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Predictors of Treatment Response to Multidisciplinary Care for Persistent Symptoms after Pediatric Concussion.
O'Neill, Jilian A; Rose, Sean C; Davidson, Ashley M; Shiplett, Kathleen M; Castillo, Anthony; McNally, Kelly A.
Afiliación
  • O'Neill JA; Oakland Neuropsychology Center; Nationwide Children's Hospital Department of Pediatric Psychology and Neuropsychology; Ohio State University Department of Pediatrics, USA.
  • Rose SC; Nationwide Children's Hospital Department of Neurology; Ohio State University Department of Pediatrics, USA.
  • Davidson AM; Nationwide Children's Hospital Department of Sports Medicine, USA.
  • Shiplett KM; Nationwide Children's Hospital Department of Clinical Therapies, USA.
  • Castillo A; Nationwide Children's Hospital Department of Pediatric Psychology and Neuropsychology, USA.
  • McNally KA; Nationwide Children's Hospital Department of Pediatric Psychology and Neuropsychology; Ohio State University Department of Pediatrics, USA.
Dev Neurorehabil ; 25(1): 38-44, 2022 Jan.
Article en En | MEDLINE | ID: mdl-33881383
PURPOSE: To assess which pediatric patients experiencing persistent post-concussive symptoms (PCS) benefit most from multidisciplinary treatment including specialists in Neurology, Neuropsychology, Physical Therapy, and Athletic Training, and to explore the effectiveness of this approach. METHODS: A retrospective chart review of 56 adolescents 10-20 years old (M = 15.0 ± 2.1) receiving multidisciplinary care for PCS (>30 days) was conducted. RESULTS: Systolic blood pressure and Body Mass Index predicted time to concussion resolution (p < .05), such that higher values were associated with slower resolution. PCS scores significantly decreased between participants' initial and final clinic visits, p < .01, and among the 25 participants for whom pre-intervention PCS scores were available, symptom severity scores significantly declined following multidisciplinary intervention compared to pre-referral values (p < .01). CONCLUSIONS: Exploratory analyses reveal that multidisciplinary treatment is a promising approach for reducing symptoms among adolescents with PCS, and that those with greater levels of physical fitness may benefit most.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica / Síndrome Posconmocional Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Dev Neurorehabil Asunto de la revista: NEUROLOGIA / PEDIATRIA / REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica / Síndrome Posconmocional Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Dev Neurorehabil Asunto de la revista: NEUROLOGIA / PEDIATRIA / REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido