Less Than Half of Patients Recover Within 2 Weeks of Injury After a Sports-Related Mild Traumatic Brain Injury: A 2-Year Prospective Study
| Autor: | Mark L Fulcher, Stephen Kara, Katherine Forch, Alana Cavadino, Josh McGeown, Hannah Crosswell |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Traumatic brain injury medicine.medical_treatment Rest Poison control Physical Therapy Sports Therapy and Rehabilitation Occupational safety and health 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Injury prevention Concussion medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Prospective Studies Young adult Prospective cohort study Child Brain Concussion Rehabilitation Cognitive Behavioral Therapy business.industry Age Factors 030229 sport sciences Recovery of Function Middle Aged medicine.disease Exercise Therapy Athletic Injuries Physical therapy Female business |
| Zdroj: | Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 30(2) |
| ISSN: | 1536-3724 |
| Popis: | Objective To describe clinical recovery time and factors that might impact on recovery after a sports-related mild traumatic brain injury (SR-mTBI; concussion). Design Prospective cohort study (level IV evidence). Setting New Zealand Sports Concussion Clinic. Participants Eight hundred twenty-two patients presenting within 14 days of a SR-mTBI/concussion over a 2-year period. Main outcome measures Clinical recovery measured as number of days after injury. Interventions methods Participants were assessed and managed using a standardized protocol consisting of relative rest followed by controlled cognitive and physical loading. A reassessment was performed 14 days after injury with initiation of an active rehabilitation program consisting of a subsymptom threshold exercise program ± cervicovestibular rehabilitation (if required) for participants who remained symptomatic. Participants were then assessed every 2 weeks until clinical recovery. Results A total of 594 participants were eligible for analysis (mean age 20.2 ± 8.7 years, 77% males) and were grouped into 3 age cohorts: children (≤12 years), adolescents (13-18 years), and adults (≥19 years). Forty-five percent of participants showed clinical recovery within 14 days of injury, 77% by 4 weeks after injury, and 96% by 8 weeks after injury. There was no significant difference in recovery time between age groups. Prolonged recovery was more common in females (P = 0.001), participants with "concussion modifiers" (P = 0.001), and with increased time between injury and the initial appointment (P = 0.003). Conclusions This study challenges current perceptions that most people with a SR-mTBI (concussion) recover within 10 to 14 days and that age is a determinant of recovery rate. Active rehabilitation results in high recovery rates after SR-mTBI. |
| Databáze: | OpenAIRE |
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