Recovery progression and symptom resolution in sport-related mild traumatic brain injury.

Objective: To characterize the recovery progression of a group of athletes who participated in a concussion management program based on (1) group analysis and (2) individual analysis.

Setting: Concussion management clinic.

Participants: Thirty athletes (22 males, 8 females; baseline age = 16.23 ± 2.40 years) who had undergone four assessments: one baseline and three post-injury assessments at 3, 8, 15 days post-injury.

Design: Retrospective clinical.

Main Measures: Four neurocognitive scores of the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) including verbal memory, visual memory, speed of processing and reaction time and also a total symptom score.

Results: Group-analysis showed a clear decline in verbal memory (F(3, 87) = 7.36, p < 0.000) and an increase in self-reported symptoms (χ2(3, = 30) = 48.703, p < 0.000), 3 days post-injury. By day 8, athletes had returned to their baseline levels for verbal memory and were not experiencing symptoms. When athletes’ scores were examined individually, at 3 days post-injury, 60% of the athletes showed deficits on two or more of the ImPACT variables. This rate dropped to 23% at 8 days post-injury and remained the same (23%) 15 days post-injury.

Conclusions: In concussion recovery, variability is the rule, rather than the exception, with regard to both impaired neurocognitive functions and recovery duration.

Additional information

Funding

The data for this study were made available from the Concussion Management Clinic at the University of Texas at El Paso, through an Advanced Rehabilitation Research Training (ARRT) grant from the US Department of Education to the principal investigator, Dr Anthony P. Salvatore. 


Autor / Fonte:Ensie Abbassi, Bess Sirmon-Taylor Brain Injury: [BI] 2017 September 5, : 1-7
Link: http://www.tandfonline.com/doi/abs/10.1080/02699052.2017.1357834?journalCode=ibij20