Horris, Hannah B; Elmer, Carlie; McLeod, Tamara C Valovich
Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery Journal Article
In: Athletic Training & Sports Health Care, vol. 9, no. 1, pp. 39–44, 2017, ISBN: 19425864.
Abstract | BibTeX | Tags: *ATTENTION-deficit hyperactivity disorder, *BRAIN -- Concussion, *COLLEGE students, *EVIDENCE-based medicine, *HIGH school students, *MEDICAL care, *MEDLINE, *PHYSICAL therapy, *POSTCONCUSSION syndrome, CINAHL (Information retrieval system), DESCRIPTIVE statistics, INFORMATION storage & retrieval systems, ONLINE information services, Professional Practice, Risk Factors, SYSTEMATIC reviews (Medical research)
@article{Horris2017,
title = {Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery},
author = {Horris, Hannah B and Elmer, Carlie and McLeod, Tamara C Valovich},
isbn = {19425864},
year = {2017},
date = {2017-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {9},
number = {1},
pages = {39--44},
abstract = {Attention deficit hyperactivity disorder (ADHD) has been identified as a risk factor for concussion or delayed recovery. However, these recommendations are often based on anecdotal or limited evidence. This critically appraised topic aimed to address the clinical question of whether a premorbid diagnosis of ADHD increases the risk for a concussion and prolonged symptoms. A search strategy using PICO terminology related to the clinical question was conducted in several electronic databases. Seven studies were identified and five met the inclusion criteria. The clinical bottom line suggests there is moderate evidence to support the relationship between patients who are diagnosed as having ADHD and the incident rate of concussion, as well as a prolonged recovery time. The findings of this critically appraised topic suggest strength of recommendation of grade B to support that ADHD is a risk factor for concussion and a predictor of prolonged recovery. ABSTRACT FROM AUTHOR},
keywords = {*ATTENTION-deficit hyperactivity disorder, *BRAIN -- Concussion, *COLLEGE students, *EVIDENCE-based medicine, *HIGH school students, *MEDICAL care, *MEDLINE, *PHYSICAL therapy, *POSTCONCUSSION syndrome, CINAHL (Information retrieval system), DESCRIPTIVE statistics, INFORMATION storage \& retrieval systems, ONLINE information services, Professional Practice, Risk Factors, SYSTEMATIC reviews (Medical research)},
pubstate = {published},
tppubtype = {article}
}
Dematteo, Carol; Volterman, Kimberly A; Breithaupt, Peter G; Claridge, Everett A; Adamich, John; Timmons, Brian W
Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion Journal Article
In: Medicine & Science in Sports & Exercise, vol. 47, no. 11, pp. 2283–2290, 2015, ISBN: 01959131.
Abstract | BibTeX | Tags: *BRAIN -- Concussion, *BRAIN -- Wounds & injuries, *EXERCISE, *EXERCISE tests, *POSTCONCUSSION syndrome, *SPORTS participation, ADOLESCENCE, adolescents, brain concussion, children, DATA analysis, DATA analysis -- Software, DECISION making in clinical medicine, DESCRIPTIVE statistics, head injury, MULTIPLE regression analysis, ONE-way analysis of variance, postconcussion syndrome, RESEARCH -- Finance, Return to Play, SAMPLING (Statistics), STATISTICS
@article{Dematteo2015b,
title = {Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion},
author = {Dematteo, Carol and Volterman, Kimberly A and Breithaupt, Peter G and Claridge, Everett A and Adamich, John and Timmons, Brian W},
isbn = {01959131},
year = {2015},
date = {2015-01-01},
journal = {Medicine \& Science in Sports \& Exercise},
volume = {47},
number = {11},
pages = {2283--2290},
