Rest Evaluation for Active Concussion Treatment (ReAct) Protocol: a prospective cohort study of levels of physical and cognitive rest after youth sports-related concussion
Rest Evaluation for Active Concussion Treatment (ReAct) Protocol: a prospective cohort study of levels of physical and cognitive rest after youth sports-related concussion
复制标题
DOI：
10.1136/bmjopen-2018-028386
复制
发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Lu, Zhong-lin
中科院分区：
文献类型：
--
作者：
Yang, Jingzhen;Yeates, Keith;Lu, Zhong-lin
虽然目前关于运动相关脑震荡（SRC）早期临床治疗的指南要求逐渐恢复活动，但促进康复所需的最佳休息水平仍然未知。本文介绍了主动脑震荡治疗的休息评估（ReAct）研究的方案，该研究客观地测量了青少年运动员SRC后的身体和认知休息及其与康复的关系。方法与分析11-17岁的青少年运动员在受伤前被招募，并在医生诊断脑震荡后72小时内被招募。在受伤时评估损伤信息和急性临床表现。使用两种电子设备（ActiGraph（测量身体休息和睡眠）和Narrative Clip（测量认知休息））对青年参与者进行前瞻性跟踪，以客观地监测日常身体和认知休息，以及使用每日调查自我报告的脑震荡后症状。其他脑震荡结果，包括功能结果，是通过在三个时间点对青少年及其父母进行调查来评估的：(1)受伤后72小时内，(2)入组后第7天，(3)症状消退时（或最多脑震荡后45天）。本研究已获得参与机构机构审查委员会（IRB at national Children's Hospital, IRB16-00613）的伦理批准。这项研究的结果将在国内和国际科学会议上发表，并发表在同行评议的期刊上。
Introduction Although current guidelines for the early clinical management of sports-related concussion (SRC) call for a gradual return-to-activity, the optimal level of rest needed to promote recovery remains unknown. This paper describes the protocol of the Rest Evaluation for Active Concussion Treatment (ReAct) study which objectively measures physical and cognitive rest following SRC and its relation to recovery among youth athletes.Methods and analysis Youth athletes aged 11-17 years are recruited preinjury and enrolled within 72 hours following a physician-diagnosed concussion. Injury information and acute clinical presentation are assessed at the time of injury. Youth participants are prospectively followed to objectively monitor daily physical and cognitive rest using two electronic devices: ActiGraph (to measure physical rest and sleep) and Narrative Clip (to measure cognitive rest), along with self-reported postconcussive symptoms using daily surveys. Other concussion outcomes, including functional outcomes, are assessed by surveying youth and their parents at three time points: (1) within 72 hours of injury, (2) at day 7 postenrolment and (3) at symptom resolution (or a maximum of 45 days postconcussion).Ethics and dissemination This study has received ethical approval from the Institutional Review Board (IRB) at the participating institution (IRB at Nationwide Children's Hospital, IRB16-00613). The results of the study will be presented at national and international scientific conferences and published in peer-reviewed journals.