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Post concussion symptom scale

Rebecca Cooksley, Emma Maguire, Natasha A Lannin, Carolyn A Unsworth, Michelle Farquhar, Claire Galea, Biswadev Mitra, Julia Schmidt
BACKGROUND/AIM: Approximately, 80% of traumatic brain injuries are considered mild in severity. Mild traumatic brain injury (mTBI) may cause temporary or persisting impairments that can adversely affect an individual's ability to participate in daily occupations and life roles. This study aimed to identify symptoms, factors predicting level of symptoms and functional and psycho-social outcomes for participants with mTBI three months following injury. METHOD: Patients discharged from the Emergency Department of a major metropolitan hospital with a diagnosis of mTBI were contacted by telephone three months after injury...
March 2, 2018: Australian Occupational Therapy Journal
Alexa M Dessy, Frank J Yuk, Akbar Y Maniya, Alex Gometz, Jonathan J Rasouli, Mark R Lovell, Tanvir F Choudhri
Sports-related concussion has emerged as a public health crisis due to increased diagnosis of the condition and increased participation in organized and recreational athletics worldwide. Under-recognition of concussions can lead to premature clearance for athletic participation, leaving athletes vulnerable to repeat injury and subsequent short- and long-term complications. There is overwhelming evidence that assessment and management of sports-related concussions should involve a multifaceted approach. A number of assessment criteria have been developed for this purpose...
December 7, 2017: Curēus
Rosemarie Scolaro Moser, Lauren Olek, Philip Schatz
Background: Little is known regarding gender differences in concussion symptom reporting developmentally across the age span, specifically in pre-adolescent athletes. The present study asks: Do boys and girls differ in symptom reporting across the pre-adolescent to post-adolescent age span? Method: This retrospective study utilized baseline assessments from 11,695 10-22 year-old athletes assigned to 3 independent groups: Pre-adolescent 10-12 year olds (n = 1,367; 12%), Adolescent 13-17 year olds (n = 2,974; 25%), and Late Adolescent 18-22 year olds (n = 7,354; 63%)...
February 6, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
Michael Ellis, Cameron Krisko, Erin Selci, Kelly Russell
OBJECTIVE The aim of this study was to examine differences in symptom burden and duration until physician-documented clinical recovery among pediatric patients with sports-related concussion (SRC) with and without a history of concussion. METHODS A retrospective chart review was performed for all pediatric patients (7-19 years old) referred to the Pan Am Concussion Program in Winnipeg, Canada, with an SRC and evaluated < 30 days postinjury between September 1, 2013, and August 1, 2015. RESULTS A total of 322 patients with SRC (64...
February 2, 2018: Journal of Neurosurgery. Pediatrics
Alice Theadom, Nicola Starkey, Suzanne Barker-Collo, Kelly Jones, Shanthi Ameratunga, Valery Feigin
There is increasing evidence that some people can experience persistent symptoms for up to a year following mild TBI. However, few longitudinal studies of mild TBI exist and the longer-term impact remains unclear. The purpose of this study is to determine if there are long-term effects of mild traumatic brain injury (TBI) four-years later. Adults (aged ≥16 years) identified as part of a TBI incidence study who experienced a mild-TBI four-years ago (N = 232) were compared to age-sex matched controls (N = 232)...
2018: PloS One
Matthew Wade Reid, Douglas Cooper, Lisa H Lu, Grant L Iverson, Jan Kennedy
The objective of this study was to assess the associations between resilience, adversity, post-concussion symptoms, and posttraumatic stress symptom reporting following mild traumatic brain injury (mTBI). We hypothesized that resilience would be associated with less symptom reporting and adversity would be associated with greater symptom reporting. This was a cross-sectional study of retrospective data collected for an ongoing TBI repository. US military service members who screened positive for mTBI during a primary care visit completed the Trauma History Screen (THS), Connor-Davidson Resilience Scale (CD-RISC), Neurobehavioral Symptom Inventory (NSI), and PTSD Checklist-Civilian Version (PCL-C)...
January 22, 2018: Journal of Neurotrauma
Daphne Cloë Voormolen, Maryse C Cnossen, Suzanne Polinder, Nicole von Steinbuechel, Pieter E Vos, Juanita Antje Haagsma
Mild Traumatic Brian Injury (mTBI) is a common diagnosis and approximately one third of mTBI patients experience a variety of cognitive, emotional, psychosocial and behavioral post-concussion symptoms. When a cluster of these symptoms persists for more than three months they are often classified as post-concussion syndrome (PCS). The objective of this study was to determine prevalence rates, risk factors and functional outcome associated with PCS six months after mTBI applying divergent classification methods...
