Acute post-concussive symptoms in young children

Bernard, Coco O.; McKinlay, Audrey; Krieser, David; Testa, Renée; Ponsford, Jennie

doi:10.1080/02699052.2017.1350999

Cited by 20 publications

(22 citation statements)

References 67 publications

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“…Concussion is defined as reversible neurological dysfunction in the absence of gross brain lesions, caused by either by a direct blow to the head, neck, or elsewhere on the body with an impulsive force transmitted to the head (3, 4). SRC presents with a variety of somatic, cognitive, and affective symptoms (5). Symptom-limited exercise intolerance, i.e., the inability to exercise to the level predicted for one's age and fitness because of symptom exacerbation, helps to define physiological dysfunction after SRC (6).…”

Section: Introductionmentioning

confidence: 99%

The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents

et al. 2019

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The Buffalo Concussion Treadmill Test (BCTT) identifies the heart rate threshold (HRt) of exercise tolerance in concussed patients. A previous study found that an absolute HRt of < 135 bpm was associated with prolonged recovery (>30 days) from sport-related concussion (SRC). In this study, we assessed the relationship of ΔHR (difference between resting HR and HRt) and recovery from SRC. Using a retrospective cohort design, we compared acutely (<10 days since injury) concussed adolescents who were prescribed either (1) relative rest (RG, n = 27, 15.2 ± 1 years, 33% female, median 17 days to recovery, ΔHR = 69.6 ± 28 bpm), (2) a placebo-stretching program (PG, n = 51, 15.4 ± 2 years, 49% female, median 17 days to recovery, ΔHR = 60.9 ± 22 bpm), or (3) sub-threshold aerobic exercise (AG, n = 52, 15.3 ± 2 years, 46% female, median 13 days to recovery, ΔHR = 62.4 ± 26 bpm). Linear regression showed that ΔHR significantly correlated with duration of clinical recovery for RG ( p = 0.012, R 2 = 0.228) and PG ( p = 0.011, R 2 = 0.126) but not for AG ( p = 0.084, R 2 = 0.059). ΔHR values were significantly lower in participants with prolonged recovery (>30 days) in RG ( p = 0.01) and PG ( p = 0.04). A ΔHR of ≤50 bpm on the BCTT is 73% sensitive and 78% specific for predicting prolonged recovery in concussed adolescents who were prescribed the current standard of care (i.e., cognitive and physical rest).

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Section: Introductionmentioning

confidence: 99%

The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents

et al. 2019

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“…Some studies suggest that caregivers of young children may underreport PCS11–14; however, this could be due to the absence of any validated measure to capture PCS in infants, toddlers, and preschoolers. Some early mTBI work relied on measures developed for older children despite their limitations14–18; one study used a modified version of a validated PCS measure and asked parents to report symptoms that were not included in the checklist13; other researchers retrospectively reviewed patient charts to document symptoms not typically included in existing PCS questionnaires 14,19.…”

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confidence: 99%

Report of Early Childhood Traumatic Injury Observations & Symptoms: Preliminary Validation of an Observational Measure of Postconcussive Symptoms

Dupont

Beaudoin

Désiré

et al. 2021

Journal of Head Trauma Rehabilitation

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Objective: To report preliminary empirical data on a novel, developmentally appropriate, observational postconcussive symptoms inventory for infants, toddlers, and preschoolers. Setting: Emergency departments of 2 tertiary, urban pediatric hospitals. Participants: Ninety-eight children (0-8 years of age; mean age at injury = 33.00, SD = 24.7 months) with mild traumatic brain injury (concussion) divided into younger (0-2 years) and older (3-8 years) age groups. Design: Observational study. Main Measure: The Report of Early Childhood Traumatic Injury Observations & Symptoms (REACTIONS) documents 17 postconcussive symptoms representing observable manifestations thereof and was completed by parents in the acute (24-48 hours; n = 65), subacute (7-14 days; n = 78), and/or persistent phase (25-35 days; n = 72) post-mild traumatic brain injury. Results: Different patterns of postconcussive symptoms were reported by age group, with behavioral manifestations particularly salient in younger children. More children younger than 2 years had sleep and comfort-seeking symptoms at each of the 3 postinjury time points. Conclusion: Postconcussive symptoms may manifest differently after mild traumatic brain injury sustained during early childhood. To fully understand and address their presence and evolution, developmentally sound measures such as the REACTIONS inventory are required.

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“…The purpose of assessment at this point in recovery is to explore and identify the causes for symptom maintenance, diagnostic accuracy, and the development and implementation of an individualized treatment plan [ 40 ]. Several factors affect the prolongation of mTBI-related symptoms such as prior concussions; premorbid attentional issues and learning disabilities; past medical history of poor sleep hygiene, headaches, anxiety, depression, and familial stress; and litigation [ 62 , 63 ]. Patients often attribute their post-concussive symptoms to mTBI when they were present before their injury [ 56 ].…”

Section: Role Of Neuropsychologistsmentioning

confidence: 99%

Psychologists’ Role in Concussion Assessments for Children and Adolescents in Pediatric Practice

Apple

Stran

Tross

2020

IJERPH

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An estimated 1.1 to 1.9 million children and adolescents in the United States are treated for a sports- or recreationally-related concussion each year. The importance of formalized assessment and measurement of concussion symptoms has been widely recognized as a component of best-practice treatment. The present paper reviews a sample of the most commonly used measures of concussion symptomology and explores psychologists’ role in their application in a pediatric practice. In addition, other issues such as accessibility and the appropriateness of application with child and adolescent patients are discussed. Literature is reviewed from journals pertaining to pediatric and adolescent medicine, sports medicine, neuropsychology, and testing and measurement.

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Acute post-concussive symptoms in young children

Cited by 20 publications

References 67 publications

The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents

The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents

Report of Early Childhood Traumatic Injury Observations & Symptoms: Preliminary Validation of an Observational Measure of Postconcussive Symptoms

Psychologists’ Role in Concussion Assessments for Children and Adolescents in Pediatric Practice

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