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Concussion最新文献

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Persistent post-concussion symptoms include neural auditory processing in young children. 持续性脑震荡后症状包括幼儿的神经听觉处理。
Q3 Medicine Pub Date : 2024-06-28 eCollection Date: 2024-03-01 DOI: 10.2217/cnc-2023-0013
Silvia Bonacina, Jennifer Krizman, Jacob Farley, Trent Nicol, Cynthia R LaBella, Nina Kraus

Aim: Difficulty understanding speech following concussion is likely caused by auditory processing impairments. We hypothesized that concussion disrupts pitch and phonetic processing of a sound, cues in understanding a talker.

Patients & methods/results: We obtained frequency following responses to a syllable from 120 concussed and 120 control. Encoding of the fundamental frequency (F0), a pitch cue and the first formant (F1), a phonetic cue, was poorer in concussed children. The F0 reduction was greater in the children assessed within 2 weeks of their injuries.

Conclusion: Concussions affect auditory processing. Results strengthen evidence of reduced F0 encoding in children with concussion and call for longitudinal study aimed at monitoring the recovery course with respect to the auditory system.

目的:脑震荡后难以理解言语的原因可能是听觉处理障碍。我们假设脑震荡会破坏声音的音高和语音处理,而这正是理解说话者的线索:我们采集了 120 名脑震荡患者和 120 名对照组患者对一个音节的频率响应。脑震荡患儿对作为音高线索的基频(F0)和作为语音线索的第一共振(F1)的编码能力较差。在受伤后两周内接受评估的儿童中,F0的下降幅度更大:结论:脑震荡会影响听觉处理。研究结果加强了脑震荡儿童F0编码能力下降的证据,并要求进行纵向研究,以监测听觉系统的恢复过程。
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引用次数: 0
Initial investigation of kinesiophobia as a predictor of functional reaction time one year after concussion 初步调查运动恐惧对脑震荡一年后功能反应时间的预测作用
Q3 Medicine Pub Date : 2024-05-07 DOI: 10.2217/cnc-2023-0014
Melissa Anderson, Robert C Lynall, Patrick J O'Connor, Julianne D Schmidt
Aim: The relationship between post-concussion kinesiophobia and clinical and functional reaction time (RT) beyond clinical recovery remains to be elucidated. Methods: College-aged participants with (n = 20) and without (n = 20) a concussion history completed patient-reported outcomes, and RT tasks. Kinesiophobia, symptoms and RTs were compared using t-tests. Linear regressions were performed to determine if kinesiophobia predicted RT measures and dual-task cost. Results: The concussion history group reported higher scores (p < 0.01) for all patient-reported outcomes. We observed significant single-task RT differences between groups (p = 0.013) such that those without a concussion history (m = 0.51s ± 0.08) were faster (m = 0.59s ± 0.12). There were no clinical or dual-task RT differences between groups (p > 0.05). Kinesiophobia significantly predicted single-task RT (R2 = 0.22). Discussion: Kinesiophobia should be considered when measuring RT.
目的:脑震荡后运动恐惧与临床恢复后的临床和功能反应时间(RT)之间的关系仍有待阐明。研究方法:有脑震荡病史(20 人)和无脑震荡病史(20 人)的大学生分别完成了患者报告结果和反应时任务。通过 t 检验对运动恐惧、症状和 RT 进行比较。进行线性回归以确定运动恐惧是否能预测 RT 测量和双任务成本。结果显示脑震荡病史组的得分更高(P 0.05)。运动恐惧对单任务 RT 有明显的预测作用(R2 = 0.22)。讨论在测量 RT 时应考虑运动恐惧。
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引用次数: 0
Awareness and understanding of concussion among Aboriginal Australians with high health literacy 具有较高健康素养的澳大利亚原住民对脑震荡的认识和理解
Q3 Medicine Pub Date : 2024-04-24 DOI: 10.2217/cnc-2023-0012
