Background: There has been increasing attention and understanding of sport-related concussions. Recent studies show that neurocognitive testing and symptom clusters may predict protracted recovery in ...concussed athletes. On-field signs and symptoms have not been examined empirically as possible predictors of protracted recovery.
Purpose: This study was undertaken to determine which on-field signs and symptoms were predictive of a protracted (≥21 days) versus rapid (≤7 days) recovery after a sports-related concussion. On-field signs and symptoms included confusion, loss of consciousness, posttraumatic amnesia, retrograde amnesia, imbalance, dizziness, visual problems, personality changes, fatigue, sensitivity to light/noise, numbness, and vomiting.
Study Design: Cohort study (prognosis); Level of evidence, 2.
Methods: The sample included 107 male high school football athletes who completed computerized neurocognitive testing within an average 2.4 days after injury, and who were followed until returned to play as determined by neuropsychologists using international clinical concussion management guidelines. Athletes were then grouped into rapid (≤7 days, n = 62) or protracted (≥21 days, n = 36) recovery time groups. The presence of on-field signs and symptoms was determined at the time of injury by trained sports medicine professionals (ie, ATC certified athletic trainer, team physician). A series of odds ratios with χ2 analyses and subsequent logistic regression were used to determine which on-field signs and symptoms were associated with an increased risk for a protracted recovery.
Results: Dizziness at the time of injury was associated with a 6.34 odds ratio (95% confidence interval = 1.34-29.91, χ2 = 5.44, P = .02) of a protracted recovery from concussion. Surprisingly, the remaining on-field signs and symptoms were not associated with an increased risk of protracted recovery in the current study.
Conclusion: Assessment of on-field dizziness may help identify high school athletes at risk for a protracted recovery. Such information will improve prognostic information and allow clinicians to manage and treat concussion more effectively in these at-risk athletes.
The article discusses modern therapeutic approaches to the rehabilitation of patients after neurosurgical intervention. The authors note that neurosurgery patients, even after successful operations, ...may have certain complications that significantly reduce the quality of life of patients. In addition, the specifics of rehabilitation of patients who have undergone various neurosurgical operations are of a special nature also for the reason that it is often called upon to restore the most important functions of the body - motor, speech, etc. Accordingly, special attention should be paid to therapeutic procedures aimed at restoring the health of patients who have undergone neurosurgical surgery In modern conditions, the most important trend in this direction has become the use of non-traditional methods of rehabilitation, as well as achievements in the field of information technology and artificial intelligence. Practice shows that the success of innovations is undeniable, since they not only allow achieving the necessary effect here and now, but also allow, if necessary, prolonged support for the patient at the end of the active rehabilitation period, creating comfortable living conditions for him and allowing him to actively participate in society
Motivation to learn during adolescence Del Ciampo, Luiz Antonio; Del Ciampo, Ieda Regina Lopes
Revista CEFAC,
2024, Letnik:
26, Številka:
4
Journal Article
PDF
