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163 papers 25 to 100 followers Post concussion syndrome
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
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/27889010/neuropsychiatric-aspects-of-concussion
#2
REVIEW
Rajiv Radhakrishnan, Amir Garakani, Lawrence S Gross, Marcia K Goin, Janet Pine, Andrew E Slaby, Calvin R Sumner, David A Baron
Over the past decade, concussion has become the most widely discussed injury in contact sports. However, concussions also occur in several other settings, such as non-contact sports, elderly individuals, young children, military personnel, and victims of domestic violence. Concussion is frequently undiagnosed as a cause of psychiatric morbidity, especially when the patient has no history of loss of consciousness or direct head trauma. Almost all of the extant literature focuses on traumatic brain injury and assumes that concussion is merely a mild form of traumatic brain injury, which has resulted in a lack of understanding about what concussion is, and how to diagnose, monitor, and treat its varied neuropsychiatric symptoms...
December 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/27886529/autobiographical-and-episodic-memory-deficits-in-mild-traumatic-brain-injury
#3
Jeffrey D Wammes, Tyler J Good, Myra A Fernandes
Those who have suffered a concussion, otherwise known as a mild traumatic brain injury (mTBI), often complain of lingering memory problems. However, there is little evidence in the behavioral literature reliably demonstrating memory deficits. Thus, in the present study, cognitive profiles including measures of general executive functioning and processing speed, as well as episodic and semantic memory were collected in younger and older adult participants with or without a remote (>1year prior to testing) mTBI...
November 22, 2016: Brain and Cognition
https://www.readbyqxmd.com/read/27856122/evaluation-of-a-follow-up-program-for-mild-traumatic-brain-injury-in-schoolchildren
#4
R Nowacki, N van Eldik, M Eikens, R Roijen, N Haga, D Schott, T Simons-Sporken, M Wennekes
INTRODUCTION: Mild traumatic brain injury is a common condition in childhood. Although classified as mild, post-concussive symptoms may persist and interfere with daily activities. Because no established guidelines exist with respect to follow-up medical care for these children, there may be a delay in receiving appropriate care. We developed a follow up program to screen for persistent symptoms and if necessary, refer patients for further medical assistance. METHODS: From July 2010 until December 2013, eligible children aged 4-18 years who presented after sustaining a mild traumatic brain injury were included...
November 2, 2016: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/27784191/longitudinal-study-of-postconcussion-syndrome-not-everyone-recovers
#5
Carmen Hiploylee, Paul Dufort, Hannah Davis, Richard Wennberg, Carmela Tartaglia, David Mikulis, Lili-Naz Hazrati, Charles Tator
We examined recovery from postconcussion syndrome (PCS) in a series of 285 patients, diagnosed with concussion based on international sport concussion criteria, who received a questionnaire regarding recovery . Of 141 respondents, those with postconcussion symptoms lasting less than 3 months, a positive CT and/or MRI, litigants, and known Test of Memory Malingering (TOMM)-positive cases were excluded, leaving 110 eligible respondents. We found that only 27% of our population eventually recovered, and 67% of those who recovered did so within the first year...
October 26, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27766190/somatization-in-post-concussion-syndrome-a-retrospective-study
#6
Kenneth Perrine, James C Gibaldi
This is a retrospective study of concussion patient data conducted to analyze the prevalence of somatization in patients presenting with post-concussion symptoms. Patient records from June 2010 to December 2015 were examined for concussion history, psychosocial history, neuropsychological test results, validity scores, and a symptom severity scale. Records meeting inclusion criteria from 33 males and 27 females were located. The sample had an age range of 11-78 years with a mean age of 33.40 (SD +/- 7.5 years)...
August 19, 2016: Curēus
https://www.readbyqxmd.com/read/27690834/whiplash-injury-or-concussion-a-possible-biomechanical-explanation-for-concussion-symptoms-in-some-individuals-following-a-rear-end-collision
#7
Benjamin S Elkin, James M Elliott, Gunter P Siegmund
Study Design Finite element modeling of experimental data. Background The clinical presentations of whiplash injury and concussion have considerable overlap. Both diagnoses are generally based on presenting signs and symptoms, and a history of neck or head trauma. With incomplete knowledge of the trauma, differentiating between whiplash injury and concussion can be clinically challenging. Objectives To estimate the brain strains that develop during rear-end car crashes, evaluate how these strains vary with different head kinematic parameters, and compare these strains to those generated during potentially concussive football helmet impacts...
