Does early exercise intolerance effect time to return to play, symptom burden, neurocognition, Vestibular-Ocular-Motor (VOM) function and academic ability in acutely concussed student-athletes?

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2024-10-14 Epub Date: 2024-06-23 DOI:10.1080/02699052.2024.2367477

K Glendon, G Blenkinsop, A Belli, M T G Pain

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引用次数: 0

Abstract

Introduction: Early Exercise Intolerance (EEI) is associated with delayed recovery and longer time to Return To Play (RTP), but this has not been established.Participants; (n = 52, male n = 30) UK university-aged rugby-union student-athletes.

Methods: Student-athletes completed baseline screening (July-October 2021 and 2022). The test battery was repeated within 48 h, 4, 8 and 14 days after a Sports-Related Concussion (SRC) with the Buffalo Concussion Bike or Treadmill Test to set sub-symptom heart rate threshold. Student-athletes then completed a controlled early exercise protocol in-between reassessment (days 3, 5-7 and 9-13). Those with EEI were compared to those with early-exercise tolerance.

Outcome measures: Post-Concussion Symptom Scale, Immediate Post-Concussion and Cognitive Test, Vestibular-Ocular Motor Screening Tool and the Revised Perceived Academic Impact Tool.

Results: EEI was seen throughout the initial 14-days post-SRC (23.8%, 22.4%, 25.5%. 25.0%). EEI was associated with a slower reaction time within 48 h (-0.01 (-0.030-0.043) Vs 0.06 (0.033-0.24), p = 0.004) and greater VOMS scores within 48 h; (0.00 (0.00-4.00) Vs 5.50 (2.75-9.00), p = 0.016) and 4 days (0.00 (0.00-2.00) Vs 5.00 (0.00-6.00), p = 0.044). RTP was 12.5 days longer in those with EEI at 14-days post-SRC.

Conclusion: EEI is prevalent following an SRC in university-aged student-athletes and was associated with delayed recovery and RTP.

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早期运动不耐受是否会影响急性脑震荡学生运动员重返赛场的时间、症状负担、神经认知、前庭-眼球-运动（VOM）功能和学习能力？

导言：早期运动不耐受（EEI）与恢复延迟和重返赛场（RTP）时间延长有关，但这一点尚未得到证实：学生运动员完成基线筛查（2021 年和 2022 年 7 月至 10 月）。在运动相关脑震荡（SRC）后 48 小时、4 天、8 天和 14 天内，重复进行布法罗脑震荡自行车或跑步机测试，以设定亚症状心率阈值。然后，学生运动员在两次重新评估之间（第 3、5-7 和 9-13 天）完成受控早期运动方案。结果测量：结果：脑震荡后症状量表、脑震荡后即刻认知测试、前庭-眼球运动筛查工具和修订版感知学业影响工具：脑震荡后最初 14 天内，EEI 一直存在（23.8%、22.4%、25.5%、25.0%）。EEI 与 48 小时内反应时间较慢（-0.01 (-0.030-0.043) Vs 0.06 (0.033-0.24), p = 0.004）和 48 小时内 VOMS 分数较高有关；（0.00 (0.00-4.00) Vs 5.50 (2.75-9.00), p = 0.016）和 4 天内（0.00 (0.00-2.00) Vs 5.00 (0.00-6.00), p = 0.044）。有 EEI 的患者在手术后 14 天的 RTP 延长了 12.5 天：结论：EEI 在大学适龄学生运动员 SRC 后很普遍，并与延迟恢复和 RTP 有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.