Persistent impairment based symptoms post mild traumatic brain injury: Does a standard symptom scale detect them?

Autor: Galea OA; School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, 4072, Australia. Electronic address: olivia.galea@uqconnect.edu.au., O'Leary SP; School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, 4072, Australia; Physiotherapy Department, The Royal Brisbane and Women's Hospital, Herston, Australia., Treleaven JM; School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, 4072, Australia.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2019 Jun; Vol. 41, pp. 15-22. Date of Electronic Publication: 2019 Feb 20.
DOI: 10.1016/j.msksp.2019.02.002
Abstrakt: Aim: To further explore symptoms in patients beyond the expected recovery period post mild Traumatic Brain Injury (mTBI) that are potentially indicative of impairment.
Methods: Ninety-four individuals (62 diagnosed with mTBI within the previous 4-24 weeks and 32 healthy controls) participated in the study. Participants in the mTBI group were further grouped as symptomatic (n = 33) or asymptomatic (n = 29) based on their spontaneous report of symptoms at the time of screening. Measures included a demographic questionnaire, 8 impairment specific self-report clinical tools, and a standard post-mTBI self-report symptom scale (Head Injury Scale (HIS)).
Results: Compared to the control group, scores for all instruments (including the HIS) were higher in the symptomatic mTBI group (P < 0.05), and higher for the neck disability and hyperarousal measures in the asymptomatic mTBI group (p < 0.035), but not the HIS (p > 0.093). Overall 94% of the symptomatic and 62% of the asymptomatic participants post-mTBI, recorded scores considered to be clinically relevant on at least one impairment screening tool. In contrast, only 28% of the asymptomatic mTBI group recorded a clinically relevant score for the HIS.
Conclusion: Symptoms indicative of persisting impairments beyond the expected recovery period were apparent in a substantial proportion of individuals post mTBI. Furthermore, a high percentage of individuals initially reporting as symptom free demonstrated clinically relevant scores on at least one impairment screening tool. Findings also suggest that a standard post-mTBI self-report symptom scale may often not detect the presence of persisting symptoms.
(Copyright © 2019. Published by Elsevier Ltd.)
Databáze: MEDLINE
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