A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion.

Q3 Medicine Concussion Pub Date : 2021-04-09 DOI:10.2217/cnc-2020-0018
Julianna H Prim, Maria I Davila, Karen L McCulloch
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Abstract

Background: Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV).

Methodology & results: We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram.

Conclusion: Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use.

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一项为评估军事脑震荡而设计的带有生理测量的体力任务的试点研究。
背景:临床医生治疗军事脑震荡的指南建议在返回岗位前进行体力测试,但目前没有标准化的任务或包括客观的生理测量,如心率变异性(HRV)。方法和结果:我们试点测试了两项临床可行的运动任务,包括HRV测量,并检查了市售心率监测仪的可靠性。对健康参与者的测试证实,6分钟的步进测试和2分钟的俯卧撑测试诱发了针对性的生理反应,Polar H10对金标准心电图是可靠的。结论:这两项任务都是简短的评估,可以在初级保健环境中实施,包括Polar H10作为一种负担得起的获得HRV的方式。进一步的研究利用这些任务来评估脑震荡的恢复,可以验证标准化的锻炼任务的临床应用。
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来源期刊
Concussion
Concussion Medicine-Neurology (clinical)
CiteScore
2.70
自引率
0.00%
发文量
2
审稿时长
12 weeks
期刊最新文献
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