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Examining Motor Tasks of Differing Complexity After Concussion in Adolescents
- Source :
- Archives of Physical Medicine and Rehabilitation. 100:613-619
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Objectives (1) To determine the effects of concussion-related motor impairments at different task complexities in isolation and with a cognitive dual-task and (2) to determine if self-reported balance deficits after concussion are associated with gait, quiet stance, or cognitive dual-task impairments. Design Cross-sectional study. Setting Sports medicine clinic. Participants Adolescent athletes clinically diagnosed with a sport-related concussion and those without concussion. Forty-nine patients with concussion (mean age=14.9±1.9y; 51% female; tested 7.0±3.0d postinjury) and 65 control participants (mean age=14.9±1.6y; 52% female) completed the study (N=114). Interventions Athletes with concussion completed a single-task and dual-task standing and walking protocol within 14 days of injury and were compared to those without concussion. Main Outcome Measures Outcome measures included gait speed, quiet stance (root mean square [RMS] coronal/sagittal plane sway), and cognitive performance (accuracy). Dual-task costs were calculated as the percentage change between single-task and dual-task conditions. Participants with concussion were then stratified by those who did and did not report subjective balance problems at the time of testing and compared using objective balance and gait metrics. Results The concussion group walked slower during dual-task gait than controls (0.83±0.17 m/s vs 0.92±0.15 m/s; Cohen’s d=0.53). Dual-task quiet stance RMS sway values were similar for concussion and control groups in coronal (1.20±0.52 m/s-2 vs 1.26±0.65 m/s-2; d=0.09) and sagittal (0.56±0.24 m/s-2 vs 0.73±0.44 m/s-2; d=0.20) movement planes. The concussion participants with subjectively-reported balance problems had significantly greater walking speed dual-task costs than concussion participants without self-reported balance problems (-25±10% vs -19±9%; P=.02). Conclusions Following concussion, adolescents demonstrate slower gait speeds, but similar quiet stance values relative to those without concussion. The study results indicate that tasks requiring greater motor coordination may elicit greater alterations following a concussion.
- Subjects :
- Male
030506 rehabilitation
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Motor Disorders
Walk Test
Physical Therapy, Sports Therapy and Rehabilitation
03 medical and health sciences
Cognition
0302 clinical medicine
Physical medicine and rehabilitation
Task Performance and Analysis
Concussion
Postural Balance
medicine
Humans
Brain Concussion
Balance (ability)
Rehabilitation
business.industry
Rivermead post-concussion symptoms questionnaire
medicine.disease
Gait
Walking Speed
Preferred walking speed
Cross-Sectional Studies
Athletes
Athletic Injuries
Female
medicine.symptom
0305 other medical science
business
Psychomotor Performance
030217 neurology & neurosurgery
Balance problems
Subjects
Details
- ISSN :
- 00039993
- Volume :
- 100
- Database :
- OpenAIRE
- Journal :
- Archives of Physical Medicine and Rehabilitation
- Accession number :
- edsair.doi.dedup.....8f361943af2dcea127eeed9a76c1fb46