Less Than Half of Patients Recover Within 2 Weeks of Injury After a Sports-Related Mild Traumatic Brain Injury: A 2-Year Prospective Study.

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Stephen KaraMark Fulcher

Abstract

To describe clinical recovery time and factors that might impact on recovery after a sports-related mild traumatic brain injury (SR-mTBI; concussion). Prospective cohort study (level IV evidence). New Zealand Sports Concussion Clinic. Eight hundred twenty-two patients presenting within 14 days of a SR-mTBI/concussion over a 2-year period. Clinical recovery measured as number of days after injury. Participants were assessed and managed using a standardized protocol consisting of relative rest followed by controlled cognitive and physical loading. A reassessment was performed 14 days after injury with initiation of an active rehabilitation program consisting of a subsymptom threshold exercise program ± cervicovestibular rehabilitation (if required) for participants who remained symptomatic. Participants were then assessed every 2 weeks until clinical recovery. A total of 594 participants were eligible for analysis (mean age 20.2 ± 8.7 years, 77% males) and were grouped into 3 age cohorts: children (≤12 years), adolescents (13-18 years), and adults (≥19 years). Forty-five percent of participants showed clinical recovery within 14 days of injury, 77% by 4 weeks after injury, and 96% by 8 weeks after injury. There was no significant...Continue Reading

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Nov 2, 2021·Journal of Clinical and Experimental Neuropsychology·Stephen C BuntC Munro Cullum

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