abstract = {Purpose: The decision regarding return to activity (RTA) after mild traumatic brain injuries/concussion is one of the most difficult and controversial areas in concussion management, particularly for youth. This study investigated how youth with postconcussion syndrome (PCS) are affected by exertion and whether standardized exertion testing using the McMaster All-Out Progressive Continuous Cycling Test can contribute to clinical decision making for safe RTA. Methods: Fifty-four youth (8.5-18.3 yr) with a previously confirmed concussion participated in the study. Each participant performed exertion testing on a cycle ergometer and completed a Postconcussion Symptom scale at the following time points: before exertion (baseline), 5 and 30 min, and 24 h after exertion. A modified Postconcussion Symptom scale was administered at 2-min intervals during exertion. Results: Participants had a mean T SD symptom duration of 6.3 T 6.9 months after the most recent concussive injury, with a median of 4.1 months (range, 0.7-35 months). Sixty-three percent of participants had symptoms during exertion testing. Symptom profile (number and severity) significantly affected perception of exertion at 50% peak mechanical power. During acute assessment of symptoms (30-min after exertion), headache (P = 0.39), nausea (P = 0.63), and dizziness (P = 0.35) did not change. However, both the number and severity of symptoms significantly improved over 24 h, with 56.8% of youth showing improvements. The time from the most recent injury had a significant effect on the symptom score at baseline, 30 min after exertion, and 24 h after exertion. Conclusions: Exertion testing has an important role in the evaluation of symptoms and readiness to RTA, particularly in youth who are slow to recover. Overall, controlled exertion seemed to lesson symptoms for most youth. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Concussion, *BRAIN -- Wounds \& injuries, *EXERCISE, *EXERCISE tests, *POSTCONCUSSION syndrome, *SPORTS participation, ADOLESCENCE, adolescents, brain concussion, children, DATA analysis, DATA analysis -- Software, DECISION making in clinical medicine, DESCRIPTIVE statistics, head injury, MULTIPLE regression analysis, ONE-way analysis of variance, postconcussion syndrome, RESEARCH -- Finance, Return to Play, SAMPLING (Statistics), STATISTICS},
pubstate = {published},
tppubtype = {article}
}
Gallucci, John
Athlete Concussion: Orchestrating the Safe and Successful Return to Play Journal Article
In: Physical Therapy Products, vol. 24, no. 8, pp. 12–15, 2013, ISBN: 1059096X.
Abstract | BibTeX | Tags: *Athletes, *BRAIN, *BRAIN -- Concussion, *CHRONIC traumatic encephalopathy, *POSTCONCUSSION syndrome, DEGENERATION
@article{Gallucci2013,
title = {Athlete Concussion: Orchestrating the Safe and Successful Return to Play},
author = {Gallucci, John},
isbn = {1059096X},
year = {2013},
date = {2013-01-01},
journal = {Physical Therapy Products},
volume = {24},
number = {8},
pages = {12--15},
abstract = {The article offers information on the several methods to handle concussion in athletes. It states that concussion assessment tools, proper post-injury care, and effective communication are few of many basic foundations of a protocol to assure athlete safety. It further highlights several risks associated with concussion, which include post-concussion syndrome, second-impact syndrome, and chronic traumatic encephalopathy.},
keywords = {*Athletes, *BRAIN, *BRAIN -- Concussion, *CHRONIC traumatic encephalopathy, *POSTCONCUSSION syndrome, DEGENERATION},
pubstate = {published},
tppubtype = {article}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
Abstract | BibTeX | Tags: *ANXIETY, *BRAIN -- Wounds & injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {*ANXIETY, *BRAIN -- Wounds \& injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
Abstract | BibTeX | Tags: *BRAIN -- Wounds & injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Wounds \& injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}
Horris, Hannah B; Elmer, Carlie; McLeod, Tamara C Valovich
Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery Journal Article
In: Athletic Training & Sports Health Care, vol. 9, no. 1, pp. 39–44, 2017, ISBN: 19425864.
