In this study we acquired diffusion and resting state fMRI data from female varsity rugby players, rowers and swimmers during the in- and off-season and found (a) significant alterations in the corpus callosum that correlated with altered default mode network connectivity with the posterior cingulate cortex as well as (b) fluctuations in white matter diffusion measures within the brainstem in contact athletes compared to non-contact athletes. Together this suggests that repetitive subclinical impacts incur both acute and long-term changes to brain microstructure and function despite lack of symptoms or even a history of concussion.
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