January 19, 2018: Journal of Neurotrauma
Richard J Servatius, Kevin M Spiegler, Justin D Handy, Kevin C H Pang, Jack W Tsao, Catherine A Mazzola
Adolescents are at high risk for sustaining concussions. There is considerable controversy regarding the sensitivity of neurocognitive tests to detect and track dysfunction in the aftermath of concussion. Two neurocognitive test batteries were compared during the subacute phase of recovery from concussion to determine sensitivity to concussion. Adolescents (ages 11-17 years) with a concussion diagnosis (8 males, 7 females, 9-69 days after injury) were recruited through a concussion clinic and compared to community non-concussed volunteers (11 males, 3 females)...
December 26, 2017: Journal of Neurotrauma
James MacDonald, Neha Patel, Julie Young, Emily Stuart
OBJECTIVE: To determine which data collected on an initial patient clinic visit for a sports-related concussion (SRC) might influence physicians to clear an adolescent to return to drive (RTD) after injury. STUDY DESIGN: Retrospective cohort study of 189 adolescents with a SRC referred to a hospital-based concussion clinic between June 1, 2015, and May 31, 2016. Subjects were ≥16 years with a valid driver's license (median age = 16, IQR [16, 17]). Concussion evaluations included Post-Concussion Symptom Scale, modified Balance Error Scoring System, and postinjury computerized neurocognitive testing (CNT)...
March 2018: Journal of Pediatrics
Peter K Kriz, Rebekah Mannix, Alex M Taylor, Danielle Ruggieri, William P Meehan
Background: Previous studies have evaluated high school and collegiate athletes in the pre-Zurich guidelines era; whether adolescent athletes demonstrate similar neurocognitive decrements in the current concussion management era remains unclear. Purpose: To assess for the presence of neurocognitive deficits in adolescents with a sport-related concussion at the time of self-reported symptom resolution. Study Design: Cross-sectional study; Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
Justin Berkner, William P Meehan, Christina L Master, David R Howell
OBJECTIVE:   To prospectively examine adolescent athletes' gait and quiet-stance performance while concurrently completing a cognitive task acutely after concussion and after symptom resolution. SETTING:   Sport concussion clinic. DESIGN:   Participants diagnosed with a concussion completed a symptom inventory and single- and dual-task quiet-stance and gait evaluations within 21 days of injury and then again after symptom resolution...
November 20, 2017: Journal of Athletic Training
Benjamin W Friedman, Kayla Babbush, Eddie Irizarry, Deborah White, E John Gallagher
BACKGROUND: Headache is a frequent complaint among the 1.4 million patients who present to US emergency departments (ED) annually following trauma to the head. There are no evidence-based treatments of acute post-traumatic headache. METHODS: This was an ED-based, prospective study of intravenous (IV) metoclopramide 20mg+diphenhydramine 25mg for acute post-traumatic headache. Patients who presented to our EDs with a moderate or severe headache meeting international criteria were enrolled and followed by telephone 2 and 7days later...
October 13, 2017: American Journal of Emergency Medicine
Jhon Alexander Moreno, Michelle McKerral
INTRODUCTION: Clinicians need to understand the heterogeneity of sexual problems following traumatic brain injury (TBI) for their adequate identification and treatment. OBJECTIVE: To systematically identify groups of individuals with TBI showing similar patterns of sexual functioning. METHODS: Forty-two individuals with TBI with a mean age of 37.9 years (SD = 9.7) and an average of 3.3 years post-injury (SD = 4.3). We included four primary measures in the cluster analysis (sexual quality of life questionnaire, sexual desire inventory, generalized anxiety disorder scale, and the patient health questionnaire for depression) and two secondary measures for cluster validation (post-concussion symptom scale and dysexecutive questionnaire)...
