Longitudinal changes in network-based functional connectivity over a rugby season in adolescent males.

ObjectivesThis study examined the impact of a single season of rugby union - and subsequent exposure to head acceleration events (HAEs) - on functional connectivity in adolescent males compared to non-collision sport athletes. MethodsResting-state functional MRI scans were acquired from 72 rugby players and 20 non-collision sport athletes. The rugby cohort were scanned longitudinally throughout the season. Voxel-wise maps of functional connectivity (FC) for 15 resting-state brain networks were generated for 178 datasets. Cross-sectional comparisons were performed between the rugby cohort at different stages of the season and the non-collision sport group. Longitudinal analyses were performed within the rugby cohort. An exposure analysis estimated HAE exposure based on the number of matches played. ResultsNo significant cross-sectional differences in FC were found between rugby and non-collision sport athletes or between rugby players with high versus low exposure to HAEs. Longitudinally, rugby players showed increased inter-network FC over the season, with strengthening of connectivity in the temporal, motor, secondary visual, and anterior intraparietal sulcus networks, and mid-season decreases in the cerebellar-visual network. No association was found between longitudinal FC changes and changes in self-reported symptoms. ConclusionsThese findings suggest that participation in a season of rugby is associated with neuroplastic changes. These changes may reflect compensatory adaptations to preserve neurological function during periods of HAE exposure. Alternatively, they may also represent developmental changes or responses to physical activity and/or motor learning. This highlights the complexity of interpreting changes in FC in adolescent athletes participating in collision sports and the need for further research.