Clinical examination factors that predict delayed recovery in individuals with concussion

Archives of Physiotherapy
Corina MartinezChad E Cook

Abstract

Risk factors for prolonged recovery after concussion have been well researched, but specific objective clinical examination findings have not. This study examined whether clinical examination results could predict delayed recovery (DR) in individuals with concussion diagnosis. A secondary aim explored the influence of early examination on individual prognosis. The study was a retrospective, observational cohort design that included 163 individuals seen at a concussion clinic who were followed longitudinally until cleared for sports activity. Cognitive, visual, balance, vestibular, and cervical clinical testing and symptom assessment were performed at initial evaluation. DR was calculated by taking the median value associated with time to clearance for activity. Bivariate logistic regression analysis was calculated to determine odds ratios (and 95% confidence intervals) for the odds of DR with presence or absence of each clinical finding. Multivariate analyses were used to define the best predictors of DR. 80 of 163 individuals were considered delayed in their clearance to activity. Cognitive impairments (OR = 2.72; 95%CI = 1.40, 5.28), visual exam findings (OR = 2.98; 95%CI = 1.31, 6.80), and vestibular exam findings (OR = 4.28...Continue Reading

References

Apr 1, 1990·Archives of Otolaryngology--head & Neck Surgery·G P Jacobson, C W Newman
Nov 20, 2003·JAMA : the Journal of the American Medical Association·Kevin M GuskiewiczJames P Kelly
Mar 17, 2004·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Michael E HofferDerin Wester
Feb 17, 2007·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Grant Iverson
Jun 13, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacDermidCharlie H Goldsmith
Mar 3, 2010·The American Journal of Sports Medicine·Michael MakdissiPaul R McCrory
Nov 16, 2010·Clinics in Sports Medicine·Daniel H DaneshvarRobert C Cantu
May 18, 2011·Neuropsychology·Susanne MearesJeno E Marosszeky
Jan 8, 2014·Pediatrics·Naomi J BrownWilliam P Meehan
Mar 13, 2014·Pediatrics·Noel S ZuckerbraunGerard A Gioia
May 14, 2014·Pediatrics·Matthew A EisenbergRebekah Mannix
Sep 16, 2014·Journal of Neurotrauma·Noah D SilverbergGrant L Iverson
Jan 7, 2015·Pediatrics·Danny George ThomasThomas Hammeke
Mar 31, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Guangwei Zhou, Jacob R Brodsky
Jun 3, 2015·Journal of Neurosurgery. Pediatrics·Michael J EllisKelly Russell
Aug 6, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Suzanne BockEllen Deibert
Dec 20, 2015·Journal of Neurosurgery. Pediatrics·Joseph H MillerJames M Johnston
Feb 4, 2016·The American Journal of Sports Medicine·David R HowellWilliam P Meehan
Mar 30, 2016·Sports Health·Jason M MatuszakJohn Leddy
May 8, 2016·Physical Medicine and Rehabilitation Clinics of North America·John J LeddyBarry Willer
Jun 28, 2016·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Laurie-Ann Corbin-Berrigan, Isabelle Gagnon

❮ Previous
Next ❯

Citations

Nov 13, 2020·Journal of the American Association of Nurse Practitioners·Katherine M LeeElizabeth R Fudge

❮ Previous
Next ❯

Software Mentioned

SPSS
STROBE
Balance Error Scoring System ( BESS )

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Monatsschrift für Unfallheilkunde und Versicherungsmedizin
H ECKE
Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Christina L MasterMatthew F Grady
Emergency Medicine Clinics of North America
Michael Robert Misch, Neha P Raukar
© 2022 Meta ULC. All rights reserved