The Rivermead Post-Concussion Questionnaire score is associated with disability and self-reported recovery six months after mild traumatic brain injury in older adults - Asselstine J, Kristman VL, Armstrong JJ, Dewan N.

Background/Objectives: Post-concussion syndrome refers to the adverse group of symptoms following a mild traumatic brain injury (mTBI). The Rivermead post-concussion syndrome questionnaire (RPQ) is a common clinical tool for assessing baseline post-...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

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Having a concussion within the past year may raise the risk of suicidal ideation and behavior in high school students, according to astudy in theJournal of Affective Disorders.Dale S. Mantey, M.P.A., of the University of Texas School of Public Health and colleagues used data from more than 13,000 respondents in grades 9 through 12 who participated in the 2017 Youth Risk Behavior Surveillance Survey (YRBSS). The national YRBSS is conducted every two years by the Centers for Disease Control and Prevention to monitor health behaviors that contribute to the leading causes of death, disability, and social problems among youth a...
Source: Psychiatr News - Category: Psychiatry Tags: concussion Dale Mantey depressive symptoms Journal of Affective Disorders suicide Youth Risk Behavior Surveillance Survey Source Type: research
DiscussionControlled trials are needed to determine the best rehabilitation approach for mTBI with persistent symptoms such as neck pain, headache and dizziness. This RCT will be crucial to guide future clinical management recommendations.Trial Identifier -NCT03677661, Registered on September, 15th 2018.
Source: BMC Sports Science, Medicine and Rehabilitation - Category: Sports Medicine Source Type: research
Conclusions: High levels of baseline symptomatology may be associated with overall disability and individual perceptions of recovery 6 months post-MTBI. While the RPQ is valid in assessing a patient's post-concussive symptoms following mTBI, it may not predict long-term physical or mental health in older adults. PMID: 31661628 [PubMed - as supplied by publisher]
Source: Brain Injury - Category: Neurology Tags: Brain Inj Source Type: research
Abstract Concussion, also referred to as mild traumatic brain injury (mTBI) is the most common type of traumatic brain injury. Currently concussion is an area ofintensescientific interest to better understand the biological mechanisms and for biomarker development. We evaluated whole genome-wide blood DNA cytosine ('CpG') methylation in 17 pediatric concussion isolated cases and 18 unaffected controls using Illumina Infinium MethylationEPIC assay. Pathway analysis was performed using Ingenuity Pathway Analysis to help elucidate the epigenetic and molecular mechanisms of the disorder. Area under the receiver operat...
Source: Brain Research - Category: Neurology Authors: Tags: Brain Res Source Type: research
We describe a profiling model-based on information about symptom type and intensity, disability status, and response to movement - to prioritize treatment emphasis as: (1) symptom management, (2) movement system optimization, or (3) performance optimization. We consider contextual factors that might modify treatment decision-making and present examples of each treatment-based profile. J Orthop Sports Phys Ther, Epub 14 Oct 2019. doi:10.2519/jospt.2019.8869. PMID: 31610759 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Abstract SYNOPSIS: Whiplash and concussion may have similar presenting symptoms, biomechanical mechanisms, and neurophysiological sequelae, but neither enjoys a gold standard diagnostic test. Guidelines for whiplash and concussion are developed and implemented separately. This disparate process may contribute to misdiagnosis, delay appropriate primary care management, and impair patient outcomes. In our clinical commentary, we present 3 cases where signs and symptoms consistent with whiplash were identified in primary care. Symptoms in all cases included neck pain, headache, dizziness, and concentration deficits, ...
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Abstract SYNOPSIS: Pediatric and adolescent concussion is an increasingly high-profile public health issue, but it is also a highly heterogeneous phenomenon. Many factors interact dynamically to influence a child or adolescent's recovery trajectory. Diagnostic assessment must include domains other than self-reported symptoms, yet many prognostic models of outcome focus solely on the presence or absence of post-concussion symptoms to determine recovery. Function after concussion (recovery or persistence of problems) is the result of an interaction between biological, psychological, and social factors. Despite biops...
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Concussion, a form of traumatic brain injury, is a significant cause of morbidity and mortality. For those who have sustained a concussion, limited resources to screen and assess result in a gap in quality care, further increasing the risk of disability or death. To decrease the delay in evaluating concussions, telemedicine was implemented with a potential pool of 5,000 athletes, 1 family nurse practitioner, and 26 athletic trainers in western Washington. A telemedicine consultation provided significant benefits, including eliminating travel for the athlete and their families, early initiation of care, and collaborative ca...
Source: The Journal for Nurse Practitioners - Category: Nursing Authors: Tags: Brief Report Source Type: research
Abstract Head injury is one of the most common injury types in vehicle-to-pedestrian collisions, which leads to death and long-term disabilities. However, detailed analysis of pedestrian head injuries in real world collisions is scarce. Thus the current study used two samples of 120 cases and 184 cases extracted from 1060 pedestrian collision cases captured during 2000-2015 from the GIDAS (German In-Depth-Accident Study) database to investigate the detailed characteristics of AIS2+ pedestrian head injuries. Firstly, the interrelationship between different head injury types (skull fracture, focal brain injury, conc...
Source: Accident; Analysis and Prevention. - Category: Accident Prevention Authors: Tags: Accid Anal Prev Source Type: research
This article provides recommendations to reduce sport-related concussion disability through primary, secondary, and tertiary preventive strategies enacted during the ED visit. Although many recommendations have a solid evidence base, several research gaps remain. The overarching goal of improving sport-related concussion outcome through enactment of ED-based prevention strategies needs to be explicitly studied.
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
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