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Activities and Participation in the First 6 Months After Mild Traumatic Brain Injury in Children and Adolescents
- Source :
- Journal of Head Trauma Rehabilitation, 35(6), E501-E512. LIPPINCOTT WILLIAMS & WILKINS, Journal of Head Trauma Rehabilitation, 35(6), E501-E512. Lippincott Williams & Wilkins
- Publication Year :
- 2020
-
Abstract
- OBJECTIVE: To investigate the natural course of activities and participation of children up to 6 months after a mild traumatic brain injury (mTBI).METHODS: A prospective longitudinal cohort study with complete data sets of 231 children diagnosed with mTBI and their caregivers.MAIN MEASURES: Activities and participation assessed with the Child and Adolescent Scale of Participation (CASP) and the Children's Assessment of Participation and Enjoyment (CAPE) measured at 2 weeks, 3 months, and 6 months post-mTBI. Because of a ceiling effect, the primary outcome measure (CASP) was divided into deviant (not maximum score) or full functioning.RESULTS: Friedman's, Cochran's Q, and McNemar's tests (CASP) and repeated-measures analyses of variance (CAPE) showed significant increases in activities and participation between 2 weeks and 3 and 6 months after mTBI. Based on the parents' perspective, 67% of the children returned to full functioning at 6 months postinjury, with only 38% of the children describing themselves as functioning at their premorbid level.DISCUSSION: Findings indicate that most children return to maximum level of activities and participation over time after mTBI. In a substantial number of children, however, the level of activities and participation at 6 months postinjury is evaluated as lower than that of peers. The importance of investigating predictors for child and caregiver perspectives is emphasized.
- Subjects :
- 030506 rehabilitation
Complete data
medicine.medical_specialty
SYMPTOMS
Adolescent
Traumatic brain injury
CHILDHOOD
Physical Therapy, Sports Therapy and Rehabilitation
activities and participation
VALIDATION
03 medical and health sciences
0302 clinical medicine
McNemar's test
children
mild traumatic brain injury
medicine
Humans
Family
Longitudinal Studies
Prospective Studies
Longitudinal cohort
CASP
Child
VERSION
Brain Concussion
domains
SCALE
settings
Natural course
OUTCOMES
business.industry
Maximum level
Rehabilitation
Recovery of Function
medicine.disease
Social Participation
LIFE
YOUTH
Physical therapy
outcome
Ceiling effect
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 08859701
- Volume :
- 35
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of Head Trauma Rehabilitation
- Accession number :
- edsair.doi.dedup.....83a311760340a474fd317b720a00673f