Risk Factors for Vestibular and Oculomotor Outcomes After Sport-Related Concussion.
Risk Factors for Vestibular and Oculomotor Outcomes After Sport-Related Concussion.
复制标题
运动相关脑震荡后前庭和动眼神经结果的危险因素。
DOI：
10.1097/jsm.0000000000000761
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Kontos,AnthonyP
中科院分区：
文献类型：
--
作者：
Womble,MelissaN;McAllister-Deitrick,Jamie;Marchetti,GregoryF;Reynolds,Erin;Collins,MichaelW;Elbin,RJ;Kontos,AnthonyP
目的：调查运动相关脑震荡 (SRC) 后危险因素与前庭动眼神经结局之间的关联。研究设计：对受伤后 5.7±5.4 天（范围 0-30 天）就诊的患者进行横断面研究。地点：专科诊所。参与者：85 名运动员（50 名男运动员和 35 名女运动员），年龄 14.1±2.8 岁（范围 9-24 岁）寻求 SRC 的临床护理。 干预措施：参与者完成了临床访谈、病史调查问卷、症状清单和前庭/眼运动筛查 (VOMS)。采用比值比和诊断准确性卡方检验来检验危险因素与 VOMS 结果之间的关联。主要结果指标：VOMS。结果：女性（χ 2= 4.9，P= 0.03）、场上头晕（χ 2= 7.1，P= 0.008）、雾气（χ 2= 10.3，P= 0.001）和创伤后偏头痛 (PTM) 症状包括头痛 (χ 2= 16.7，P= 0.001)、恶心 (χ 2= 10.9，P= 0.001)、光敏感性 (χ 2= 14.9，P= 0.001) 和噪声敏感性 (χ 2= 8.7，P= 0.003) 与一种或多种脑震荡后 VOMS 的存在相关分数高于临床截止值。场上头晕（χ 2 = 3.8，P = 0.05）、雾气（χ 2 = 7.9，P = 0.005）和PTM样症状包括恶心（χ 2 = 9.0，P = 0.003）和噪声敏感性（χ 2 = 7.2，P = 0.007）与获得脑震荡后近点收敛（NPC）距离截止值相关> 5 厘米。 VOMS 症状和 NPC 距离的似然比分别为 5.93 和 5.14。结论：女性、场上头晕、雾气和 PTM 症状是 SRC 后出现前庭动眼神经症状/损伤的预测因素。
Objective:To investigate the association between risk factors and vestibular–oculomotor outcomes after sport-related concussion (SRC).Study Design:Cross-sectional study of patients seen 5.7±5.4 days (range 0-30 days) after injury.Setting:Specialty clinic.Participants:Eighty-five athletes (50 male athletes and 35 female athletes) aged 14.1±2.8 years (range 9-24 years) seeking clinical care for SRC.Interventions:Participants completed a clinical interview, history questionnaire, symptom inventory, and vestibular/ocularmotor screening (VOMS). Chi-square tests with odds ratios and diagnostic accuracy were used to examine the association between risk factors and VOMS outcomes.Main Outcome Measures:The VOMS.Results:Female sex (χ 2= 4.9, P= 0.03), on-field dizziness (χ 2= 7.1, P= 0.008), fogginess (χ 2= 10.3, P= 0.001), and post-traumatic migraine (PTM) symptoms including headache (χ 2= 16.7, P= 0.001), nausea (χ 2= 10.9, P= 0.001), light sensitivity (χ 2= 14.9, P= 0.001), and noise sensitivity (χ 2= 8.7, P= 0.003) were associated with presence of one or more postconcussion VOMS score above clinical cutoff. On-field dizziness (χ 2= 3.8, P= 0.05), fogginess (χ 2= 7.9, P= 0.005), and PTM-like symptoms including nausea (χ 2= 9.0, P= 0.003) and noise sensitivity (χ 2= 7.2, P= 0.007) were associated with obtaining a postconcussion near-point convergence (NPC) distance cutoff> 5 cm. The likelihood ratios were 5.93 and 5.14 for VOMS symptoms and NPC distance, respectively.Conclusions:Female sex, on-field dizziness, fogginess, and PTM symptoms were predictive of experiencing vestibular–oculomotor symptoms/impairment after SRC.