October 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27698651/diffusion-tensor-imaging-findings-in-post-concussion-syndrome-patients-after-mild-traumatic-brain-injury-a-systematic-review
#8
Edrea Khong, Nicole Odenwald, Eyesha Hashim, Michael D Cusimano
OBJECTIVES: To review the evidence for the use of diffusion tensor imaging (DTI) parameters in the human brain as a diagnostic tool for and predictor of post-concussion syndrome (PCS) after a mild traumatic brain injury (mTBI). DESIGN: Systematic review. DATA SOURCES: All relevant studies in AMED, Embase, MEDLINE, Ovid, PubMed, Scopus, and Web of Science through 20 May, 2016. STUDY SELECTION: Studies that analyze traditional DTI measures [fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD)] and the severity of PCS symptoms or the development of PCS in humans after an mTBI...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27709555/post-concussive-syndrome-a-focus-on-post-traumatic-headache-and-related-cognitive-psychiatric-and-sleep-issues
#9
Mia T Minen, Alexandra Boubour, Harjasleen Walia, William Barr
PURPOSE OF REVIEW: Post-traumatic headache (PTH) is a secondary headache disorder following traumatic brain injury. We sought to examine the recent literature on PTH and associated cognitive, psychiatric, and sleep conditions to understand the latest findings about the associated conditions and available screening tools, and to understand the available treatment options for PTH. RECENT FINDINGS: Up to one third of PTH patients may have depression and about one quarter may have insomnia...
November 2016: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/27665247/multimodal-impairment-based-physical-therapy-for-the-treatment-of-patients-with-post-concussion-syndrome-a-retrospective-analysis-on-safety-and-feasibility
#10
Patrick Grabowski, John Wilson, Alyssa Walker, Dan Enz, Sijian Wang
OBJECTIVE: Demonstrate implementation, safety and feasibility of multimodal, impairment-based physical therapy (PT) combining vestibular/oculomotor and cervical rehabilitation with sub-symptom threshold exercise for the treatment of patients with post-concussion syndrome (PCS). SETTING: University hospital outpatient sports medicine facility. PARTICIPANTS: Twenty-five patients (12-20 years old) meeting World Health Organization criteria for PCS following sport-related concussion referred for supervised PT consisting of sub-symptom cardiovascular exercise, vestibular/oculomotor and cervical spine rehabilitation...
June 7, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27654455/cerebrospinal-fluid-biomarkers-in-postconcussion-syndrome-measuring-neuronal-injury-and-distinguishing-individuals-at-risk-for-persistent-postconcussion-syndrome-or-chronic-traumatic-encephalopathy
#11
https://www.readbyqxmd.com/read/27636355/relationship-among-apathy-cognition-and-real-world-disability-after-mild-traumatic-brain-injury
#12
Konstantine K Zakzanis, Kyrsten M Grimes
It is well established that most people recover soon after a mild traumatic brain injury (mTBI), yet protracted neuropsychological impairment is evident in many individuals. We sought to elucidate the relationship between apathy and neuropsychological impairment and disability as it pertains to real-world function in patients who sustained a mTBI reporting and demonstrating protracted neuropsychological impaired (i.e., more than three months post-injury). We employed a battery of neuropsychological and psychological measures, along with a measure of apathy in 104 patients who sustained a mTBI reporting neuropsychological complaints (38 in the not disabled group and 66 in the disabled group)...
September 16, 2016: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/27619107/predictors-of-post-concussive-symptoms-in-young-children-injury-versus-non-injury-related-factors
#13
Coco O Bernard, Jennie A Ponsford, Audrey McKinlay, Dean McKenzie, David Krieser
OBJECTIVES: A notable minority of children will experience persistent post-concussive symptoms (PCS) following mild traumatic brain injury (mTBI), likely maintained by a combination of injury and non-injury related factors. Adopting a prospective longitudinal design, this study aimed to investigate the relative influence of child, family, and injury factors on both acute and persistent PCS in young children. METHODS: Participants were 101 children aged 2-12 who presented to an Emergency Department, with either mTBI or minor bodily trauma (control)...
