Temporal Differences in Concussion Symptom Factors in Adolescents following Sports-Related Concussion

Eagle, Shawn R.; Kissinger-Knox, Alicia; Feder, Abigail; Manderino, Lisa; Preszler, Jonathan; Womble, Melissa N.; Elbin, R.J.; Collins, Michael W.; Kontos, Anthony P.

doi:10.1016/j.jpeds.2022.02.013

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Previous research suggests that a “global” cognitive–migraine–fatigue symptom factor, characterized by an amalgamation of fatigue, cognitive dysfunction, and migraine symptoms, is prominent within 7 days of SRC. 10,22,23 Therefore, it is unsurprising that approximately 3 days after injury, most patients in this study had migraine or cognitive/fatigue clinical profiles. Other symptom factors, including mood and sleep, may be more distinct and severe more than 15 days postinjury.…”

Section: Discussionmentioning

confidence: 93%

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The Association Among Clinical Profiles, Modifiers, and Prolonged Recovery in Adolescents With Sport-Related Concussion

Anderson,

Reynolds,

Gilliland

et al. 2023

Clinical Journal of Sport Medicine

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Objective: The purposes were to (1) describe the prevalence of clinical profiles and modifiers, (2) examine the association between clinical profiles and prolonged recovery, and (3) examine the interaction between clinical profiles and modifiers and prolonged recovery in adolescents with sport-related concussion (SRC). Design: Retrospective, cross-sectional. Setting: Interdisciplinary specialty sports concussion clinic. Patients: Patients (n = 299) aged 12 to 19 years who were diagnosed with SRC within 30 days of injury. Independent Variables: Clinical profiles and modifiers were decided by the clinical judgment of the clinical neuropsychologist and sports medicine physician, using data from the Clinical Profile Screen and information gathered from the clinical interview, neurocognitive, and vestibular and ocular motor testing. Main Outcome Measures: Prolonged recovery was defined as ≥28 days from the date of injury to the date of clearance. Results: The most common clinical profiles were migraine (34.8%) and cognitive–fatigue (23.4%). There were no significant relationships between clinical profiles and prolonged recovery (Wald = 5.89, df = 4, P = 0.21). The presence of a modifier did not significantly affect the relationship between clinical profiles and prolonged recovery ( = 6.5, df = 5, P = 0.26). The presence of any modifier yielded a 10-day increase in median recovery time within the cognitive/fatigue clinical profile (Wilcoxon rank-sum = 268.5, P = 0.01). Conclusions: Although patients with a clinical profile and modifier may not experience prolonged recovery, they may experience longer recovery time than patients with a clinical profile and no modifier.

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Section: Discussionmentioning

confidence: 93%

“…Other symptom factors, including mood and sleep, may be more distinct and severe more than 15 days postinjury. 10,22,23 Although this study only examined the prevalence of clinical profiles at the first clinic visit, future research should examine whether there is a temporal component to the presentation of clinical profiles across recovery.…”

Section: Discussionmentioning

confidence: 99%

The Association Among Clinical Profiles, Modifiers, and Prolonged Recovery in Adolescents With Sport-Related Concussion

Anderson,

Reynolds,

Gilliland

et al. 2023

Clinical Journal of Sport Medicine

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“…Time since the concussion is an important factor in managing individuals with a concussion. Although concussed participants in this study were from a wide range of injury onset, they were recruited while they were seeking medical intervention for their concussion symptoms ( 23 – 25 ).…”

Section: Discussionmentioning

confidence: 99%

Validation of the Gait Disorientation Test in children with concussion

et al. 2022

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BackgroundMild traumatic brain injury (mTBI) or concussion is a complex injury that is difficult to diagnose and assess. There are negative impacts on cognition, balance, and mobility after a concussion. The Gait Disorientation Test (GDT) is an objective measure that assesses a person's balance ability by comparing the walking time with eyes open and the walking time with eyes closed in a standardized walking task. The purpose of this study was to assess the validity and the diagnostic properties of the GDT in children with concussions.MethodsThirty-six children with concussions, and 91 controls aged between 9 and 18 years old participated in the study. Participants completed demographics, the GDT, the Functional Gait Assessment (FGA), the Pediatric Vestibular Symptom Questionnaire (PVSQ), and the Pediatric Visually Induced Dizziness Questionnaire (PVID).ResultsChildren with concussions showed higher (worse) GDT scores (M = 2.18 ± 1.93 s) than healthy controls (M = 1.13 ± 0.95 s), which was statistically significant (P = 0.014).ConclusionThe GDT was able to distinguish between children with concussions and healthy controls. Given the simplicity of the GDT, it can be used to assist in discriminating between children with and without concussion.

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A Game of Guess Who? Testing Measurement Models between Different Groups

Lilly

2022

The Journal of Pediatrics

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Temporal Differences in Concussion Symptom Factors in Adolescents following Sports-Related Concussion

Cited by 5 publications

References 14 publications

The Association Among Clinical Profiles, Modifiers, and Prolonged Recovery in Adolescents With Sport-Related Concussion

The Association Among Clinical Profiles, Modifiers, and Prolonged Recovery in Adolescents With Sport-Related Concussion

Validation of the Gait Disorientation Test in children with concussion

A Game of Guess Who? Testing Measurement Models between Different Groups

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