@article{Horris2017,
title = {Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery},
author = {Horris, Hannah B and Elmer, Carlie and McLeod, Tamara C Valovich},
isbn = {19425864},
year = {2017},
date = {2017-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {9},
number = {1},
pages = {39--44},
abstract = {Attention deficit hyperactivity disorder (ADHD) has been identified as a risk factor for concussion or delayed recovery. However, these recommendations are often based on anecdotal or limited evidence. This critically appraised topic aimed to address the clinical question of whether a premorbid diagnosis of ADHD increases the risk for a concussion and prolonged symptoms. A search strategy using PICO terminology related to the clinical question was conducted in several electronic databases. Seven studies were identified and five met the inclusion criteria. The clinical bottom line suggests there is moderate evidence to support the relationship between patients who are diagnosed as having ADHD and the incident rate of concussion, as well as a prolonged recovery time. The findings of this critically appraised topic suggest strength of recommendation of grade B to support that ADHD is a risk factor for concussion and a predictor of prolonged recovery. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Dematteo, Carol; Volterman, Kimberly A; Breithaupt, Peter G; Claridge, Everett A; Adamich, John; Timmons, Brian W
Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion Journal Article
In: Medicine & Science in Sports & Exercise, vol. 47, no. 11, pp. 2283–2290, 2015, ISBN: 01959131.
@article{Dematteo2015b,
title = {Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion},
author = {Dematteo, Carol and Volterman, Kimberly A and Breithaupt, Peter G and Claridge, Everett A and Adamich, John and Timmons, Brian W},
isbn = {01959131},
year = {2015},
date = {2015-01-01},
journal = {Medicine \& Science in Sports \& Exercise},
volume = {47},
number = {11},
pages = {2283--2290},
abstract = {Purpose: The decision regarding return to activity (RTA) after mild traumatic brain injuries/concussion is one of the most difficult and controversial areas in concussion management, particularly for youth. This study investigated how youth with postconcussion syndrome (PCS) are affected by exertion and whether standardized exertion testing using the McMaster All-Out Progressive Continuous Cycling Test can contribute to clinical decision making for safe RTA. Methods: Fifty-four youth (8.5-18.3 yr) with a previously confirmed concussion participated in the study. Each participant performed exertion testing on a cycle ergometer and completed a Postconcussion Symptom scale at the following time points: before exertion (baseline), 5 and 30 min, and 24 h after exertion. A modified Postconcussion Symptom scale was administered at 2-min intervals during exertion. Results: Participants had a mean T SD symptom duration of 6.3 T 6.9 months after the most recent concussive injury, with a median of 4.1 months (range, 0.7-35 months). Sixty-three percent of participants had symptoms during exertion testing. Symptom profile (number and severity) significantly affected perception of exertion at 50% peak mechanical power. During acute assessment of symptoms (30-min after exertion), headache (P = 0.39), nausea (P = 0.63), and dizziness (P = 0.35) did not change. However, both the number and severity of symptoms significantly improved over 24 h, with 56.8% of youth showing improvements. The time from the most recent injury had a significant effect on the symptom score at baseline, 30 min after exertion, and 24 h after exertion. Conclusions: Exertion testing has an important role in the evaluation of symptoms and readiness to RTA, particularly in youth who are slow to recover. Overall, controlled exertion seemed to lesson symptoms for most youth. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Gallucci, John
Athlete Concussion: Orchestrating the Safe and Successful Return to Play Journal Article
In: Physical Therapy Products, vol. 24, no. 8, pp. 12–15, 2013, ISBN: 1059096X.
@article{Gallucci2013,
title = {Athlete Concussion: Orchestrating the Safe and Successful Return to Play},
author = {Gallucci, John},
isbn = {1059096X},
year = {2013},
date = {2013-01-01},
journal = {Physical Therapy Products},
volume = {24},
number = {8},
pages = {12--15},
abstract = {The article offers information on the several methods to handle concussion in athletes. It states that concussion assessment tools, proper post-injury care, and effective communication are few of many basic foundations of a protocol to assure athlete safety. It further highlights several risks associated with concussion, which include post-concussion syndrome, second-impact syndrome, and chronic traumatic encephalopathy.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Horris, Hannah B; Elmer, Carlie; McLeod, Tamara C Valovich
Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery Journal Article
In: Athletic Training & Sports Health Care, vol. 9, no. 1, pp. 39–44, 2017, ISBN: 19425864.
