Exploring Vestibular/Ocular and Cognitive Dysfunction as Prognostic Factors for Protracted Recovery in Sports-Related Concussion Patients Aged 8 to 12 Years.

Autor:	Price AM; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas.; Department of Psychiatry, University of Texas-Southwestern Medical Center, Dallas, Texas., Knell G; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas.; Department of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston, Dallas, Texas.; Center for Pediatric Population Health, Children's Health/The University of Texas Health Science Center at Houston, Dallas, Texas; and.; Akron Children's Hospital, Akron, Ohio., Caze TJ 2nd; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas.; Department of Psychiatry, University of Texas-Southwestern Medical Center, Dallas, Texas., Abt JP; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas., Loveland D; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas., Burkhart SO; Children's Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas.; Department of Psychiatry, University of Texas-Southwestern Medical Center, Dallas, Texas.; Department of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston, Dallas, Texas.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2022 Jul 01; Vol. 32 (4), pp. 408-414. Date of Electronic Publication: 2021 Sep 08.
DOI:	10.1097/JSM.0000000000000975
Abstrakt:	Objective: To explore the prognostic ability of the vestibular/ocular motor screening (VOMS), King-Devick (K-D) Test, and C3 Logix Trails A and B to identify protracted recovery from sports-related concussion (SRC) in patients aged 8 to 12 years. Design: Retrospective cohort analysis. Setting: Specialty pediatric sports concussion clinic. Participants: A total of 114 youth athletes aged 8 to 12 years who were diagnosed with an SRC within 7 days of injury. Independent Variables: A positive screen on the VOMS, K-D, and C3 Logix Trails A and Trails B. Combined positive screens on multiple tests (ie, 2, 3, or all 4 positive screens of 4 possible). Main Outcome Measures: Recovery time in days and protracted recovery (recovery time ≥30-days) were the primary outcomes of interest. Results: A positive VOMS screen was associated with 1.31 greater days to SRC recovery ( P = 0.02) than a negative VOMS screen. The K-D and C3 Logix tests were not significantly associated with recovery time, nor were any combinations of tests ( P > 0.05). The VOMS demonstrated moderate prognostic ability to predict normal recovery (negative predictive value = 80.78% [95% CI = 63.73-90.95]). Overall predictive accuracy of normal versus protracted recovery was strongest when a participant screened positive on all 4 tests (Accuracy = 76.32% [95% CI = 67.45-83.78]). Conclusions: The VOMS was associated with overall recovery time and proved to be a useful test to identify those who would experience a normal recovery time. Combining the 4 tests improved the prognostic accuracy of the protocol in predicting protracted versus normal recovery. These findings suggest that combining multiple, varied assessments of cognition and vestibular/ocular functions may better explain factors contributing to protracted recovery. Competing Interests: The authors report no conflicts of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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