Age is associated with postural control performance following youth concussion.
| Autor: | Walker, Gregory A., Wilson, Julie C., Potter, Morgan N., Provance, Aaron J., Kirkwood, Michael, Howell, David R. |
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| Předmět: |
PATIENT aftercare
POSTURAL balance AGE distribution CROSS-sectional method GAIT in humans CHILDREN'S hospitals TASK performance FISHER exact test COMPARATIVE studies BRAIN concussion DESCRIPTIVE statistics SCALE analysis (Psychology) DATA analysis software LOGISTIC regression analysis REHABILITATION for brain injury patients |
| Zdroj: | Journal of Pediatric Rehabilitation Medicine; 2021, Vol. 14 Issue 3, p443-450, 8p |
| Abstrakt: | PURPOSE: To examine the effect of age on postural control outcomes among patients being seen during their initial post-concussion clinical visit. METHODS: Youth patients were seen≤14 days post-concussion, and completed a series of postural control evaluations: tandem gait, Romberg, and Balance Error Scoring System (BESS) tests. RESULTS: We included 109 children 8–12 years of age (24% female, evaluated median = 7 [interquartile range = 4–10] days post-injury) and 353 adolescents aged 13–18 years (36% female, evaluated median = 7 [4–10] days post-injury). There was a higher proportion of children who demonstrated abnormal tandem gait relative to adolescents (26% vs. 11%; p < 0.001). They also made more BESS errors in single (median = 5 [2–10] vs. 4 [2–6] errors) and tandem (median = 3 [1–6] vs. 2 [0–4]) firm stances. After covariate adjustment, children demonstrated worse tandem gait (adjusted odds ratio = 3.05, 95% CI = 1.68–5.53) and more firm surface BESS errors (double stance β=0.51, 95% CI = 0.22–0.80; single stance β= 1.18, 95% CI = 0.42–1.95; tandem stance β= 0.98, 95% CI = 0.28–1.68) than adolescents. CONCLUSIONS: Tandem gait and BESS performance following concussion differ in children compared to adolescents who present within 2 weeks of injury. Clinicians assessing and managing concussion should recognize age differences in postural control performance when assessing those with concussion. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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