Detection of Subtle Cognitive Changes after mTBI Using a Novel Tablet-Based Task
| Autor: | Saumil S. Patel, Stuart D. Red, James J. McCarthy, Tara D. Fischer, Elizabeth B. Jones, Alice Z. Chuang, Anne B. Sereno |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Eye Movements Traumatic brain injury Audiology Neuropsychological Tests Sensitivity and Specificity 050105 experimental psychology Task (project management) 03 medical and health sciences Young Adult 0302 clinical medicine Concussion medicine Humans 0501 psychology and cognitive sciences Cognitive Dysfunction Young adult Brain Concussion business.industry 05 social sciences Eye movement Cognition Original Articles Middle Aged medicine.disease Categorization Computers Handheld Eye tracking Female Neurology (clinical) business Neuroscience 030217 neurology & neurosurgery Psychomotor Performance |
| Popis: | This study examined the potential for novel tablet-based tasks, modeled after eye tracking techniques, to detect subtle sensorimotor and cognitive deficits after mild traumatic brain injury (mTBI). Specifically, we examined whether performance on these tablet-based tasks (Pro-point and Anti-point) was able to correctly categorize concussed versus non-concussed participants, compared with performance on other standardized tests for concussion. Patients admitted to the emergency department with mTBI were tested on the Pro-point and Anti-point tasks, a current standard cognitive screening test (i.e., the Standard Assessment of Concussion [SAC]), and another eye movement-based tablet test, the King-Devick(®) (KD). Within hours after injury, mTBI patients showed significant slowing in response times, compared with both orthopedic and age-matched control groups, in the Pro-point task, demonstrating deficits in sensorimotor function. Mild TBI patients also showed significant slowing, compared with both control groups, on the Anti-point task, even when controlling for sensorimotor slowing, indicating deficits in cognitive function. Performance on the SAC test revealed similar deficits of cognitive function in the mTBI group, compared with the age-matched control group; however, the KD test showed no evidence of cognitive slowing in mTBI patients, compared with either control group. Further, measuring the sensitivity and specificity of these tasks to accurately predict mTBI with receiver operating characteristic analysis indicated that the Anti-point and Pro-point tasks reached excellent levels of accuracy and fared better than current standardized tools for assessment of concussion. Our findings suggest that these rapid tablet-based tasks are able to reliably detect and measure functional impairment in cognitive and sensorimotor control within hours after mTBI. These tasks may provide a more sensitive diagnostic measure for functional deficits that could prove key to earlier detection of concussion, evaluation of interventions, or even prediction of persistent symptoms. |
| Databáze: | OpenAIRE |
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