Cognitive and physical symptoms of concussive injury in children: a detailed longitudinal recovery study
| Autor: | Louise Crowe, David Maddocks, Gavin A Davis, Helen Clausen, Julian Dooley, Alex Collie, Vicki Anderson, Stephen Hearps, Paul McCrory |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent Victoria Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Neuropsychological Tests Executive Function 03 medical and health sciences Cognition 0302 clinical medicine Quality of life 030225 pediatrics Concussion Injury prevention Reaction Time Humans Medicine Orthopedics and Sports Medicine Longitudinal Studies Prospective Studies Child Brain Concussion Rehabilitation Post-concussion syndrome Post-Concussion Syndrome business.industry General Medicine medicine.disease Athletic Injuries Quality of Life Physical therapy Female Self Report business Neurocognitive 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Sports Medicine. 50:311-316 |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2015-094663 |
| Popis: | Background Recovery from concussion sustained in childhood and adolescence is poorly understood. We explored patterns of recovery for neurocognition and postconcussive symptoms following concussion in children and adolescents. Methods Using a prospective, longitudinal design, we collected baseline data on 728 children and adolescents aged 10–17 years. 10 participants sustained a concussive injury (n=10) in the 12 months following baseline testing and they were reviewed at day 5, 10 and 30 postconcussion. Assessments included the CogSport for Kids computerised test battery to evaluate neurocognitive function and self-report, and parent measures of postconcussive symptoms. At day 30, parents also completed measures rating their child9s quality of life and executive functions. Results Children and adolescents displayed a gradual reduction in postconcussive symptoms over the 30 days following injury. At day 5, 87% of participants were reporting physical and cognitive symptoms, with a generalised reduction in all symptoms by day 10 (40% of participants). On the computerised measure, reaction time was slower after concussion, but returned to baseline levels by day 30. At day 30, 10% of participants demonstrated ongoing postconcussive symptoms. Number of previous concussions was related to speed of symptom resolution. Conclusions At 5 days postconcussion, the majority of children and adolescents experienced debilitating postconcussive symptoms. However, by 30 days postinjury, 90% demonstrated recovery to normal for both neurocognition and postconcussive symptoms. |
| Databáze: | OpenAIRE |
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