Aderman, M. J., Brett, B. L., Ross, J. D., Malvasi, S. R., McGinty, G., Jackson, J. C., Estevez, C. A., Brodeur, R. M., Svoboda, S. J., McCrea, M. A., Broglio, S. P., McAllister, T. W., Pasquina, P. F., Cameron, K. L., & Roach, M. H. (2023). Association between symptom cluster endorsement at initiation of a graduated return-to-activity protocol and time to return to unrestricted activity after concussion in United States service academy cadets. The American Journal of Sports Medicine, 51(11), 2996–3007. https://doi.org/10.1177/03635465231189211

This prospective cohort study examined the relationship between graduated return-to-activity protocol initiation and concussion symptoms in 961 cadets enrolled at three U.S. service academies. Current recommendations are that symptomatic individuals should not enter the GRTA protocol until symptoms resolve. This study found that approximately one-third of concussed individuals began the GRTA protocol when symptomatic. These symptomatic individuals took 16-19% longer to complete the protocol. This report highlights the importance of proper concussion treatment and GRTA protocol initiation to avoid prolonged return-to-activity.

Aderman, M. J., Meister, M. R., Roach, M. H., Dengler, B. A., Ross, J. D., Malvasi, S. R., & Cameron, K. L. (2023). Normative values for pupillary light reflex metrics among healthy service academy cadets. Mil Med. https://doi.org/10.1093/milmed/usad271

The purpose of this study was to collect normative values for eight pupillary light reflex metrics among healthy service academy cadets based on sex, age, sleep, race, ethnicity, anisocoria, and concussion history. Of the 514 cadets that completed a valid baseline PLR assessment, sex, age, sleep, and race resulted in significant differences in PLR metrics while concussion history and anisocoria did not impact PLR metrics. These findings need to be considered when measuring PLR.