A prospective study of symptoms and neurocognitive outcomes in youth with concussion vs orthopaedic injuries.

Background: This study examined symptom reports and neurocognitive outcomes in children (8-17 years) with mild traumatic brain injury (mTBI) or orthopaedic injury (OI). Method: Children and parents were initially assessed upon presentation in the Emergency Department of a local hospital and again at...

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Publicado en:Brain Injury Vol. 27; no. 2; pp. 169 - 179
Autores principales: Rieger, Brian P., Lewandowski, Lawrence J., Callahan, James M., Spenceley, Laura, Truckenmiller, Adrea, Gathje, Rebecca, Miller, Laura A.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2013
      vid: 27
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      pub: Taylor & Francis Ltd
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        10.3109/02699052.2012.729290
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        atl: A prospective study of symptoms and neurocognitive outcomes in youth with concussion vs orthopaedic injuries.
      aug:
        au:
          Rieger, Brian P.
          Lewandowski, Lawrence J.
          Callahan, James M.
          Spenceley, Laura
          Truckenmiller, Adrea
          Gathje, Rebecca
          Miller, Laura A.
        affil: Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, NY, USA
      sug:
        subj:
          Brain Concussion Symptoms
          Brain Concussion Prognosis
          Cognition In Infancy and Childhood
          Mental Status In Infancy and Childhood
          Human
          Funding Source
          Prospective Studies
          Cognition
          Severity of Injury
          Comparative Studies
          Parents
          Postconcussion Syndrome
          Emergency Service
          Emergency Care
          Male
          Female
          Ethnic Groups
          Educational Status
          Child
          Adolescence
          Chi Square Test
          Trauma Centers
          New York
          Glasgow Coma Scale
          Neuropsychological Tests
          Mental Status
          Lower Extremity Injuries
          Fractures
          Sprains and Strains
          Soft Tissue Injuries
          Summated Rating Scaling
          Scales
          Internal Consistency
          Coefficient alpha
          Questionnaires
          Test-Retest Reliability
          T-Tests
          Memory
          Reaction Time
          Analysis of Variance
          Self Report
          Descriptive Statistics
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: This study examined symptom reports and neurocognitive outcomes in children (8-17 years) with mild traumatic brain injury (mTBI) or orthopaedic injury (OI). Method: Children and parents were initially assessed upon presentation in the Emergency Department of a local hospital and again at 3 months. Children completed the Immediate Post-Concussion Assessment and Cognitive Testing battery (ImPACT) and parents completed the Behavior Rating Inventory of Executive Function (BRIEF). The Peabody Picture Vocabulary Test, 3rd edition (PPVT-III) was completed by the children at the 3-month assessment. Results: Children with mTBI reported more symptoms than the OI group initially, but did not differ from the OI group at 3 months. Both groups reported a higher than expected number of symptoms at 3 months. On the ImPACT, children with mTBI performed significantly worse than the OI on a visual memory test at both assessments. The OI group had higher levels of parent-reported executive dysfunction on the BRIEF at initial and 3-month assessments. Discussion: As expected, more post-concussion symptoms were initially reported by children and adolescents with mTBI vs orthopaedic injury, but there was no difference at 3 months. The BRIEF and ImPACT cognitive measures did not differentiate concussed subjects from controls, with the exception of concussed subjects' lower performance on a visual memory test at both initial assessment and at 3 months.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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