Borges Amanda, Raab Scot, Lininger Monica
Northern Arizona University, Flagstaff, AZ, USA.
Int J Sports Phys Ther. 2017 Jun;12(3):381-389.
One common component of concussion rehabilitation is a computerized cognitive test free of concomitant physical demands. Healthcare professionals may be able to provide more patient-centered care after a diagnosed concussion if specific areas of impairment are identified and treated, such as the physical aspect of neurocognitive function. Hypothesis/Purpose: To evaluate the test-retest reliability of a unique combination of neurocognitive assessment tools currently utilized in concussion assessments into one single, inclusive instrument that measures both neurocognitive function and physical capability.
Original research - diagnostic tests.
Fourteen individuals (nine males, age: 29 + 17.9, five females, age: 46.0 ± 21.5 years) either with normal cognitive function (NBI) without history of a health event (e.g. cerebral vascular accident/stroke, mTBI) that resulted in brain injury within one year of the study, or who had suffered a health event that has resulted in a medically documented brain injury (BI) participated in the study. Participants completed the full hybrid assessment instrument for a baseline test, then completed a follow-up test using the same instrument within 72-96 hours of baseline. Test-retest reliability was measured using Pearson product-moment correlations of the first and second testing sessions, and a two-way ANOVA (group between factor: NBI and BI and time within factor: session 1 and session 2) was performed on the summative scores to determine differences between each group.
Test-retest reliability was strong and statistical significant for both the NBI ( = .858, = .014) and the BI ( = .967, p = .033) groups. There was a significant difference between summative scores for the NBI and BI groups (F = 42.325, < .0001).
The newly created Comprehensive Instrument for Evaluating Mild Traumatic Brain Injury (CIEMTBI) demonstrates good test-retest reliability and was able to discriminate the results between individuals in the NBI and BI groups. Further research, specifically with different samples, is needed to better determine the reliability and diagnostic accuracy of the instrument.
2c.
脑震荡康复的一个常见组成部分是一项无伴随身体需求的计算机化认知测试。如果能识别并治疗特定的损伤区域，如神经认知功能的身体方面，医疗保健专业人员在诊断脑震荡后或许能够提供更以患者为中心的护理。假设/目的：评估一种独特的神经认知评估工具组合的重测信度，该组合目前用于脑震荡评估，形成一个单一的、综合性的工具，用于测量神经认知功能和身体能力。
原始研究 - 诊断测试。
14名个体（9名男性，年龄：29 ± 17.9岁，5名女性，年龄：46.0 ± 21.5岁）参与了该研究，他们要么认知功能正常（NBI）且在研究的一年内没有导致脑损伤的健康事件（如脑血管意外/中风、轻度创伤性脑损伤）病史，要么经历过导致医学记录脑损伤（BI）的健康事件。参与者完成完整的混合评估工具进行基线测试，然后在基线的72 - 96小时内使用相同工具完成随访测试。使用第一次和第二次测试的皮尔逊积差相关性来测量重测信度，并对汇总分数进行双向方差分析（组间因素：NBI和BI，组内因素：第1次和第2次测试）以确定每组之间的差异。
NBI组（r = 0.858，p = 0.014）和BI组（r = 0.967，p = 0.033）的重测信度都很强且具有统计学意义。NBI组和BI组的汇总分数存在显著差异（F = 42.325，p < 0.0001）。
新创建的评估轻度创伤性脑损伤综合工具（CIEMTBI）显示出良好的重测信度，并且能够区分NBI组和BI组个体的结果。需要进一步的研究，特别是针对不同样本的研究，以更好地确定该工具的信度和诊断准确性。
2c。
