Measuring Dynamic Symptom Response in Concussion: Children's Exertional Effects Rating Scale

The Journal of Head Trauma Rehabilitation
Maegan D SadyGerard A Gioia

Abstract

To introduce and evaluate a measure of momentary symptom response to cognitive activity, a core feature of concussion. Concussion clinic at a large regional children's hospital. Individuals aged 5 to 18 years, comprising 3 clinical groups: uninjured (n = 590), recently concussed but clinically recovered (n = 160), and recently concussed but not yet recovered (n = 570). Participants completed pretest symptom ratings, underwent neurocognitive assessment and completion of questionnaires, and then completed posttest ratings. An exertional effects index was computed by subtracting pretest from posttest ratings. Children's Exertional Effects Rating Scale, which includes 4 symptoms (Headache, Fatigue, Concentration Problems, and Irritability) rated pre- and postactivity. Children's Exertional Effects Rating Scale was found to have adequate reliability and validity. There were negligible differences in ratings (pretest and exertional effects) between the Uninjured and Recovered groups, while individuals who were Not Recovered rated higher levels of pretest and exertional effects. Base rates showed that an exertional effects index of 4 or more points is rare in individuals who do not have a current concussion. Children's Exertional Effe...Continue Reading

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Apr 18, 2014·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Maegan D SadyGerard A Gioia
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Dec 3, 2016·Journal of the International Neuropsychological Society : JINS·Danielle M RansomGerard A Gioia

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Citations

Jul 26, 2019·Current Reviews in Musculoskeletal Medicine·Rochelle HaasAmanda Sevrin
Feb 29, 2020·The Journal of Head Trauma Rehabilitation·Andrew R MayerGrace Park
Oct 8, 2021·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Danielle M RansomBeth S Slomine

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