The MPCETT: Assessing the Safety and Utility of Exercise Tolerance Testing in Children With Concussion Ages 6 to 12.

IF 2.1 3区医学 Q2 ORTHOPEDICS

Clinical Journal of Sport Medicine Pub Date : 2024-12-24 DOI:10.1097/JSM.0000000000001326

Michael Heitzman, Jason Krystofiak, Diana Toto, Jennifer Norton, Mustafa Naematullah, Sydney Asselstine, Katelan Rybak, Puja Joshi

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引用次数: 0

Abstract

Objective: Treadmill test protocols for concussion assessment have been validated for patients aged 13 years and older; however, no evidence-based guidelines exist for younger children. We designed and assessed the safety and utility of the Morahan Pediatric Concussion Exercise Tolerance Test (MPCETT) for assessing exercise tolerance in symptomatic children (SC) and recovered, asymptomatic children (AC) from 6 to 12 years of age.

Design: Retrospective case series.

Setting: Secondary care center.

Participants: Children were diagnosed with concussion using consensus guidelines. At assessment, SC [n = 17; median (range) 10 (6-12) years; 18% female; 28 (13-50) days since injury] had persistent concussive symptoms, while AC [n = 24; 9 (7-12) years; 21% female; 21 (8-37) days since injury] required assessment for return to activity.

Interventions: The MPCETT is a modified Buffalo Concussion Treadmill Test for pediatric populations. The test was administered to establish exercise tolerance and was terminated for increased symptoms or self-reported exhaustion.

Main outcome measures: Presence of adverse events and exercise intolerance.

Results: The number of adverse events was 0 in both groups. Exercise intolerance occurred in 64.7% (95% CI, 38.3%-85.8%) of children within the SC group versus 12.5% (95% CI, 2.7%-32.4%) within the AC group (P < 0.001).

Conclusions: Pediatric exercise tolerance testing is safe and effective for assessing exercise intolerance in concussed children.

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MPCETT：评估6 - 12岁脑震荡儿童运动耐量测试的安全性和实用性。

目的：对13岁及以上患者进行脑震荡评估的跑步机测试方案进行了验证；然而，目前尚无针对幼儿的循证指南。我们设计并评估Morahan儿童脑震荡运动耐量试验（MPCETT）的安全性和实用性，用于评估6 - 12岁有症状儿童（SC）和康复无症状儿童（AC）的运动耐量。设计：回顾性病例系列。环境：二级护理中心。参与者：使用共识指南诊断为脑震荡的儿童。评估时，SC [n = 17；中位数（范围）10（6-12）年；18%的女性;损伤后28（13-50）天)有持续震荡症状，AC [n = 24；9岁（7-12岁）；21%的女性;受伤后21（8-37）天)需要评估以恢复活动。干预措施：MPCETT是一种针对儿科人群的改进布法罗脑震荡跑步机测试。该试验旨在建立运动耐受性，并因症状加重或自我报告的疲劳而终止。主要结局指标：有无不良事件和运动不耐受。结果：两组患者不良事件均为0例。SC组中64.7% （95% CI, 38.3%-85.8%）的儿童发生运动不耐受，AC组中12.5% （95% CI, 2.7%-32.4%）发生运动不耐受（P < 0.001）。结论：儿童运动耐量试验是评估脑震荡儿童运动耐量的安全有效的方法。

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

Clinical Journal of Sport Medicine 医学-生理学

CiteScore

4.70

自引率

7.40%

发文量

185

审稿时长

6-12 weeks

期刊介绍： Clinical Journal of Sport Medicine is an international refereed journal published for clinicians with a primary interest in sports medicine practice. The journal publishes original research and reviews covering diagnostics, therapeutics, and rehabilitation in healthy and physically challenged individuals of all ages and levels of sport and exercise participation.