2017: NeuroRehabilitation
Danielle M Dobney, Lisa Grilli, Helen Kocilowicz, Christine Beaulieu, Meghan Straub, Debbie Friedman, Isabelle Gagnon
OBJECTIVE: To estimate the extent to which post-concussion symptoms were influenced by participation in an Active Rehabilitation (AR) program (aerobic exercise, coordination drills, visualization and education) for children and adolescents who are slow to recover from concussion. A secondary exploratory objective included examining the influence of sex on symptom evolution. METHODS: Analysis of prospectively collected data was performed on 277 youth who initiated an AR program, between three and four weeks post-injury at a Concussion Clinic in a tertiary care paediatric teaching hospital...
2017: Brain Injury: [BI]
Catherine Chan, Grant L Iverson, Jacqueline Purtzki, Kathy Wong, Vivian Kwan, Isabelle Gagnon, Noah D Silverberg
OBJECTIVE: To examine the safety and tolerability of an active rehabilitation program for adolescents who are slow to recover from a sport-related concussion. A secondary objective was to estimate the treatment effect for this intervention. DESIGN: Single-site parallel open-label randomized controlled trial (RCT) comparing treatment as usual (TAU) to TAU plus active rehabilitation. SETTING: Outpatient concussion clinic. PARTICIPANTS: Adolescents aged 12-18 with postconcussion symptoms lasting >1 month after a sports-related concussion...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
Danielle M Dobney, Lisa Grilli, Helen Kocilowicz, Christine Beaulieu, Meghan Straub, Debbie Friedman, Isabelle J Gagnon
OBJECTIVE: To estimate the time frame during which initiating an active rehabilitation intervention (aerobic exercise, balance, and sport specific skills) after concussion contributed to improvement in symptoms at follow-up in children and adolescents who are slow to recover (symptoms persisting beyond 2 weeks) from concussion. SETTING: Concussion clinic at a tertiary care pediatric teaching hospital. PARTICIPANTS: A total of 677 children and adolescents with concussion aged 7 to 18 years...
September 18, 2017: Journal of Head Trauma Rehabilitation
David R Howell, Anna Brilliant, Brant Berkstresser, Francis Wang, Joana Fraser, William P Meehan
Quantitative gait measurements can identify persistent postconcussion impairments. However, their prognostic utility after injury to identify the likelihood of prolonged concussion symptoms remains unknown. Our objective was to examine if dual-task gait performance measures are independently associated with persistent (> 28 days) concussion symptoms among a sample of athletes. Sixty individuals diagnosed with a sport-related concussion were assessed within 10 days of their injury. Each participant completed a postconcussion symptom scale, an injury history questionnaire, and a single/dual-task gait examination...
December 1, 2017: Journal of Neurotrauma
Coco Bernard, Audrey McKinlay, David Krieser, Renee Testa, And Jennie Ponsford
OBJECTIVES: Despite peaks of mild traumatic brain injury (mTBI) incidence in young children, few studies have examined the nature of post-concussive symptoms (PCSs) in children under the age of eight, whilst controlling for pre-injury symptoms and effects of trauma. The current study aimed to identify which PCSs differentiate children with mTBI from trauma controls early post-injury, and whether these differed among preschool and school-aged children. METHODS: The sample comprised 101 children aged 2-12 presenting to an emergency department, with concussion or other minor bodily injury (control)...
2017: Brain Injury: [BI]
Bara Alsalaheen, Kayla Stockdale, Dana Pechumer, Steven P Broglio, Gregory F Marchetti
CONTEXT:   Meta-analyses examining construct-specific cognitive impairment concurrently with self-reported symptoms postconcussion are sparse. OBJECTIVE:   To review the literature on the effects of concussion on construct-specific neurocognitive declines and to compare them with self-reported symptoms before 1 week and between 1 and 3 weeks postconcussion. DATA SOURCES:   Relevant studies in PubMed, CINAHL, and PsycINFO published from January 1, 1999 through November 30, 2015...
September 2017: Journal of Athletic Training
Joseph Kilianski, Sophie Peeters, Jeff Debad, Joseph Mohmed, Steven E Wolf, Joseph P Minei, Ramon Diaz-Arrastia, Joshua W Gatson
INTRODUCTION: Each year in the United States, approximately 1.7 million people sustain a traumatic brain injury (TBI). Of these TBI events, about 75 percent are characterized as being mild brain injuries. Immediately following TBI, a secondary brain damage persists for hours, days, and even months. Previously, detection of neuronal and glial biomarkers have proven to be useful to predict neurological outcomes. Here, we hypothesized that creatine kinase, brain (CKBB) is a sensitive biomarker for acute secondary brain injury in professional boxers...
November 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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