Abstract | BibTeX | Tags: *ATTENTION-deficit hyperactivity disorder, *BRAIN -- Concussion, *COLLEGE students, *EVIDENCE-based medicine, *HIGH school students, *MEDICAL care, *MEDLINE, *PHYSICAL therapy, *POSTCONCUSSION syndrome, CINAHL (Information retrieval system), DESCRIPTIVE statistics, INFORMATION storage & retrieval systems, ONLINE information services, Professional Practice, Risk Factors, SYSTEMATIC reviews (Medical research)
@article{Horris2017,
title = {Premorbid Diagnosis of Attention Deficit Hyperactivity Disorder and the Association of Concussion Risk and Prolonged Recovery},
author = {Horris, Hannah B and Elmer, Carlie and McLeod, Tamara C Valovich},
isbn = {19425864},
year = {2017},
date = {2017-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {9},
number = {1},
pages = {39--44},
abstract = {Attention deficit hyperactivity disorder (ADHD) has been identified as a risk factor for concussion or delayed recovery. However, these recommendations are often based on anecdotal or limited evidence. This critically appraised topic aimed to address the clinical question of whether a premorbid diagnosis of ADHD increases the risk for a concussion and prolonged symptoms. A search strategy using PICO terminology related to the clinical question was conducted in several electronic databases. Seven studies were identified and five met the inclusion criteria. The clinical bottom line suggests there is moderate evidence to support the relationship between patients who are diagnosed as having ADHD and the incident rate of concussion, as well as a prolonged recovery time. The findings of this critically appraised topic suggest strength of recommendation of grade B to support that ADHD is a risk factor for concussion and a predictor of prolonged recovery. ABSTRACT FROM AUTHOR},
keywords = {*ATTENTION-deficit hyperactivity disorder, *BRAIN -- Concussion, *COLLEGE students, *EVIDENCE-based medicine, *HIGH school students, *MEDICAL care, *MEDLINE, *PHYSICAL therapy, *POSTCONCUSSION syndrome, CINAHL (Information retrieval system), DESCRIPTIVE statistics, INFORMATION storage \& retrieval systems, ONLINE information services, Professional Practice, Risk Factors, SYSTEMATIC reviews (Medical research)},
pubstate = {published},
tppubtype = {article}
}
Dematteo, Carol; Volterman, Kimberly A; Breithaupt, Peter G; Claridge, Everett A; Adamich, John; Timmons, Brian W
Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion Journal Article
In: Medicine & Science in Sports & Exercise, vol. 47, no. 11, pp. 2283–2290, 2015, ISBN: 01959131.
