Quantitative Volumetric Imaging and Clinical Outcome Characterization of Symptomatic Concussion in 10- to 14-Year-Old Adolescent Athletes
| Autor: | Christine L. Mac Donald, Steve Ottinger, Kody Zalewski, David B. Coppel, Chris Panks, Jason Barber, Suzanne Peck, Nina de Lacy, Nancy R. Temkin, Jason N. Wright, Samantha Sun |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Health Behavior Population Poison control Physical Therapy Sports Therapy and Rehabilitation Anxiety Neuropsychological Tests 03 medical and health sciences 0302 clinical medicine Quality of life Concussion Humans Outpatient clinic Medicine Prospective Studies Child education Brain Concussion education.field_of_study biology Depression business.industry Athletes Rehabilitation Brain 030229 sport sciences biology.organism_classification medicine.disease Mental health Case-Control Studies Athletic Injuries Quality of Life Physical therapy Female Neurology (clinical) business Neurocognitive 030217 neurology & neurosurgery |
| Zdroj: | Journal of Head Trauma Rehabilitation. 33:E1-E10 |
| ISSN: | 0885-9701 |
| Popis: | OBJECTIVE Prior work suggests that younger athletes may be more vulnerable to postconcussive syndrome. We investigated measures of clinical outcome and quantitative volumetric imaging in 10- to 14-year-old adolescent athletes to better understand the impact of concussion on this younger population. SETTING Outpatient clinics. PARTICIPANTS Ten- to 14-year-old symptomatic pediatric sports concussion patients and typically developing active controls. DESIGN Prospective, observational multiclinic study. MAIN MEASURES Demographics, magnetic resonance imaging, clinical assessments (neurocognitive function, postconcussive symptoms, mental health symptoms, quality of life). RESULTS Neuropsychological performance was comparable between groups while symptoms of mental health were discriminating and comprised the top regression model describing factors related to overall health behavior impairment. Concussion patients had smaller total brain volume as well as total intracranial volume in comparison with controls even though there was no difference on measures of natural development (age, height, weight, education, gender, and handedness). CONCLUSIONS Findings indicate that 10- to 14-year-old concussion patients symptomatic at 1 month more likely exhibit mental health symptoms impairing health behavior than cognitive dysfunction. There may be a vulnerability for those with smaller brain volumes at the time of the exposure. The study provides new data to support further investigation into risk factors for prolonged symptoms in this younger athlete population. |
| Databáze: | OpenAIRE |
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