Trish Hill-Wall, Kahlia McCausland, Elizabeth Thomas, Richard Norman, Jonathan Bullen, Gill Cowen
Aim: Indigenous Australians have higher rates of traumatic brain injury, with 74–90% of such injuries being concussion. This study explores concussion awareness and knowledge in Aboriginal Western Australians with high health literacy. Materials & methods: Participants, aged 18–65 years, engaged in research topic yarning, and thematic analysis of the qualitative data then undertaken. Results: There was awareness that direct head trauma can result in concussion, but a lack of differentiation between concussion and other head injuries. Knowledge was gained from sport, media or lived-experience. Symptom minimization and diversity of concussion symptoms prevented participants from seeking medical treatment. This was exacerbated by a mistrust of the medical system. Conclusion: Research findings highlight knowledge and service gaps where co-designed strategies can be targeted.
目的:澳大利亚土著居民的脑外伤发生率较高,其中 74-90% 为脑震荡。本研究探讨了具有较高健康素养的西澳大利亚土著居民对脑震荡的认识和了解。材料与方法:年龄在 18-65 岁之间的参与者参与了研究主题讨论,然后对定性数据进行了主题分析。结果:参与者意识到直接头部外伤可导致脑震荡,但对脑震荡和其他头部损伤缺乏区分。人们的知识来源于体育运动、媒体或生活经验。症状最小化和脑震荡症状的多样性阻碍了参与者就医。对医疗系统的不信任加剧了这种情况。结论研究结果凸显了知识和服务方面的差距,可以针对这些差距采取共同设计的策略。
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引用次数: 0
Dual statistical models link baseline visual attention measure to risk for significant symptomatic concussion in sports 双重统计模型将基线视觉注意力测量与运动中出现明显症状性脑震荡的风险联系起来
Q3 Medicine Pub Date : 2024-01-16 DOI: 10.2217/cnc-2023-0002
Lisa A Spielman, J. Maruta, J. Ghajar
Aim: Athletic pre-season testing can establish functional baseline for comparison following concussion. Whether impacts of future concussions may be foretold by such testing is little known. Materials & methods: Two sets of models for a significant burden of concussion were generated: a traditional approach using a series of logistic regressions, and a penalized regression approach using elastic net. Results: 3091 youth and adult athletes were baseline-assessed. 90 subsequently experienced concussion and 35 were still experiencing a significant burden of concussion when tested within two weeks. Both models associated prior history of head injury and visual attention-related metrics with a significant burden of concussion. Conclusion: Pre-season testing of visual attention may identify athletes who are at risk for significant sports-related concussion.
目的:季前运动测试可以为脑震荡后的对比建立功能基线。至于这种测试是否能预测未来脑震荡的影响,目前还知之甚少。材料与方法:生成了两套脑震荡重大负担模型:使用一系列逻辑回归的传统方法和使用弹性网的惩罚回归方法。结果:对 3091 名青少年和成年运动员进行了基线评估。其中 90 人随后经历了脑震荡,35 人在两周内接受测试时仍有明显的脑震荡症状。两个模型都将之前的头部受伤史和视觉注意力相关指标与脑震荡的重大负担联系起来。结论赛季前的视觉注意力测试可以识别出哪些运动员有可能出现严重的运动相关脑震荡。
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引用次数: 0
The National Football League and traumatic brain injury: blood-based evaluation at the game 国家橄榄球联盟和创伤性脑损伤:在比赛中基于血液的评估
Q3 Medicine Pub Date : 2023-09-13 DOI: 10.2217/cnc-2023-0011
Steven H Rauchman, Dimitris G Placantonakis, Allison B Reiss
Tweetable abstract #brain #injury in the #football #player - we need better #diagnosis and #prevention. #view our #latest #publication in the #journal Concussion @futuresciencegp on @thegame #Blood test #biomarker #innovation #safety @NFL
#足球运动员的#脑损伤-我们需要更好的#诊断和#预防。#查看我们在#脑震荡杂志上的#最新#出版物@futuresciencegp @游戏#血液测试#生物标志物#创新#安全@NFL
