Concussion最新文献

{"title":"Outcomes of a brief coping skills group intervention for adults with severe postconcussion symptoms.","authors":"Jordan I Ali,&nbsp;Patricia Mahoney,&nbsp;Derry Dance,&nbsp;Noah D Silverberg","doi":"10.2217/cnc-2019-0011","DOIUrl":"https://doi.org/10.2217/cnc-2019-0011","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate a brief psychologically informed coping skills group intervention for adults with severe prolonged symptoms following mild traumatic brain injury (mTBI).</p><p><strong>Methodology & results: </strong>Patients attended an education session about mTBI; 22 patients completed an additional coping skills group intervention, 16 declined/stopped the intervention early and 19 were not offered the intervention. At follow-up, patients who completed the intervention reported a similar degree of symptom improvement and disability as those who did not complete the intervention. The majority of patients who completed the intervention were satisfied with it and perceived it to be credible.</p><p><strong>Conclusion: </strong>The coping skills intervention was not associated with measurable clinical benefit. Recommendations for improving psychological interventions for mTBI are discussed.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"4 3","pages":"CNC67"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2019-0011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37449716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An observational study of trait and state fatigue, and their relation to cognitive fatigability and saccade performance","authors":"Marika C Möller, J. Johansson, G. Matusevičienė, T. Pansell, C. Deboussard","doi":"10.2217/cnc-2019-0003","DOIUrl":"https://doi.org/10.2217/cnc-2019-0003","url":null,"abstract":"Aim: Different fatigue measurements and their relation to saccadic functions were investigated in 15 patients with a mild traumatic brain injury (mTBI) and 15 orthopedic controls. Materials & methods: State fatigue was measured with the Fatigue Severity Scale and trait fatigue with the question on fatigue in the Rivermead Post Concussion Questionnaire and fatigability as decreased performance over time on a neuropsychological measure. Results: Patients with an mTBI scored significantly higher in state fatigue and showed more fatigability compared with the orthopedic controls. Among patients with mTBI, state fatigue correlated with prosaccade latency and cognitive fatigability, while trait fatigue correlated with anxiety and antisaccade latency and variability. Conclusion: This pilot study indicates that saccade measurements might, in the future, be useful in the understanding of fatigue and in the search for prognostic factors after mTBI.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2019-0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42916532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary evidence-based recommendations for return to learn: a novel pilot study tracking concussed college students","authors":"Zachary Bevilacqua, Mary Kerby, D. Fletcher, Zhongxue Chen, Becca Merritt, M. Huibregtse, K. Kawata","doi":"10.2217/cnc-2019-0004","DOIUrl":"https://doi.org/10.2217/cnc-2019-0004","url":null,"abstract":"Aim: Students re-entering the academic setting after a concussion is commonly referred to as return-to-learn and, to date, very few studies have examined the return-to-learn aspect of concussion recovery. Methodology: Nine college-aged, full-time students who were diagnosed with concussions were monitored throughout their concussion recovery. The severity for five chief symptoms (headache, dizziness, difficulty concentrating, fatigue, anxiety) were recorded six-times per day through text messages, and daily phone calls recorded participant's behavioral traits. Results: We identified five behavioral variables which significantly influenced symptom resolution (music, sleep, physical activity, water and time) (p = 0.0004 to p = 0.036). Additionally, subjects reported math and computer-oriented courses as the most difficult (33 and 44%, respectively). Conclusion: We introduce a novel approach to monitor concussed students throughout their recovery, as well as factors that may influence concussion recovery process.