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Activity Level During Acute Concussion May Predict Symptom Recovery Within an Active Duty Military Population.
Remigio-Baker, Rosemay A; Bailie, Jason M; Gregory, Emma; Cole, Wesley R; McCulloch, Karen L; Cecchini, Amy; Stuessi, Keith; Andrews, Taylor R; Mullins, Lynita; Ettenhofer, Mark L.
Afiliación
  • Remigio-Baker RA; Defense and Veterans Brain Injury Center, Silver Spring, Maryland (Drs Remigio-Baker, Bailie, Gregory, Cole, Stuessi, Ettenhofer, and Mullins and Ms Andrews); Naval Hospital Camp Pendleton, Concussion Care Clinic, Camp Pendleton, California (Drs Remigio-Baker, Bailie, and Stuessi); Venesco LLC, Chantilly, Virginia (Drs Remigio-Baker and McCulloch and Ms Andrews); General Dynamics Health Solutions, Silver Spring, Maryland (Drs Bailie and Stuessi); Naval Medical Center San Diego, San Diego, Califo
J Head Trauma Rehabil ; 35(2): 92-103, 2020.
Article en En | MEDLINE | ID: mdl-31246876
OBJECTIVE: To evaluate the impact on symptom resolution of activity acutely following a concussion and the role of acute-phase symptoms on this relationship among active duty service members (SMs). SETTING: Three military installations. PARTICIPANTS: Sixty-two SMs aged 18 to 44 years who sustained a concussion within 72 hours of enrollment. DESIGN: Longitudinal design with data collected within 72 hours of injury (baseline, n = 62) and at 1 week (n = 57), 1 month (n = 50), 3 months (n = 41), and 6 months (n = 40) postinjury. MAIN MEASURES: Baseline activity level using a 60-item Activity Questionnaire. Symptom level at baseline and during follow-up using Neurobehavioral Symptoms Inventory. RESULTS: Significant interaction (Pi < .05) was found, with significant main effects (P < .05) limited to SMs with elevated baseline symptomatology. Among these participants, greater baseline total activity was significantly related to greater vestibular symptoms at 1, 3, and 6 months (ß = .61, .63, and .59, respectively). Significant associations were also found for particular types of baseline activity (eg, physical; vestibular/balance; military-specific) and symptoms at 1, 3, and/or 6 months postinjury. CONCLUSION: These results provide support for clinical guidance that symptomatic SMs, particularly those with high levels of acute symptoms, may need to avoid excessive activity acutely following concussion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica / Ejercicio Físico / Personal Militar Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica / Ejercicio Físico / Personal Militar Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Head Trauma Rehabil Asunto de la revista: REABILITACAO / TRAUMATOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos