Does baseline concussion testing aid in identifying future concussion risk?
Does baseline concussion testing aid in identifying future concussion risk?
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基线脑震荡测试是否有助于识别未来的脑震荡风险？
DOI：
10.1080/15438627.2019.1641500
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Buckley,ThomasA
中科院分区：
文献类型：
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作者：
Caccese,JaclynB;Johns,KassandraE;Langdon,JodyL;Shaver,GeorgeW;Buckley,ThomasA
目的是确定未来遭受运动相关脑震荡（fSRC）的学生运动员与未遭受运动相关脑震荡的学生运动员在赛季前基线表现的差异。大学生运动员（fSRC 82名，对照组82名，年龄= 18.4±0.8岁，身高= 172.7±10.3 cm，体重= 80.1±20.9 kg）完成基线脑震荡后立即评估和认知测试（ImPACT）、平衡误差评分系统（BESS）和脑震荡标准化评估（SAC）。独立t检验结果显示，fSRC组与对照组的ImPACT综合得分无显著差异(95%置信区间，视觉记忆：fSRC 70.4 ~ 75.9, control 73.4 ~ 78.5, p = 0.134；言语记忆：fSRC 83.8 ~ 87.7, control 85.7 ~ 89.9, p = 0.155；反应时间：fSRC 0.562 ~ 0.591, control 0.580 ~ 0.614, p = 0.071；视觉电机速度：fSRC 38.5-41.1，对照组38.2-40.9,p = 0.757)， BESS总误差（fSRC 11.3-13.7，对照组11.8-14.4,p = 0.483），或SAC （fSRC 26.6-27.4，对照组26.9-27.6,p = 0.394）。受试者工作特征曲线下面积为0.417 ~ 0.515。我们的研究结果表明，基线脑震荡评估不能用于预测可能持续fSRC的个体。
The purpose was to determine differences in pre-season baseline performance between student-athletes who suffered a future sport-related concussion (fSRC) and those who did not. Collegiate student-athletes (82 fSRC, 82 matched control, age = 18.4 ± 0.8years, height = 172.7 ± 10.3 cm, mass = 80.1 ± 20.9 kg) completed baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Balance Error Scoring System (BESS), and Standardized Assessment of Concussion (SAC). Results of the independent t-tests suggested there were no differences between the fSRC and the control groups for ImPACT composite scores (95% confidence intervals, Visual Memory: fSRC 70.4–75.9, Control 73.4–78.5, p = 0.134; Verbal Memory: fSRC 83.8–87.7, Control 85.7–89.9, p = 0.155; Reaction Time: fSRC 0.562–0.591, Control 0.580–0.614, p = 0.071; Visual Motor Speed: fSRC 38.5–41.1, Control 38.2–40.9, p = 0.757), BESS total errors (fSRC 11.3–13.7, Control 11.8–14.4, p = 0.483), or SAC (fSRC 26.6–27.4, Control 26.9–27.6, p = 0.394). Receiver operating characteristic (ROC) areas-under-the-curve were 0.417–0.515. Our findings suggest that baseline concussion assessments cannot be used to predict individuals who may sustain a fSRC.