A Battery of Easily Accessible, Simple Tools for the Assessment of Concussion in Children.
J Pediatr
; 229: 232-239.e1, 2021 02.
Article
en En
| MEDLINE
| ID: mdl-33068568
ABSTRACT
OBJECTIVE:
To determine whether a non-proprietary, novel testing battery can identify recently concussed children within 8 weeks of injury. STUDYDESIGN:
In total, 568 clinic outpatients aged 10-18 years were sorted into 3 groups 316 had never been concussed, 162 had ever been concussed before 8 weeks earlier, and 90 had been recently concussed within 8 weeks. At initial and any subsequent visits, a neurologic examination and 4 procedures were performed Stick Drop, Wall Ball, Sharpened Modified Romberg (SMR), and Animal Naming. Analysis included inter-group and intra-person performance differences using a series of t tests on the Stick Drop, Wall Ball, SMR, and Animal Naming.RESULTS:
The recently concussed group performed worse (P < .01 for all) on Stick Drop, total Wall Ball bounces and drops, and SMR compared with never-concussed and ever-concussed groups. This effect for Stick Drop, SMR, and Wall Ball but not Animal Naming persisted beyond the 4 weeks commonly stated to define recovery. Of 59 recently concussed subjects who returned for ≥1 visit, there were improvements in Stick Drop average (P = .004) and maxima (P = .02) as well as SMR (P = .01) but not Animal Naming between initial and subsequent visits.CONCLUSIONS:
This novel, rapid testing battery distinguished groups of children ages 10-18 years who had and had not experienced a recent concussion. A view that physical concussion symptoms resolve within a month of injury may be incomplete. Deployment of this readily available, inexpensive and non-proprietary battery should be compared with other tools and studied further in serial assessments.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Conmoción Encefálica
/
Pruebas Neuropsicológicas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
J Pediatr
Año:
2021
Tipo del documento:
Article