The Effect of Age and Competition Level on Subtle Motor Performance in Adolescents Medically Cleared Postconcussion: Preliminary Findings.

The Effect of Age and Competition Level on Subtle Motor Performance in Adolescents Medically Cleared Postconcussion: Preliminary Findings.
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DOI:
10.1097/phm.0000000000001589
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发表时间:
2021-06-01
影响因子:
3
通讯作者:
Suskauer SJ
Suskauer SJ
中科院分区:
医学3区
文献类型:
--
作者:
Crasta JE;Raja AE;Caffo BS;Hluchan CM;Suskauer SJ

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研究年龄和比赛水平对最近通过医学检查的青少年脑震荡后(MC脑震荡后)和未受伤对照组的细微运动表现的影响。对30名最近患有脑震荡后MC的青少年(12-18岁)和30名从未脑震荡过、典型发育的对照组进行了修订的身体和神经学细微体征检查(PANESS)和即刻脑震荡后评估和认知测试(IMPACT),两组中年龄越大,冲击得分越高,而只有对照组随着年龄的增长,PANESS上的运动表现有所改善。两组中参加较高水平比赛(学校或旅行水平)的青少年在PANESS上的运动表现都好于参加较低水平比赛(娱乐水平或不参加体育活动)的青少年。青少年脑震荡后遗症在PANESS上的运动障碍比对照组更严重。在医学检查通过后,最近有脑震荡病史的青少年表现出运动功能与年龄之间的关系发生了变化。PANESS作为一种对影响运动能力的因素(如年龄和运动比赛水平)以及青少年MC脑震荡后持续的轻微运动缺陷敏感的测量方法,值得进一步探索。
To examine the effect of age and level of competition on subtle motor performance in adolescents who have recently been medically-cleared post-concussion (MC post-concussion) and never-injured controls. Thirty adolescents who were recently MC post-concussion (12–18 years) and 30 never-concussed, typically-developing controls were examined using the Revised Physical and Neurologic Examination of Subtle Signs (PANESS) and the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) Older age was associated with better ImPACT scores in both groups, while only the control group showed improved motor performance on the PANESS with increasing age. Adolescents across both groups participating at a higher level of competition (school or travel level) had better motor performance on the PANESS than those participating at a lower level of competition (recreational level or no sports participation). Adolescents MC post-concussion had greater motor deficits on the PANESS than controls. Following medical clearance, adolescents with a history of recent concussion demonstrate alterations in the relationship between motor function and age. The PANESS merits further exploration as a measure that is sensitive to factors affecting motor performance such as age and level of athletic competition as well as to persistent subtle motor deficits in adolescents MC post-concussion.
DOI: 10.1080/00222895.2019.1570908
发表时间: 2020
影响因子: 1.4
作者:
Stephens JA;Davies PL;Gavin WJ;Mostofsky SH;Slomine BS;Suskauer SJ
通讯作者: Suskauer SJ