Concussion Assessment Tool (SCAT) 3. Vestibular Ocular Motor Screening (VOMS) 4. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) 5. Postural stability assessment (NeuroCom VSR Sport). Functional Neuroimaging Functional Near-Infrared Spectroscopy (fNIRS) is a non-invasive neuroimaging technology that measures brain activity by detecting changes in blood oxygenation. The NIRSIT scanner will be employed at each testing session to assess cognitive function using the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) and postural stability using the NeuroCom VSR Sport system.

06

What researchers measure

Primary outcomes

  1. Prefrontal Cortex Activation during Neurocognitive Test using Functional Near- Infrared Spectroscopy (fNIRS) in Division-I Athletes following Sports-Related Concussion

    To compare prefrontal hemodynamic activation using fNIRS during the performance of a computerized ImPACT in a sample of concussed Division-I athletes tested within 72 hours post-injury compared to age-matched healthy subjects.

    Time frame: From enrollment to 1 year after becoming asymptomatic.

  2. Prefrontal Cortex Activation During Postural Stability Testing Using Functional Near-Infrared Spectroscopy (fNIRS) in Division-I Athletes Following Sport-Related Concussion

    The purpose of this study is to examine prefrontal cortex activation during postural stability testing in Division-I athletes following a sport-related concussion using functional near-infrared spectroscopy (fNIRS).

    Time frame: From enrollment to 1 year after becoming asymptomatic

  3. Evaluating the Sensitivity and Specificity of a Multifaceted Concussion Assessment Battery: A Comparison with Functional Near-Infrared Spectroscopy (fNIRS) Outcomes

    Time frame: From enrollment 1 year after becoming asymptomatic

Secondary outcomes

  1. Enhancing Concussion Assessment Battery: Evaluating the Validity of Reliable Change Indices (RCI) in Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) using Machine Learning Approaches.

    Computerized neurocognitive tests like Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) are becoming more widely used by sports medicine professionals to evaluate concussions. A baseline ImPACT test is often recommended to help compare post-injury results, providing a more accurate picture of an athlete's cognitive function after a concussion. One method ImPACT uses to assess changes in cognitive function is the Reliable Change Index (RCI), which helps determine whether a difference in scores is meaningful. However, RCI has limitations, such as being less sensitive to real cognitive changes and the potential for misinterpretation. This study explores how machine learning approaches could improve the accuracy of concussion assessments using ImPACT scores.

    Time frame: From enrollment 1 year after becoming asymptomatic

  2. Exploratory Structural Equation Modeling (ESEM) and Bifactor-ESEM analysis of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) symptom inventory.

    The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) includes a symptom inventory widely used to assess self-reported concussion symptoms in athletes. This study will only use the self-reported symptom scale from the ImPACT as the primary Outcome Measure, with no other sub-scores or assessments included. The ImPACT symptom scale includes 22 symptoms rated on a 0 to 6 severity scale, with 0 indicating no symptom and 6 indicating the most severe. The total symptom score, ranging from 0 to 132, will serve as the primary Outcome Measure. Higher scores indicate greater symptom severity. This study will apply Exploratory Structural Equation Modeling (ESEM) and bifactor-ESEM to examine the factor structure, evaluate general and specific symptom dimensions, and improve the interpretability of ImPACT symptom scores for more accurate clinical assessments.

    Time frame: From enrollment 1 year after becoming asymptomatic

  3. Neurocognitive Composite Scores and Symptom Scale Scores from the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT): Traditional vs Remote Administration

    ImPACT is a widely utilized tool for assessing the cognitive function of collegiate athletes. Previous research has demonstrated that cognitive performance may vary depending on the environment in which concussion assessments are conducted. The ImPACT test battery consists of the following components administered in sequential order: (1) Demographics, (2) Symptom Scale, (3) Word Memory, (4) Design Memory, (5) X's and O's, (6) Symbol Match, (7) Color Match, (8) Three Letters, (9) Word Memory Delayed Recall, and (10) Design Memory Delayed Recall. All tests are automatically scored by the software. During the COVID-19 pandemic, many student-athletes transitioned from traditional, in-person concussion assessments to remote, at-home testing. This study aims to determine whether remote testing yields results comparable to traditional testing, ensuring the accuracy and consistency of concussion assessments regardless of the testing environment.

    Time frame: From enrollment 1 year after becoming asymptomatic

07

Study locations

1 site
  • University of Central Arkansas
    Conway, Arkansas 72034, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2016 (actual). Primary completion is estimated for May 2030, 168 months after the start.

Of 72 non-industry observational studies under Brain Concussion, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 188. This study's planned 168 months is above that.

Counting every sponsor, half of 94 studies reached it within 35 months; a quarter within 16 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 11, 2025
First posted
Feb 28, 2025
StartActual
Apr 11, 2016
Primary completionEst.
May 1, 2030
CompletionEst.
May 2030
Last update
Mar 6, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06852300
Lead sponsor
University of Central Arkansas
Responsible party
Hyung Rock Lee (Associate Professor, University of Central Arkansas) — Principal investigator
First posted
Feb 28, 2025
Start date
Apr 11, 2016
Primary completion
May 1, 2030 (estimated)
Completion
May 2030 (estimated)
Last update
Mar 6, 2025

Study contacts

Hyung Rock Lee, Ph.D
principal investigator · University of Central Arkansas

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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