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引用次数: 0
Parent knowledge of and attitudes towards youth sport-related concussion and associations with child and parent factors 家长对青少年运动相关脑震荡的知识和态度及其与儿童和家长因素的关系
Q3 Medicine Pub Date : 2021-12-01 DOI: 10.2217/cnc-2021-0008
Samantha D Roberts, P. Schatz, J. Register-Mihalik, M. Wojtowicz
Aim: This cross-sectional study aimed to better understand parental knowledge and attitudes regarding pediatric sport-related concussions, and association with parent/child biopsychosocial factors. Methods: A community sample of ninety families (n = 140 children) were included. Parental concussion knowledge and attitudes, concussion history, sport participation and social risk status score (SRS) were collected. Results: Parents scored an average of 76% accuracy on factual concussion knowledge, with 74% confidence in responses. Parents endorsed a favorable attitude toward concussion reporting and management. Low SRS had higher perceived accuracy of knowledge than medium or high SRS (p = 0.003). SRS influenced over-and-underestimations of factual knowledge (p = .04). Age at first sport and sport contact level influenced factual and perceived concussion knowledge. Conclusion: These findings identify common gaps in concussion knowledge in parents.
目的:本横断面研究旨在更好地了解父母对儿童运动相关脑震荡的知识和态度,以及与父母/儿童生物心理社会因素的关系。方法:社区抽样90个家庭(n = 140名儿童)。收集父母对脑震荡的认知态度、脑震荡史、运动参与和社会风险状态评分。结果:家长对脑震荡事实知识的平均准确率为76%,对回答的信心为74%。家长对脑震荡的报告和处理持积极态度。低SRS比中、高SRS有更高的认知准确性(p = 0.003)。SRS影响事实知识的高估和低估(p = .04)。第一次运动的年龄和运动接触水平影响实际和感知的脑震荡知识。结论:这些发现确定了家长在脑震荡知识方面的普遍差距。
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引用次数: 2
Index 指数
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1016/b978-0-323-65384-8.20001-1
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引用次数: 0
A Look Ahead 展望未来
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1016/b978-0-323-65384-8.00015-8
S. Clanton, Xin Li, C. Sizer, G. Goldberg
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引用次数: 0
List of Contributors 贡献者名单
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1016/b978-0-323-65384-8.01002-6
R. Adams, P. Armistead-Jehle, L. Bajor, T. Bayuk, Kathleen R. Bell, E. Bigler, L. Brenner, S. Clanton, D. Cooper, K. Dec, Paul Dukarm, Blessen C. Eapen, Erica L Epstein, I. Eshel, S. Etheredge, C. Filley, Jared B. Gilman, Gary Goldberg, P. Gootam, Riley P. Grassmeyer, Jim W Hall, Nancy Hsu, Aiwane Iboaya, Dorothy A. Kaplan, K. C. Kelly, T. Kretchmer, R. Lacey, Scott R. Laker, Henry L. Lew, Jeffrey D. Lewis, Xin Li, Katherine A. Lin, C. Master, A. Mathews, Tamara McKenzie-Hartman, Lindsay Mohney, Risa Nikase-Richardson, Justin Otis, Linda M. Picon, Terri K. Pogoda, R. Shura, M. Silva, C. Sizer, J. A. Smith, E. Storey, Chiemi Tanaka, Rebecca N. Tapia, D. Tate, William C. Walker, E. Wilde, G. York, N. Zasler
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引用次数: 0
Neuroimaging in Traumatic Brain Injury Rehabilitation 创伤性脑损伤康复中的神经影像学
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1016/b978-0-323-65384-8.00003-1
D. Tate, E. Wilde, G. York, E. Bigler
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Concussion
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