Adolescents Demonstrate Greater Gait Balance Control Deficits After Concussion Than Young Adults
| Autor: | Li-Shan Chou, Louis R. Osternig, David R. Howell |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Physical Therapy Sports Therapy and Rehabilitation Walking Young Adult Physical medicine and rehabilitation Concussion Humans Medicine Orthopedics and Sports Medicine Longitudinal Studies Prospective Studies Young adult Prospective cohort study Gait Postural Balance Brain Concussion Balance (ability) Trauma Severity Indices business.industry Age Factors medicine.disease Case-Control Studies Gait analysis Sensation Disorders Stroop Test Physical therapy Female business Cohort study |
| Zdroj: | The American Journal of Sports Medicine. 43:625-632 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/0363546514560994 |
| Popis: | Background: Age has been described as a factor that affects recovery after concussion. The recommended management protocol is to treat adolescents in a more cautious manner than adults. However, few studies have prospectively and longitudinally assessed the way these age groups perform on motor tasks after concussion. Purpose: To examine dual-task gait balance control deficits after concussion in a group of adolescents and young adults in reference to matched control subjects within 72 hours of injury and throughout 2 months after injury. Study Design: Cohort study; Level of evidence, 2. Methods: Adolescents and young adults who sustained a concussion and individually matched controls completed a whole-body motion gait analysis while simultaneously performing a cognitive task. Subjects with concussion reported to the laboratory within 72 hours after injury and at the following time points: 1 week, 2 weeks, 1 month, and 2 months after injury. Control subjects completed the same protocol at similar time points. Gait balance control measurements included whole-body center-of-mass (COM) medial-lateral displacement/velocity and anterior velocity. Results: A total of 38 subjects with concussion, 19 young adults (mean ± SD age, 20.3 ± 2.4 years) and 19 adolescents (mean ± SD age, 15.1 ± 1.1 years), and 38 individually matched control subjects were tested. Within 72 hours of injury, adolescents displayed significantly greater COM medial-lateral displacement ( P = .001) and peak velocity ( P = .001) relative to their control group, and the young adult concussion group displayed significantly less peak COM anterior velocity than their control group ( P = .01). Across the 2 months of testing, adolescents with concussion displayed significantly greater total COM medial-lateral displacement than did adolescent controls ( P = .001), while young adults with concussion did not significantly differ from their matched controls ( P = .07). Conclusion: An examination of gait balance control during dual-task walking revealed that after concussion, in reference to matched controls, adolescents demonstrated greater gait balance control deficits than did young adults initially and throughout the 2-month postinjury period, supporting the recommendation of conservative management for adolescents after concussion. |
| Databáze: | OpenAIRE |
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