The relationship between post-injury measures of cognition, balance, symptom reports and health-related quality-of-life in adolescent athletes with concussion
The relationship between post-injury measures of cognition, balance, symptom reports and health-related quality-of-life in adolescent athletes with concussion
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DOI：
10.3109/02699052.2016.1146960
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发表时间：
2016-01-01
期刊：
影响因子：
1.9
通讯作者：
McLeod, Tamara C. Valovich
中科院分区：
文献类型：
--
作者：
Houston, Megan N.;Bay, R. Curtis;McLeod, Tamara C. Valovich
背景：脑震荡后损伤与健康相关生活质量（HRQoL）之间的关系知之甚少。本研究的主要目的是确定传统的脑震荡评估和青少年运动员脑震荡后HRQoL之间的关系。次要目的是确定HRQoL赤字和时间loss.Methods之间的关联：总共，1134名运动员完成了基线评估电池。HRQoL指标包括儿科生活质量量表（PedsQL）、多维疲劳量表（MFS）和头痛影响测试-6。总共，122名运动员持续脑震荡，并在3和10天post-injury.Results：最强的关系之间的症状严重程度和HRQoL进行了后续测试。对于第3天的并行回归分析，PedsQL-Physical占时间损失方差的17.9%，超出了传统测量方法的解释范围。在第10天，PedsQL-学校占该方差的15.2%，症状严重程度占7.1%。在预测分析中，第3天，PedsQL-体格检查占传统测量值以外时间损失方差的3.9%，MFS-一般占3.3%。在第10天，MFS-Cognitive accounted for 12.0%of this variation.Conclusions：HRQoL似乎发挥了作用，在脑震荡后失去的时间，并应结合传统的脑震荡评估测量。
Background: Little is known about the relationship between post-concussion impairments and health-related quality-of-life (HRQoL). The primary purpose of this study was to determine the relationship between traditional concussion assessments and HRQoL in adolescent athletes post-concussion. The secondary purpose was to determine the association between HRQoL deficits and time lost.Methods: In total, 1134 athletes completed a baseline assessment battery. HRQoL measures included the Pediatric Quality of Life Inventory (PedsQL), Multidimensional Fatigue Scale (MFS) and Headache Impact Test-6. In total, 122 athletes sustained a concussion and underwent follow-up testing at 3 and 10 days post-injury.Results: The strongest relationships were between symptom severity and HRQoL. For concurrent regression analyses at Day 3, PedsQL-Physical accounted for 17.9% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, PedsQL-School accounted for 15.2% and symptom severity for 7.1% of this variance. In predictive analyses, at Day 3, PedsQL-Physical accounted for 3.9% and MFS-General for 3.3% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, MFS-Cognitive accounted for 12.0% of this variance.Conclusions: HRQoL appears to play a role in time lost post-concussion and should be measured in combination with traditional concussion assessments.