Knight, D; Dewitt, R; Moser, S
Mild traumatic brain injury in a gymnast Journal Article
In: Journal of the American Academy of Physician Assistants, vol. 29, no. 7, pp. 30–34, 2016.
Abstract | Links | BibTeX | Tags: Athletics, Cognitive rest, Concussion, mild traumatic brain injury, Pediatric, Return to Play
@article{Knight2016,
title = {Mild traumatic brain injury in a gymnast},
author = {Knight, D and Dewitt, R and Moser, S},
doi = {10.1097/01.JAA.0000483093.43523.0d},
year = {2016},
date = {2016-01-01},
journal = {Journal of the American Academy of Physician Assistants},
volume = {29},
number = {7},
pages = {30--34},
abstract = {Primary care providers often are responsible for the initial evaluation and management plan of young patients with mild traumatic brain injury (mild TBI, also called concussion), and need to be familiar with new protocols and how to incorporate them into a patient's treatment plan. This article describes a patient who suffered a mild TBI and returned to sports too early, and discusses the appropriate protocols for managing concussion in children. Copyright © 2016 American Academy of Physician Assistants.},
keywords = {Athletics, Cognitive rest, Concussion, mild traumatic brain injury, Pediatric, Return to Play},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Provance, Aaron J; Terhune, E Bailey; Cooley, Christine; Carry, Patrick M; Connery, Amy K; Engelman, Glenn H; Kirkwood, Michael W
The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury Journal Article
In: Sports Health, vol. 6, no. 5, pp. 410–415, 2014, ISBN: 19417381.
Abstract | BibTeX | Tags: *MEDICAL care, *PHYSICAL therapy, *SPORTS medicine, EVIDENCE, mild traumatic brain injury, Neuropsychological Tests, Pediatric, SPORTS medicine, Symptom validity testing
@article{Provance2014,
title = {The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury},
author = {Provance, Aaron J and Terhune, E Bailey and Cooley, Christine and Carry, Patrick M and Connery, Amy K and Engelman, Glenn H and Kirkwood, Michael W},
isbn = {19417381},
year = {2014},
date = {2014-01-01},
journal = {Sports Health},
volume = {6},
number = {5},
pages = {410--415},
abstract = {The article focuses on a study that examined how concussed patients who are seen for sports medicine workup present with noncredible effort during a follow-up neuropsychological examination. In the study participants will demonstrate noncredible effort during neuropsychological testing and study conclude that patient shows evidence of noncredible performance during neuropsychological examination.},
keywords = {*MEDICAL care, *PHYSICAL therapy, *SPORTS medicine, EVIDENCE, mild traumatic brain injury, Neuropsychological Tests, Pediatric, SPORTS medicine, Symptom validity testing},
pubstate = {published},
tppubtype = {article}
}
Knight, D; Dewitt, R; Moser, S
Mild traumatic brain injury in a gymnast Journal Article
In: Journal of the American Academy of Physician Assistants, vol. 29, no. 7, pp. 30–34, 2016.
@article{Knight2016,
title = {Mild traumatic brain injury in a gymnast},
author = {Knight, D and Dewitt, R and Moser, S},
doi = {10.1097/01.JAA.0000483093.43523.0d},
year = {2016},
date = {2016-01-01},
journal = {Journal of the American Academy of Physician Assistants},
volume = {29},
number = {7},
pages = {30--34},
abstract = {Primary care providers often are responsible for the initial evaluation and management plan of young patients with mild traumatic brain injury (mild TBI, also called concussion), and need to be familiar with new protocols and how to incorporate them into a patient's treatment plan. This article describes a patient who suffered a mild TBI and returned to sports too early, and discusses the appropriate protocols for managing concussion in children. Copyright © 2016 American Academy of Physician Assistants.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Provance, Aaron J; Terhune, E Bailey; Cooley, Christine; Carry, Patrick M; Connery, Amy K; Engelman, Glenn H; Kirkwood, Michael W
The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury Journal Article
In: Sports Health, vol. 6, no. 5, pp. 410–415, 2014, ISBN: 19417381.
@article{Provance2014,
title = {The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury},
author = {Provance, Aaron J and Terhune, E Bailey and Cooley, Christine and Carry, Patrick M and Connery, Amy K and Engelman, Glenn H and Kirkwood, Michael W},
isbn = {19417381},
year = {2014},
date = {2014-01-01},
journal = {Sports Health},
volume = {6},
number = {5},
pages = {410--415},
abstract = {The article focuses on a study that examined how concussed patients who are seen for sports medicine workup present with noncredible effort during a follow-up neuropsychological examination. In the study participants will demonstrate noncredible effort during neuropsychological testing and study conclude that patient shows evidence of noncredible performance during neuropsychological examination.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Knight, D; Dewitt, R; Moser, S
Mild traumatic brain injury in a gymnast Journal Article
In: Journal of the American Academy of Physician Assistants, vol. 29, no. 7, pp. 30–34, 2016.
Abstract | Links | BibTeX | Tags: Athletics, Cognitive rest, Concussion, mild traumatic brain injury, Pediatric, Return to Play
@article{Knight2016,
title = {Mild traumatic brain injury in a gymnast},
author = {Knight, D and Dewitt, R and Moser, S},
doi = {10.1097/01.JAA.0000483093.43523.0d},
year = {2016},
date = {2016-01-01},
journal = {Journal of the American Academy of Physician Assistants},
volume = {29},
number = {7},
pages = {30--34},
abstract = {Primary care providers often are responsible for the initial evaluation and management plan of young patients with mild traumatic brain injury (mild TBI, also called concussion), and need to be familiar with new protocols and how to incorporate them into a patient's treatment plan. This article describes a patient who suffered a mild TBI and returned to sports too early, and discusses the appropriate protocols for managing concussion in children. Copyright © 2016 American Academy of Physician Assistants.},
keywords = {Athletics, Cognitive rest, Concussion, mild traumatic brain injury, Pediatric, Return to Play},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Provance, Aaron J; Terhune, E Bailey; Cooley, Christine; Carry, Patrick M; Connery, Amy K; Engelman, Glenn H; Kirkwood, Michael W
The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury Journal Article
In: Sports Health, vol. 6, no. 5, pp. 410–415, 2014, ISBN: 19417381.
Abstract | BibTeX | Tags: *MEDICAL care, *PHYSICAL therapy, *SPORTS medicine, EVIDENCE, mild traumatic brain injury, Neuropsychological Tests, Pediatric, SPORTS medicine, Symptom validity testing
@article{Provance2014,
title = {The Relationship Between Initial Physical Examination Findings and Failure on Objective Validity Testing During Neuropsychological Evaluation After Pediatric Mild Traumatic Brain Injury},
author = {Provance, Aaron J and Terhune, E Bailey and Cooley, Christine and Carry, Patrick M and Connery, Amy K and Engelman, Glenn H and Kirkwood, Michael W},
isbn = {19417381},
year = {2014},
date = {2014-01-01},
journal = {Sports Health},
volume = {6},
number = {5},
pages = {410--415},
abstract = {The article focuses on a study that examined how concussed patients who are seen for sports medicine workup present with noncredible effort during a follow-up neuropsychological examination. In the study participants will demonstrate noncredible effort during neuropsychological testing and study conclude that patient shows evidence of noncredible performance during neuropsychological examination.},
keywords = {*MEDICAL care, *PHYSICAL therapy, *SPORTS medicine, EVIDENCE, mild traumatic brain injury, Neuropsychological Tests, Pediatric, SPORTS medicine, Symptom validity testing},
pubstate = {published},
tppubtype = {article}
}