Stability of an ERP-based measure of brain network activation (BNA) in athletes: A new electrophysiological assessment tool for concussion

James T. Eckner, Ashley Rettmann, Naveen Narisetty, Jacob Greer, Brandon Moore, Susan Brimacombe, Xuming He, Steven P. Broglio

Research output: Contribution to journalArticlepeer-review


Primary objective: To determine test–re-test reliabilities of novel Evoked Response Potential (ERP)-based Brain Network Activation (BNA) scores in healthy athletes. Research design: Observational, repeated-measures study. Methods and design: Forty-two healthy male and female high school and collegiate athletes completed auditory oddball and go/no-go ERP assessments at baseline, 1 week, 6 weeks and 1 year. The BNA algorithm was applied to the ERP data, considering electrode location, frequency band, peak latency and normalized amplitude to generate seven unique BNA scores for each testing session. Main outcomes and results: Mean BNA scores, intra-class correlation coefficient (ICC) values and reliable change (RC) values were calculated for each of the seven BNA networks. BNA scores ranged from 46.3 ± 34.9 to 69.9 ± 22.8, ICC values ranged from 0.46–0.65 and 95% RC values ranged from 38.3–68.1 across the seven networks. Conclusions: The wide range of BNA scores observed in this population of healthy athletes suggests that a single BNA score or set of BNA scores from a single after-injury test session may be difficult to interpret in isolation without knowledge of the athlete’s own baseline BNA score(s) and/or the results of serial tests performed at additional time points. The stability of each BNA network should be considered when interpreting test–re-test BNA score changes.

Original languageEnglish (US)
Pages (from-to)1075-1081
Number of pages7
JournalBrain Injury
Issue number9
StatePublished - Jul 28 2016
Externally publishedYes


  • Athlete
  • brain network activation
  • concussion
  • electroencephalography
  • event-related potential
  • reliability

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology


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