A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion.

Autor: Prim JH; Department of Allied Health Sciences, Curriculum in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA., Davila MI; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA., McCulloch KL; Department of Allied Health Sciences, Curriculum in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.; Department of Allied Health Sciences, Division of Physical Therapy, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Jazyk: angličtina
Zdroj: Concussion (London, England) [Concussion] 2021 Apr 09; Vol. 6 (1), pp. CNC88. Date of Electronic Publication: 2021 Apr 09.
DOI: 10.2217/cnc-2020-0018
Abstrakt: Background: Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV).
Methodology & Results: We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram.
Conclusion: Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use.
Competing Interests: Financial & competing interests disclosure This research was supported by the Carolina Digital Health Research Initiative (CaDHRI) and Research Electronic Data Capture (REDCap). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
(© 2021 Future Medicine Ltd.)
Databáze: MEDLINE