Predictors of Treatment Response to Multidisciplinary Care for Persistent Symptoms after Pediatric Concussion.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Developmental Neurorehabilitation Pub Date : 2022-01-01 Epub Date: 2021-04-21 DOI:10.1080/17518423.2021.1917719

Jilian A O'Neill, Sean C Rose, Ashley M Davidson, Kathleen M Shiplett, Anthony Castillo, Kelly A McNally

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引用次数: 5

Abstract

Purpose: To assess which pediatric patients experiencing persistent post-concussive symptoms (PCS) benefit most from multidisciplinary treatment including specialists in Neurology, Neuropsychology, Physical Therapy, and Athletic Training, and to explore the effectiveness of this approach.

Methods: A retrospective chart review of 56 adolescents 10-20 years old (M = 15.0 ± 2.1) receiving multidisciplinary care for PCS (>30 days) was conducted.

Results: Systolic blood pressure and Body Mass Index predicted time to concussion resolution (p < .05), such that higher values were associated with slower resolution. PCS scores significantly decreased between participants' initial and final clinic visits, p < .01, and among the 25 participants for whom pre-intervention PCS scores were available, symptom severity scores significantly declined following multidisciplinary intervention compared to pre-referral values (p < .01).

Conclusions: Exploratory analyses reveal that multidisciplinary treatment is a promising approach for reducing symptoms among adolescents with PCS, and that those with greater levels of physical fitness may benefit most.

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儿童脑震荡后持续症状的多学科治疗反应的预测因素

目的:评估包括神经病学、神经心理学、物理治疗和运动训练专家在内的多学科治疗对持续脑震荡后症状(PCS)的儿童患者的益处，并探讨这种方法的有效性。方法:回顾性分析56例10 ~ 20岁青少年(M = 15.0±2.1)接受多学科治疗的PCS(>30天)。结论:探索性分析表明，多学科治疗是减轻青少年PCS症状的一种有希望的方法，并且那些身体健康水平较高的青少年可能受益最多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.