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2019-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46921400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Horizontal and vertical self-paced saccades as a diagnostic marker of traumatic brain injury","authors":"Melissa Hunfalvay, C. Roberts, N. Murray, Ankur Tyagi, Hannah Kelly, Takumi Bolte","doi":"10.2217/cnc-2019-0001","DOIUrl":"https://doi.org/10.2217/cnc-2019-0001","url":null,"abstract":"Aim: Eye tracking tests to measure horizontal and vertical saccades as a proxy for neural deficits associated with traumatic brain injury (TBI) were evaluated in the present study. Methodology: A total of 287 participants reporting either no TBI, mild, moderate or severe TBI participated in a suite of eye tracking tests to measure horizontal and vertical saccadic performance. Results: The horizontal saccades test offered a sensitivity of 0.77 and a specificity of 0.78, similarly the vertical saccades tests offered a sensitivity of 0.64 and a specificity of 0.65. Conclusion: The results indicated that using eye-tracking technology to measure these metrics offers an objective, reliable and quantifiable way of differentiating between individuals with different severities of TBI, and those without a TBI.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2019-0001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43063870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion competencies: a training model for school-based concussion management","authors":"A. Maerlender, J. Lichtenstein, J. Parent-Nichols, Kate Higgins, Peggy Reisher","doi":"10.2217/cnc-2018-0008","DOIUrl":"https://doi.org/10.2217/cnc-2018-0008","url":null,"abstract":"This study reports on the use of ten knowledge competencies related to the behavioral management of concussion in schools. Trainings using these competencies as learning objectives were delivered to school personnel. This aims of the use of competencies in this way are to streamline the education of key stakeholders, to establish clear roles and responsibilities for constituents and equip individuals working with students following a concussion with the relevant knowledge to optimize outcomes. The majority of participants, primarily speech language pathologists working as related service providers in the schools where the trainings occurred, judged the use of the competencies to be informative and useful to their practice both immediately following the training and at a 5-month follow-up. The greatest gains in knowledge were noted by those participants self-reporting the least amount of knowledge pre-training. Participants also ranked the perceived value and relative importance of each of the ten competencies.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41845178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion knowledge among family physicians in Croatia.","authors":"Marko Herceg,&nbsp;Linda Lusic Kalcina,&nbsp;Ivo Lusic","doi":"10.2217/cnc-2018-0002","DOIUrl":"https://doi.org/10.2217/cnc-2018-0002","url":null,"abstract":"<p><strong>Aim: </strong>The objective of this study was to administer and analyze results of a survey targeting knowledge about concussion symptoms, diagnosis, treatment and expected recovery among family medicine specialists in the Split-Dalmatia County of Croatia.</p><p><strong>Methods: </strong>An electronic survey questionnaire was developed utilizing concepts from previously published studies on concussion knowledge, attitudes and beliefs completed by physicians. The survey was intended to briefly and broadly assess concussion knowledge of Croatian healthcare providers. The first section of the survey included five questions clarifying professional practice, years of experience and experience with concussions; the second section included 15 questions about typical concussion symptoms; the third section included 12 questions focused upon three primary components of concussion knowledge: concussion diagnosis, treatment and recovery.</p><p><strong>Results: </strong>Out of 242 surveys mailed, 81 questionnaires (33%) were completed while 161 respondents (67%) did not answer. Out of the 81 completed surveys, 76 (94%) were returned by family physicians specialist and five (6%) by resident physicians in training. 39 (48%) had treated less than ten patients with concussion during last year: 40 (49%) treated 11-20 patients with concussion; and two (3%) treated greater than 20 patients with concussion during last year. While most responses did accurately reflect knowledge of common symptoms (90-100% correct), there was significant lack of knowledge in three areas: only 19% of participants stated that diagnosis of concussion does not require loss of consciousness; three quarters of respondents believed that a diagnosis of concussion requires direct contact to the head and 83% of the respondents believed that persistent subjective complaints are always the result of a more severe initial injury.</p><p><strong>Discussion: </strong>This is the first investigation conducted in Croatia to examine knowledge of concussion diagnosis, as well as the management practices held by medical professionals. Overall, the findings suggest that the knowledge and management practices among family doctors in the region are not consistent with current worldwide views and recommendations. There was not an accurate knowledge of concussion diagnosis, treatment, recovery and prognosis among family physicians. Continued education of medical staff to better identify concussion and increased reliance on objective methods for managing concussion will improve patient management and outcome.