Abstract | BibTeX | Tags: *BRAIN -- Concussion, *BRAIN -- Wounds & injuries, *EXERCISE, *EXERCISE tests, *POSTCONCUSSION syndrome, *SPORTS participation, ADOLESCENCE, adolescents, brain concussion, children, DATA analysis, DATA analysis -- Software, DECISION making in clinical medicine, DESCRIPTIVE statistics, head injury, MULTIPLE regression analysis, ONE-way analysis of variance, postconcussion syndrome, RESEARCH -- Finance, Return to Play, SAMPLING (Statistics), STATISTICS
@article{Dematteo2015b,
title = {Exertion Testing in Youth with Mild Traumatic Brain Injury/Concussion},
author = {Dematteo, Carol and Volterman, Kimberly A and Breithaupt, Peter G and Claridge, Everett A and Adamich, John and Timmons, Brian W},
isbn = {01959131},
year = {2015},
date = {2015-01-01},
journal = {Medicine \& Science in Sports \& Exercise},
volume = {47},
number = {11},
pages = {2283--2290},
abstract = {Purpose: The decision regarding return to activity (RTA) after mild traumatic brain injuries/concussion is one of the most difficult and controversial areas in concussion management, particularly for youth. This study investigated how youth with postconcussion syndrome (PCS) are affected by exertion and whether standardized exertion testing using the McMaster All-Out Progressive Continuous Cycling Test can contribute to clinical decision making for safe RTA. Methods: Fifty-four youth (8.5-18.3 yr) with a previously confirmed concussion participated in the study. Each participant performed exertion testing on a cycle ergometer and completed a Postconcussion Symptom scale at the following time points: before exertion (baseline), 5 and 30 min, and 24 h after exertion. A modified Postconcussion Symptom scale was administered at 2-min intervals during exertion. Results: Participants had a mean T SD symptom duration of 6.3 T 6.9 months after the most recent concussive injury, with a median of 4.1 months (range, 0.7-35 months). Sixty-three percent of participants had symptoms during exertion testing. Symptom profile (number and severity) significantly affected perception of exertion at 50% peak mechanical power. During acute assessment of symptoms (30-min after exertion), headache (P = 0.39), nausea (P = 0.63), and dizziness (P = 0.35) did not change. However, both the number and severity of symptoms significantly improved over 24 h, with 56.8% of youth showing improvements. The time from the most recent injury had a significant effect on the symptom score at baseline, 30 min after exertion, and 24 h after exertion. Conclusions: Exertion testing has an important role in the evaluation of symptoms and readiness to RTA, particularly in youth who are slow to recover. Overall, controlled exertion seemed to lesson symptoms for most youth. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Concussion, *BRAIN -- Wounds \& injuries, *EXERCISE, *EXERCISE tests, *POSTCONCUSSION syndrome, *SPORTS participation, ADOLESCENCE, adolescents, brain concussion, children, DATA analysis, DATA analysis -- Software, DECISION making in clinical medicine, DESCRIPTIVE statistics, head injury, MULTIPLE regression analysis, ONE-way analysis of variance, postconcussion syndrome, RESEARCH -- Finance, Return to Play, SAMPLING (Statistics), STATISTICS},
pubstate = {published},
tppubtype = {article}
}
Gallucci, John
Athlete Concussion: Orchestrating the Safe and Successful Return to Play Journal Article
In: Physical Therapy Products, vol. 24, no. 8, pp. 12–15, 2013, ISBN: 1059096X.
Abstract | BibTeX | Tags: *Athletes, *BRAIN, *BRAIN -- Concussion, *CHRONIC traumatic encephalopathy, *POSTCONCUSSION syndrome, DEGENERATION
@article{Gallucci2013,
title = {Athlete Concussion: Orchestrating the Safe and Successful Return to Play},
author = {Gallucci, John},
isbn = {1059096X},
year = {2013},
date = {2013-01-01},
journal = {Physical Therapy Products},
volume = {24},
number = {8},
pages = {12--15},
abstract = {The article offers information on the several methods to handle concussion in athletes. It states that concussion assessment tools, proper post-injury care, and effective communication are few of many basic foundations of a protocol to assure athlete safety. It further highlights several risks associated with concussion, which include post-concussion syndrome, second-impact syndrome, and chronic traumatic encephalopathy.},
keywords = {*Athletes, *BRAIN, *BRAIN -- Concussion, *CHRONIC traumatic encephalopathy, *POSTCONCUSSION syndrome, DEGENERATION},
pubstate = {published},
tppubtype = {article}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
Abstract | BibTeX | Tags: *ANXIETY, *BRAIN -- Wounds & injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {*ANXIETY, *BRAIN -- Wounds \& injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
Abstract | BibTeX | Tags: *BRAIN -- Wounds & injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Wounds \& injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}