Age is associated with postural control performance following youth concussion.
PURPOSE: To examine the effect of age on postural control outcomes among patients being seen during their initial post-concussion clinical visit. METHODS: Youth patients were seen≤14 days post-concussion, and completed a series of postural control evaluations: tandem gait, Romberg, and Balance Error...
| Publicado en: | Journal of Pediatric Rehabilitation Medicine Vol. 14; no. 3; pp. 443 - 451 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152820880&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152820880 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18745393 B2KR jtl: Journal of Pediatric Rehabilitation Medicine issn: 18745393 maglogo: N pubinfo: dt: 2021 vid: 14 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 152820880 151461283 152820880 152820880 10.3233/PRM-190665 152820880 ppf: 443 ppct: 8 formats: tig: atl: Age is associated with postural control performance following youth concussion. aug: au: Walker, Gregory A. Wilson, Julie C. Potter, Morgan N. Provance, Aaron J. Kirkwood, Michael Howell, David R. affil: Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA sug: subj: Balance, Postural Physiology Age Factors Brain Concussion In Infancy and Childhood Brain Injuries Rehabilitation Task Performance and Analysis Human Child Adolescence Male Female Descriptive Statistics After Care Clinical Assessment Tools Summated Rating Scaling Cross Sectional Studies Comparative Studies Gait Hospitals, Pediatric Colorado Colorado Fisher's Exact Test Data Analysis Software Logistic Regression Child: 6-12 years Adolescent: 13-18 years Male Female ab: PURPOSE: To examine the effect of age on postural control outcomes among patients being seen during their initial post-concussion clinical visit. METHODS: Youth patients were seen≤14 days post-concussion, and completed a series of postural control evaluations: tandem gait, Romberg, and Balance Error Scoring System (BESS) tests. RESULTS: We included 109 children 8–12 years of age (24% female, evaluated median = 7 [interquartile range = 4–10] days post-injury) and 353 adolescents aged 13–18 years (36% female, evaluated median = 7 [4–10] days post-injury). There was a higher proportion of children who demonstrated abnormal tandem gait relative to adolescents (26% vs. 11%; p < 0.001). They also made more BESS errors in single (median = 5 [2–10] vs. 4 [2–6] errors) and tandem (median = 3 [1–6] vs. 2 [0–4]) firm stances. After covariate adjustment, children demonstrated worse tandem gait (adjusted odds ratio = 3.05, 95% CI = 1.68–5.53) and more firm surface BESS errors (double stance β=0.51, 95% CI = 0.22–0.80; single stance β= 1.18, 95% CI = 0.42–1.95; tandem stance β= 0.98, 95% CI = 0.28–1.68) than adolescents. CONCLUSIONS: Tandem gait and BESS performance following concussion differ in children compared to adolescents who present within 2 weeks of injury. Clinicians assessing and managing concussion should recognize age differences in postural control performance when assessing those with concussion. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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