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https://www.readbyqxmd.com/read/27915363/outcomes-following-a-vestibular-rehabilitation-and-aerobic-training-program-to-address-persistent-post-concussion-symptoms
#1
Brian M Moore, Joseph T Adams, Edward Barakatt
PURPOSE: To describe changes in adults with persistent symptoms and disability following a concussion after completing a supervised home exercise vestibular rehabilitation (VR) program combined with aerobic training. METHOD: Participants included 14 consecutive individuals referred for VR within the context of a comprehensive concussion center. Outcome measures were administered at initial evaluation, 3 mos, and 6 mos. Outcome measures included: Rivermead Post-Concussion Questionnaire symptom (RPQ-3) and function (RPQ-13) subcategories, Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale (ABC), functional gait assessment (FGA), return to work/study (RTW), and return to activity (RTA)...
2016: Journal of Allied Health
https://www.readbyqxmd.com/read/27913365/portable-mtbi-assessment-using-temporal-and-frequency-analysis-of-speech
#2
Louis Daudet, Nikhil Yadav, Matthew Perez, Christian Poellabauer, Sandra Schneider, Alan Huebner
This paper shows that extraction and analysis of various acoustic features from speech using mobile devices can allow the detection of patterns that could be indicative of neurological trauma. This may pave the way for new types of biomarkers and diagnostic tools. Toward this end, we created a mobile application designed to diagnose mild traumatic brain injuries (mTBI) such as concussions. Using this application, data was collected from youth athletes from 47 high schools and colleges in the the Midwestern United States...
December 1, 2016: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/27910267/the-impact-of-patient-characteristics-on-nurse-practitioners-assessment-and-management-of-adolescent-concussion
#3
Janessa M Graves, Tracy A Klein
BACKGROUND AND PURPOSE: To evaluate the effect of patient sex and type of activity on concussion assessment and management recommendations. METHODS: We administered a web-based survey to all nurse practitioners (NPs) actively licensed in Washington and Oregon. Participants were randomized to view one of four standardized patient scenario videos of an adolescent seeking care for a concussion, portraying the same symptomology but differing by sex and activity (soccer/hiking)...
December 2, 2016: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27905859/baseline-neurocognitive-performance-and-clearance-for-athletes-to-return-to-contact
#4
Breton M Asken, James R Clugston, Aliyah R Snyder, Russell M Bauer
CONTEXT:  Computerized neurocognitive assessments are commonly used to manage sport-related concussion. Variations in baseline performance may influence neurocognitive performance after injury as well as the amount of time needed for an athlete to be cleared for return to sport participation. OBJECTIVE:  To investigate the relationship between mean baseline Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) scores and postconcussion reliable decline as well as the association between postconcussion cognitive decline and days missed after injury...
December 1, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27903334/applying-an-evidence-based-assessment-model-to-identify-students-at-risk-for-perceived-academic-problems-following-concussion
#5
Danielle M Ransom, Alison R Burns, Eric A Youngstrom, Christopher G Vaughan, Maegan D Sady, Gerard A Gioia
OBJECTIVES: The aim of this study was to demonstrate the utility of an evidence-based assessment (EBA) model to establish a multimodal set of tools for identifying students at risk for perceived post-injury academic problems. METHODS: Participants included 142 students diagnosed with concussion (age: M=14.95; SD=1.80; 59% male), evaluated within 4 weeks of injury (median=16 days). Demographics, pre-injury history, self- and parent-report measures assessing symptom severity and executive functions, and cognitive test performance were examined as predictors of self-reported post-injury academic problems...
November 2016: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/27900181/modified-balance-error-scoring-system-m-bess-test-scores-in-athletes-wearing-protective-equipment-and-cleats
#6
Aftab Mohammad Azad, Saad Al Juma, Junaid Ahmad Bhatti, J Scott Delaney
BACKGROUND: Balance testing is an important part of the initial concussion assessment. There is no research on the differences in Modified Balance Error Scoring System (M-BESS) scores when tested in real world as compared to control conditions. OBJECTIVE: To assess the difference in M-BESS scores in athletes wearing their protective equipment and cleats on different surfaces as compared to control conditions. METHODS: This cross-sectional study examined university North American football and soccer athletes...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27900167/scat2-and-scat3-scores-at-baseline-and-after-sports-related-mild-brain-injury-concussion-qualitative-synthesis-with-weighted-means
#7
Roger E Thomas, Jorge Alves, Marcus M Vaska, Rosana Magalhães
OBJECTIVE: Identify all Sport Concussion Assessment Tool (SCAT2/3) studies, compare baseline and postconcussion results. DESIGN: Systematic review (qualitative synthesis, weighted means). DATA SOURCES: 18 databases, 9 grey literature resources searched for SCAT2/3 data; 9150 articles identified, titles/abstracts assessed/data-entry independently by two reviewers. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Any studies reporting partial/complete SCAT2/3 data...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27900145/the-sensitivity-and-specificity-of-clinical-measures-of-sport-concussion-three-tests-are-better-than-one
#8
Jacob E Resch, Cathleen N Brown, Julianne Schmidt, Stephen N Macciocchi, Damond Blueitt, C Munro Cullum, Michael S Ferrara
CONTEXT: A battery of clinical measures of neurocognition, balance and symptoms has been recommended for the management of sport concussion (SC) but is based on variable evidence. OBJECTIVE: To examine the sensitivity and specificity of a battery of tests to assess SC in college athletes. DESIGN: Cross-sectional. SETTING: Research laboratory. PATIENTS OR OTHER PARTICIPANTS: Division 1 athletes diagnosed with a SC (n=40) who were 20...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27899680/normative-tandem-gait-in-collegiate-student-athletes-implications-for-clinical-concussion-assessment
#9
Jessie R Oldham, Melissa S DiFabio, Thomas W Kaminski, Ryan M DeWolf, Thomas A Buckley
BACKGROUND: Impaired balance is common after concussion. The third edition of the Sport Concussion Assessment Tool (SCAT-3) recommends the Balance Error Scoring System (BESS) and/or tandem gait for postconcussion balance assessment. The limitations of the BESS are well documented; however, tandem gait has received little attention throughout concussion literature. The purpose of this study was to provide normative data for tandem gait in collegiate student-athletes based on sport type, concussion history, and gender...
