Cognitive and physical symptoms of concussive injury in children: a detailed longitudinal recovery study.
Br J Sports Med
; 50(5): 311-6, 2016 Mar.
Article
en En
| MEDLINE
| ID: mdl-26429808
ABSTRACT
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 10-17â years. 10 participants sustained a concussive injury (n=10) in the 12â 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 child's quality of life and executive functions.RESULTS:
Children and adolescents displayed a gradual reduction in postconcussive symptoms over the 30â 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 5â days postconcussion, the majority of children and adolescents experienced debilitating postconcussive symptoms. However, by 30â days postinjury, 90% demonstrated recovery to normal for both neurocognition and postconcussive symptoms.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos en Atletas
/
Conmoción Encefálica
/
Cognición
/
Síndrome Posconmocional
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Br J Sports Med
Año:
2016
Tipo del documento:
Article
País de afiliación:
Australia