Evaluating Motor Control Improves Discrimination of Adolescents with and without Sports Related Concussion.

Evaluating Motor Control Improves Discrimination of Adolescents with and without Sports Related Concussion.
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DOI:
10.1080/00222895.2019.1570908
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发表时间:
2020
影响因子:
1.4
通讯作者:
Suskauer SJ
Suskauer SJ
中科院分区:
心理学4区
文献类型:
--
作者:
Stephens JA;Davies PL;Gavin WJ;Mostofsky SH;Slomine BS;Suskauer SJ

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运动功能障碍越来越被认为是脑震荡的严重后遗症,这可能与诊断和治疗有关。在17名最近患有脑震荡的青少年和20名从未脑震荡的对照中,我们评估了一种常用的神经认知测量与运动细微体征检查的区分能力,运动细微体征检查评估步态、平衡以及精细和粗大运动控制。我们发现,运动细微体征检查具有比神经认知测试更好的判别能力,但两者结合优于单独使用测量进行分析(Wilks‘sƛ=.297,p<.001)。这支持了在疑似脑震荡后评估运动控制和神经认知能力的额外好处,以提高损伤的诊断和治疗。
Disrupted motor performance is increasingly recognized as a critical sequela of concussion which may have relevance for diagnosis and treatment. In 17 adolescents with recent concussion and 20 never-concussed controls, we evaluated the discriminant ability of a commonly used neurocognitive measure compared to a motor subtle sign exam, which evaluates gait, balance, and fine and gross motor control. We found that the motor subtle sign exam had better discriminant ability than the neurocognitive measure, but combining both measures was superior to analyses with individual measures (Wilks’ ƛ = .297, p < .001). This supports that there is an added benefit of evaluating motor control along with neurocognitive capacities after suspected concussion to enhance diagnosis and treatment of injury.
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