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"3 4","pages":"CNC59"},"PeriodicalIF":0.0,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36872061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic brain injury in older adults: do we need a different approach?","authors":"Matthew E Peters,&nbsp;Raquel C Gardner","doi":"10.2217/cnc-2018-0001","DOIUrl":"https://doi.org/10.2217/cnc-2018-0001","url":null,"abstract":"Matthew E Peters*,1 & Raquel C Gardner2,3 1Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA 2Department of Neurology, University of California San Francisco, CA, 94143, USA 3San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA *Authors for correspondence: Tel.: +1 410 550 6337; Fax: +1 410 550 0564; matthew.peters@jhmi.edu","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"3 3","pages":"CNC56"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36614314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The synergistic effect of concussions and aging in women? Disparities and perspectives on moving forward.","authors":"Carrie Esopenko,&nbsp;Adrienne H Simonds,&nbsp;Ellen Z Anderson","doi":"10.2217/cnc-2018-0004","DOIUrl":"https://doi.org/10.2217/cnc-2018-0004","url":null,"abstract":"Carrie Esopenko*,1,2, Adrienne H Simonds1 & Ellen Z Anderson1,2 1Department of Rehabilitation & Movement Sciences, School of Health Professions, Rutgers, The State University of New Jersey, New Brunswick, NJ, 08901, USA 2Department of Health Informatics, School of Health Professions, Rutgers, The State University of New Jersey, New Brunswick, NJ, 08901, USA *Author for correspondence: Tel.: +1 973 972 0143; carrie.esopenko@rutgers.edu","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"3 2","pages":"CNC55"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36620808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of emergency department medical records to parental self-reporting of traumatic brain injury symptoms.","authors":"Audrey McKinlay,&nbsp;Alanah Lin,&nbsp;Martin Than","doi":"10.2217/cnc-2017-0017","DOIUrl":"https://doi.org/10.2217/cnc-2017-0017","url":null,"abstract":"<p><strong>Aim: </strong>Studies have shown Emergency Department (ED) recording of traumatic brain injury (TBI) cases to be poor.</p><p><strong>Methods: </strong>Parents of children aged 2-12 who attended an ED with injury to the head completed a concussion checklist which was compared with medical records.</p><p><strong>Results: </strong>ED medical records commonly used head injury (HI), concussion, minor-HI and mild-HI without distinction between TBI and superficial HI. Recalled symptoms included vomiting, blurred vision and headaches versus headaches, fatigue and feeling sick from parents who reported more concussive symptoms. More cases of TBI were identifiable from parental recall compared with medical records, which recorded fewer symptoms for diagnosis, prognosis and statistical reporting of TBI.</p><p><strong>Conclusion: </strong>Clear guidelines need to be implemented to improve retrospective diagnosis for incidence gathering and future clinical use.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"3 1","pages":"CNC52"},"PeriodicalIF":0.0,"publicationDate":"2018-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36480589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role and diagnostic significance of cellular barriers after concussive head trauma.","authors":"Aaron Dadas,&nbsp;Damir Janigro","doi":"10.2217/cnc-2017-0019","DOIUrl":"https://doi.org/10.2217/cnc-2017-0019","url":null,"abstract":"<p><p>The onset of concussive head trauma often triggers an intricate sequence of physical consequences and pathophysiological responses. These sequelae can be acute (i.e., hematoma) or chronic (i.e., autoimmune response, neurodegeneration, etc.), and may follow traumas of any severity. A critical factor for prognostication of postconcussion outcome is the pathophysiological response of cellular barriers, which can be measured by several biomarkers of the acute and chronic postinjury phases. We present herein a review on the postconcussion mechanisms of the blood-brain barrier, as well as the diagnostic/prognostic approaches that utilize differential biomarker expression across this boundary. We discuss the role of the blood-saliva cellular barrier as a regulatory filter for brain-derived biomarkers in blood, and its implications for saliva-based diagnostic assays.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":"3 1","pages":"CNC53"},"PeriodicalIF":0.0,"publicationDate":"2018-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36480590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}