Characteristics of the Functional Gait Assessment in adolescents with concussion.

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurosciences Pub Date : 2023-07-01 DOI:10.17712/nsj.2023.3.20220140

Abdulaziz A Alkathiry

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引用次数: 0

Abstract

Objectives: To assesse the characteristics and validity of the Functional Gait Assessment (FGA). Concussion is a frequent brain injury that affect cognition, balance, and mobility. Prediction of the course of recovery after concussion could be achieved using a multidimensional examination. The FGA has been used to assess balance of individuals with concussion.

Methods: A prospective cross-sectional study was commenced between 2015-2020 in Pittsburgh, PA, USA, including 27 high schoolers with current complaints of concussion and 86 healthy controls. Participants in both groups provided demographics and completed FGA, Gait Disorientation Test (GDT), and Gait Speed (GS) tests.

Results: The FGA test correlated significantly with the GS and GDT. The FGA score in adolescents with concussion was significantly lower than healthy controls (U=1574.5, p=0.004). An FGA score less than 27 indicated a positive concussion injury with a sensitivity of 0.33 and a specificity of 0.92. The FGA showed a diagnostic odds ratio of 5.64. The positive and the negative likelihood ratios were of 3.03 and 0.54, respectively. For adolescents with concussion, the FGA showed no floor effect; however, a small ceiling effect (11.1%) was observed.

Conclusion: The FGA was valid and feasible to assess concussion injuries. It should be noted that a full score on the FGA should not be interpreted as full recovery from a concussion injury.

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青少年脑震荡功能性步态评估的特点。

目的：评估功能性步态评估（FGA）的特点和有效性。脑震荡是一种常见的脑损伤，会影响认知、平衡和行动能力。脑震荡后恢复过程的预测可以通过多层面的检查来实现。FGA已被用于评估脑震荡患者的平衡。方法：一项前瞻性横断面研究于2015-2020年在美国宾夕法尼亚州匹兹堡开始，包括27名目前有脑震荡投诉的高中生和86名健康对照。两组参与者都提供了人口统计数据，并完成了FGA、步态定向障碍测试（GDT）和步态速度（GS）测试。结果：FGA试验与GS和GDT显著相关。脑震荡青少年的FGA评分显著低于健康对照组（U=1574.5，p=0.004）。FGA评分低于27表示脑震荡损伤为阳性，敏感性为0.33，特异性为0.92。FGA的诊断优势比为5.64。阳性和阴性似然比分别为3.03和0.54。对于患有脑震荡的青少年，FGA没有显示出地板效应；然而，观察到了较小的上限效应（11.1%）。结论：FGA在脑震荡损伤评估中是有效可行的。需要注意的是，FGA的满分不应被解释为脑震荡损伤后的完全康复。

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

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.