Activity Level During Acute Concussion May Predict Symptom Recovery Within an Active Duty Military Population
| Autor: | Keith Stuessi, Jason M. Bailie, Amy Cecchini, Rosemay A. Remigio-Baker, Emma Gregory, Mark L. Ettenhofer, Karen L. McCulloch, Taylor R. Andrews, Lynita Mullins, Wesley R Cole |
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| Rok vydání: | 2020 |
| Předmět: |
Activity level
030506 rehabilitation Excessive activity medicine.medical_specialty Population Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Baseline activity Internal medicine Concussion Humans Medicine education Exercise Brain Concussion Balance (ability) education.field_of_study business.industry Rehabilitation Service member medicine.disease Military Personnel Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Active duty military |
| Zdroj: | Journal of Head Trauma Rehabilitation. 35:92-103 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0000000000000498 |
| Popis: | OBJECTIVE To evaluate the impact on symptom resolution of activity acutely following a concussion and the role of acute-phase symptoms on this relationship among active duty service members (SMs). SETTING Three military installations. PARTICIPANTS Sixty-two SMs aged 18 to 44 years who sustained a concussion within 72 hours of enrollment. DESIGN Longitudinal design with data collected within 72 hours of injury (baseline, n = 62) and at 1 week (n = 57), 1 month (n = 50), 3 months (n = 41), and 6 months (n = 40) postinjury. MAIN MEASURES Baseline activity level using a 60-item Activity Questionnaire. Symptom level at baseline and during follow-up using Neurobehavioral Symptoms Inventory. RESULTS Significant interaction (Pi < .05) was found, with significant main effects (P < .05) limited to SMs with elevated baseline symptomatology. Among these participants, greater baseline total activity was significantly related to greater vestibular symptoms at 1, 3, and 6 months (β = .61, .63, and .59, respectively). Significant associations were also found for particular types of baseline activity (eg, physical; vestibular/balance; military-specific) and symptoms at 1, 3, and/or 6 months postinjury. CONCLUSION These results provide support for clinical guidance that symptomatic SMs, particularly those with high levels of acute symptoms, may need to avoid excessive activity acutely following concussion. |
| Databáze: | OpenAIRE |
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