Mood-related changes in children and adolescents with persistent concussion symptoms following a six-week active rehabilitation program.

Autor:	Hunt AW; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada.; Department of Occupational Science & Occupational Therapy, University of Toronto , Toronto, ON, Canada.; Rehabilitation Sciences Institute, University of Toronto , Toronto, ON, Canada., Agnihotri S; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada.; Rehabilitation Sciences Institute, University of Toronto , Toronto, ON, Canada., Sack L; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada., Tint A; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada.; Centre for Addiction and Mental Health , Toronto, ON, Canada.; Faculty of Medicine, University of Toronto , Toronto, ON, Canada., Greenspoon D; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada., Gauvin-Lepage J; Faculty of Nursing, Université De Montréal , Montreal, QC, Canada.; Research Center of the Sainte-Justine University Hospital , Montreal, QC, Canada., Gagnon I; School of Physical and Occupational Therapy, Faculty of Medicine, McGill University , Montreal, QC, Canada.; Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Center , Montreal, QC, Canada., Reed N; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada.; Department of Occupational Science & Occupational Therapy, University of Toronto , Toronto, ON, Canada.; Rehabilitation Sciences Institute, University of Toronto , Toronto, ON, Canada., Scratch S; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto, ON, Canada.; Rehabilitation Sciences Institute, University of Toronto , Toronto, ON, Canada.
Jazyk:	angličtina
Zdroj:	Brain injury [Brain Inj] 2020 Jul 02; Vol. 34 (8), pp. 1068-1073. Date of Electronic Publication: 2020 Jun 12.
DOI:	10.1080/02699052.2020.1776396
Abstrakt:	Primary Objective: The purpose of this study is to explore changes in mood in youth with persistent post-concussion symptoms following participation in a six-week active rehabilitation program. Research Design: A pre-post test design was used. Methods and Procedures: Participants (N = 40 children and adolescents with concussion symptoms >2 weeks post-injury) were recruited from the concussion services at an urban children's rehabilitation hospital and the community. The program consisted of individualized low-intensity aerobic exercise, sport-specific drills, relaxation exercises and comprehensive education and support. The 6 week program was completed by participants in their home or local community with weekly check-ins with the research team. Data were analyzed using descriptive statistics and linear regressions. Main Outcomes and Results: Outcome measures included the Beck Youth Inventories (youth), and the Child Behavior Checklist (parents). Results indicated significant improvements in anger and anxiety post-intervention with anger reduction being more pronounced in girls. Conclusions: Active rehabilitation interventions may have positive effects on mood in youth recovering from concussion. Clinicians may wish to consider addressing anxiety and anger management strategies as part of comprehensive concussion management in youth.
Databáze:	MEDLINE
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