Expert Panel Survey to Update the American Congress of Rehabilitation Medicine Definition of Mild Traumatic Brain Injury
| Autor: | Noah D. Silverberg, Grant L. Iverson, David B. Arciniegas, Mark T. Bayley, Jeffrey J. Bazarian, Kathleen R. Bell, Steven P. Broglio, David Cifu, Gavin A. Davis, Jiri Dvorak, Ruben J. Echemendia, Gerard A. Gioia, Christopher C. Giza, Sidney R. Hinds, Douglas I. Katz, Brad G. Kurowski, John J. Leddy, Natalie Le Sage, Angela Lumba-Brown, Andrew I.R. Maas, Geoffrey T. Manley, Michael McCrea, Paul McCrory, David K. Menon, Margot Putukian, Stacy J. Suskauer, Joukje van der Naalt, William C. Walker, Keith Owen Yeates, Ross Zafonte, Nathan Zasler, Roger Zemek, Jessica Brown, Alison Cogan, Kristen Dams-O’Connor, Richard Delmonico, Min Jeong Park Graf, Mary Alexis Iaccarino, Maria Kajankova, Joshua Kamins, Karen L. McCulloch, Gary McKinney, Drew Nagele, William J. Panenka, Amanda R. Rabinowitz, Nick Reed, Jennifer V. Wethe, Victoria Whitehair |
|---|---|
| Přispěvatelé: | Molecular Neuroscience and Ageing Research (MOLAR) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Consensus Traumatic brain injury medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Neuroimaging Interquartile range Concussion Diagnosis medicine Brain concussion Rehabilitation business.industry medicine.disease Test (assessment) Differential diagnosis 0305 other medical science business Surveys and questionnaires 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, 102(1), 76-86. W B SAUNDERS CO-ELSEVIER INC |
| ISSN: | 0003-9993 |
| Popis: | Objective: As part of an initiative led by the Brain Injury Special Interest Group Mild Traumatic Brain Injury (TBI) Task Force of the American Congress of Rehabilitation Medicine (ACRM) to update the 1993 ACRM definition of mild TBI, the present study aimed to characterize current expert opinion on diagnostic considerations. Design: Cross-sectional web-based survey. Setting: Not applicable. Participants: An international, interdisciplinary group of clinician-scientists (N=31) with expertise in mild TBI completed the survey by invitation between May and July 2019 (100% completion rate). Interventions: Not applicable. Main Outcome Measures: Ratings of agreement with statements related to the diagnosis of mild TBI and ratings of the importance of various clinical signs, symptoms, test findings, and contextual factors for increasing the likelihood that the individual sustained a mild TBI, on a scale ranging from 1 (“not at all important”) to 10 (“extremely important”). Results: Men (n=25; 81%) and Americans (n=21; 68%) were over-represented in the sample. The survey revealed areas of expert agreement (eg, acute symptoms are diagnostically useful) and disagreement (eg, whether mild TBI with abnormal structural neuroimaging should be considered the same diagnostic entity as “concussion”). Observable signs were generally rated as more diagnostically important than subjective symptoms (Wilcoxon signed ranks test, Z=3.77; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|