TY - JOUR PY - 2023// TI - Microstructural organization of distributed white matter associated with fine motor control in US service members with mild traumatic brain injury JO - Journal of neurotrauma A1 - Wade, Benjamin A1 - Tate, David F. A1 - Kennedy, Eamonn A1 - Bigler, Erin D. PhD A1 - York, Gerald A1 - Taylor, Brian A1 - Troyanskaya, Maya A1 - Hovenden, Elizabeth A1 - Goodrich-Hunsaker, Naomi J. A1 - Newsome, Mary A1 - Dennis, Emily L. A1 - Abildskov, Tracy J. A1 - Pugh, Mary Jo A1 - Walker, William C. A1 - Kenney, Kimbra A1 - Betts, Aaron M. A1 - Shih, Robert A1 - Welsh, Robert A1 - Wilde, Elisabeth A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - Mild traumatic brain injury (mTBI) is the most common form of brain injury. While most individuals recover from mTBI, roughly 20% experience persistent symptoms, potentially including reduced fine motor control. We investigate relationships between regional white matter organization and subcortical volumes associated with performance on the Grooved Pegboard (GPB) test in a large cohort of military Service Members and Veterans (SM&Vs) with and without a history of mTBI(s). Participants were enrolled in the Long-term Impact of Military-relevant Brain Injury Consortium- Chronic Effects of Neurotrauma Consortium. SM&Vs with a history of mTBI(s) (n=847) and without mTBI (n=190) underwent MRI and the GPB test. We first examined between-group differences in GPB completion time. We then investigated associations between GPB performance and regional structural imaging measures (tractwise diffusivity, subcortical volumes, and cortical thickness) in SM&Vs with a history of mTBI(s). Lastly, we explored whether mTBI history moderated associations between imaging measures and GPB performance. SM&Vs with mTBI(s) performed worse than those without mTBI(s) on the non-dominant hand GPB test at a trend level (p<0.1). Higher FA of tracts including the posterior corona radiata, superior longitudinal fasciculus, and uncinate fasciculus were associated with better GPB performance in the dominant hand in SM&Vs with mTBI(s). These findings support that the organization of several white matter bundles are associated with fine motor performance in SM&Vs. We did not observe that mTBI history moderated associations between regional FA and GPB test completion time, suggesting that chronic mTBI may not significantly influence fine motor control.

Language: en

LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2022.0094 ID - ref1 ER -