November 29, 2016: Sports Health
https://www.readbyqxmd.com/read/27899434/development-of-cgrp-dependent-pain-and-headache-related-behaviours-in-a-rat-model-of-concussion-implications-for-mechanisms-of-post-traumatic-headache
#10
Dara Bree, Dan Levy
BACKGROUND AND OBJECTIVE: Posttraumatic headache (PTH) is one of the most common, debilitating and difficult symptoms to manage after a mild traumatic brain injury, or concussion. However, the mechanisms underlying PTH remain elusive, in part due to the lack of a clinically relevant animal model. Here, we characterized for the first time, headache and pain-related behaviours in a rat model of concussion evoked by a mild closed head injury (mCHI) - the major type of military and civilian related trauma associated with PTH - and tested responses to current and novel headache therapies...
November 29, 2016: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/27893509/educating-providers-in-return-to-play-suggested-guidelines-postconcussion
#11
Angela Macci Bires, Amanda L Leonard, Brandon Thurber
As the awareness of concussions increases, it is imperative to be able to evaluate, diagnose, and treat concussed individuals properly to prevent further complications or death. The primary purpose of this study was to compare a provider's current awareness and comfort level as it relates to the return-to-play guidelines for concussions. A secondary aim was to evaluate current protocols that are in use and determine whether they coincide with the suggested guidelines. An educational intervention was implemented to assess the knowledge and confidence of health care providers...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27854143/assessment-of-acute-head-injury-in-an-emergency-department-population-using-sport-concussion-assessment-tool-3rd-edition
#12
Abdullah Bin Zahid, Molly E Hubbard, Vikalpa M Dammavalam, David Y Balser, Gritz Pierre, Amie Kim, Radek Kolecki, Talha Mehmood, Stephen P Wall, Spiros G Frangos, Paul P Huang, David E Tupper, William Barr, Uzma Samadani
Sport Concussion Assessment Tool version 3 (SCAT-3) is one of the most widely researched concussion assessment tools in athletes. Here normative data for SCAT3 in nonathletes are presented. The SCAT3 was administered to 98 nonathlete healthy controls, as well as 118 participants with head-injury and 46 participants with other body trauma (OI) presenting to the ED. Reference values were derived and classifier functions were built to assess the accuracy of SCAT3. The control population had a mean of 2.30 (SD = 3...
November 17, 2016: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/27843008/annual-and-seasonal-trends-in-ambulatory-visits-for-pediatric-concussion-in-ontario-between-2003-and-2013
#13
Roger L Zemek, Anne M Grool, Daniel Rodriguez Duque, Carol DeMatteo, Linda Rothman, Eric I Benchimol, Astrid Guttmann, Alison K Macpherson
OBJECTIVE: To investigate annual and seasonal trends in physician office and emergency department (ED) visit rates for pediatric concussion in Ontario between 2003 and 2013. STUDY DESIGN: A retrospective, population-based study was conducted using linked health administrative data from all concussion-related visits to ED and physician office by children aged 5 through 18 years. Time series analysis was used to assess whether periodic components exist in the monthly number of concussion-related visits...
November 11, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27835042/cervical-injury-assessments-for-concussion-evaluation-a-review
#14
Kelly Cheever, Keisuke Kawata, Ryan Tierney, Anne Galgon
BACKGROUND:   A concussion is a complex pathophysiologic process that is induced by biomechanical forces and affects the brain. Cervical injuries and concussion can share similar mechanisms and nearly identical symptoms or causes. Therefore, symptoms or causes alone may be insufficient to differentiate between patients with a concussion and patients with cervical injuries. OBJECTIVE:   To demonstrate the homogeneous causes and symptoms observed in patients with a concussion and patients with cervical injury and to provide information on clinical tests that can differentiate cervical injury from pathologic conditions of vestibular or central origin...