September 2016: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/27620871/graded-aerobic-treadmill-testing-in-pediatric-sports-related-concussion-safety-clinical-use-and-patient-outcomes
#14
Dean Cordingley, Richard Girardin, Karen Reimer, Lesley Ritchie, Jeff Leiter, Kelly Russell, Michael J Ellis
OBJECTIVE The objectives of this study were 2-fold: 1) to evaluate the safety, tolerability, and clinical use of graded aerobic treadmill testing in pediatric patients with sports-related concussion (SRC), and 2) to evaluate the clinical outcomes of treatment with a submaximal aerobic exercise program in patients with physiological post-concussion disorder (PCD). METHODS The authors conducted a retrospective chart review of pediatric patients (age < 20 years) with SRC who were referred to a multidisciplinary pediatric concussion program and underwent graded aerobic treadmill testing between October 9, 2014, and February 11, 2016...
December 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27605923/multi-disciplinary-management-of-athletes-with-post-concussion-syndrome-an-evolving-pathophysiological-approach
#15
Michael J Ellis, John Leddy, Barry Willer
Historically, patients with sports-related concussion (SRC) have been managed in a uniform fashion consisting mostly of prescribed physical and cognitive rest with the expectation that all symptoms will spontaneously resolve with time. Although this approach will result in successful return to school and sports activities in the majority of athletes, an important proportion will develop persistent concussion symptoms characteristic of post-concussion syndrome (PCS). Recent advances in exercise science, neuroimaging, and clinical research suggest that the clinical manifestations of PCS are mediated by unique pathophysiological processes that can be identified by features of the clinical history and physical examination as well as the use of graded aerobic treadmill testing...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27558388/head-injuries-in-youth-are-often-linked-to-psychiatric-disorders-and-disability-study-finds
#16
Nigel Hawkes
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27552215/concussions-and-repercussions
#17
Donald A Redelmeier, Sheharyar Raza
In their Perspective, Donald A. Redelmeier and Sheharyar Raza discuss the significance of Seena Fazel and colleagues' longitudinal study of traumatic brain injury (TBI)-associated outcomes.
August 2016: PLoS Medicine
https://www.readbyqxmd.com/read/27548577/the-contribution-of-posttraumatic-stress-disorder-and-mild-traumatic-brain-injury-to-persistent-post-concussive-symptoms-following-motor-vehicle-accidents
#18
Shira Segev, Maayan Shorer, Yuri Rassovsky, Tammy Pilowsky Peleg, Alan Apter, Silvana Fennig
OBJECTIVE: Persistent postconcussive symptoms (PPCS) are a set of physical, cognitive, emotional, and behavioral symptoms that often follow mild traumatic brain injury (mTBI). Some of these symptoms also occur in posttraumatic stress disorder (PTSD). The current study examined the unique contribution of mTBI and PTSD to PPCS. The roles of neurocognitive and motivational factors were also addressed. METHOD: Sixty one children and adolescents (ages 6-18), at least 3 months post motor vehicle accident (MVA), participated in the study...
October 2016: Neuropsychology
https://www.readbyqxmd.com/read/27529079/cervical-spine-involvement-in-mild-traumatic-brain-injury-a-review
#19
REVIEW
Michael Morin, Pierre Langevin, Philippe Fait
Background. There is a lack of scientific evidence in the literature on the involvement of the cervical spine in mTBI; however, its involvement is clinically accepted. Objective. This paper reviews evidence for the involvement of the cervical spine in mTBI symptoms, the mechanisms of injury, and the efficacy of therapy for cervical spine with concussion-related symptoms. Methods. A keyword search was conducted on PubMed, ICL, SportDiscus, PEDro, CINAHL, and Cochrane Library databases for articles published since 1990...
2016: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/27521412/psychosocial-diagnoses-occurring-after-patients-present-with-fatigue
#20
Peter Reagh MacKean, Moira Stewart, Heather L Maddocks
OBJECTIVE: To discover the frequency of psychosocial and other diagnoses occurring at the end of a visit when patients present to their FPs with concerns about fatigue. DESIGN: Cross-sectional study of patient-FP encounters for fatigue. SETTING: Ten FP practices in southwestern Ontario. PARTICIPANTS: A total of 259 encounters involving 167 patients presenting to their FPs between March 1, 2006, and June 30, 2010, with concerns about fatigue...
August 2016: Canadian Family Physician Médecin de Famille Canadien
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