November 1, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27834667/validity-and-reliability-of-the-vestibular-ocular-motor-screening-and-associations-with-common-concussion-screening-tools
#15
Amy M Yorke, Laura Smith, Mitch Babcock, Bara Alsalaheen
BACKGROUND: Sustaining a concussion commonly results in vestibular impairments that may be associated with balance deficits. To screen for vestibular impairments after a concussion, the Vestibular/Ocular Motor Screening (VOMS) tool was developed. The relationship between the VOMS and other concussion screening tools, such as the Balance Error Scoring System (BESS) and King-Devick (K-D), have not been explored. HYPOTHESES: (1) VOMS would provide reliable results and not provoke symptoms in healthy adolescents and (2) VOMS test items would measure related aspects of vestibular function that are not measured through the BESS or K-D...
November 10, 2016: Sports Health
https://www.readbyqxmd.com/read/27834575/concussion-history-and-time-since-concussion-do-not-influence-static-and-dynamic-balance-in-collegiate-athletes
#16
Eric D Merritt, Julianne D Schmidt, Cathleen N Brown, Robin M Queen, Kathy J Simpson
CONTEXT: Dynamic balance deficits exist following a concussion, sometimes years after injury. However, clinicians lack practical tools for assessing dynamic balance. OBJECTIVE: To determine if there are significant differences in static and dynamic balance performance between individuals with and without a history of concussion. DESIGN: Cross sectional Setting: Clinical research laboratory. PATIENTS OR OTHER PARTICIPANTS: Forty-five collegiate student-athletes with a history of concussion (Hx) (23 males, 22 females; age=20...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27829969/chronic-traumatic-encephalopathy-in-athletes-involved-with-high-impact-sports
#17
Cyrus Safinia, Eric M Bershad, H Brent Clark, Karen SantaCruz, Naila Alakbarova, Jose I Suarez, Afshin A Divani
BACKGROUND AND PURPOSE: Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease occurring most commonly in athletes and is caused by repeated concussive or subconcussive blows to the head. The main purpose of this review is to evaluate the published literature on chronic traumatic encephalopathy (CTE) in athletes participating in high-impact sports. In particular, we highlight the significance of concussive and subconcussive impacts in multiple sports, elucidate the differences between clinical/pathological features of CTE and related neurodegenerative diseases, and provide an explanation for the variation in clinical presentation between athletes of different sports...
October 2016: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/27792056/concussion-in-sports-what-do-orthopaedic-surgeons-need-to-know
#18
Patrick J Cahill, Christian Refakis, Eileen Storey, William C Warner
A concussion is a relatively common sports-related injury that affects athletes of all ages. Although orthopaedic surgeons are not expected to replace sports medicine physicians and neurologists with regard to the management of concussions, orthopaedic surgeons, particularly those who are fellowship-trained in sports medicine, must have a current knowledge base of what a concussion is, how a concussion is diagnosed, and how a concussion should be managed. Orthopaedic surgeons should understand the pathophysiology, assessment, and management of concussion so that they have a basic comprehension of this injury, which is at the forefront of the academic literature and North American media...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27789472/a-positive-vestibular-ocular-motor-screening-voms-is-associated-with-increased-recovery-time-after-sports-related-concussion-in-youth-and-adolescent-athletes
#19
Anthony J Anzalone, Damond Blueitt, Tami Case, Tiffany McGuffin, Kalyssa Pollard, J Craig Garrison, Margaret T Jones, Robert Pavur, Stephanie Turner, Jonathan M Oliver
BACKGROUND: Vestibular and ocular motor impairments are routinely reported in patients with sports-related concussion (SRC) and may result in delayed return to play (RTP). The Vestibular/Ocular Motor Screening (VOMS) assessment has been shown to be consistent and sensitive in identifying concussion when used as part of a comprehensive examination. To what extent these impairments or symptoms are associated with length of recovery is unknown. PURPOSE: To examine whether symptom provocation or clinical abnormality in specific domains of the VOMS results in protracted recovery (time from SRC to commencement of RTP protocol)...
October 27, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27789273/evidence-for-acute-electrophysiological-and-cognitive-changes-following-routine-soccer-heading
#20
Thomas G Di Virgilio, Angus Hunter, Lindsay Wilson, William Stewart, Stuart Goodall, Glyn Howatson, David I Donaldson, Magdalena Ietswaart
INTRODUCTION: There is growing concern around the effects of concussion and sub-concussive impacts in sport. Routine game-play in soccer involves intentional and repeated head impacts through ball heading. Although heading is frequently cited as a risk to brain health, little data exist regarding the consequences of this activity. This study aims to assess the immediate outcomes of routine football heading using direct and sensitive measures of brain function. METHODS: Nineteen amateur football players (5 females; age 22±3y) headed machine-projected soccer balls at standardized speeds, modelling routine soccer practice...
October 23, 2016: EBioMedicine
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