Stephens Jaclyn, Nicholson Rachel, Slomine Beth, Suskauer Stacy
Jaclyn Stephens, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Colorado State University, Fort Collins;
Rachel Nicholson, MS, is PsyD Student, Immaculata University, Malvern, PA. At the time of the study, she was Research Assistant, Department of Physical Medicine and Rehabilitation, Kennedy Krieger Institute, Baltimore, MD.
Am J Occup Ther. 2018 May/Jun;72(3):7203345020p1-7203345020p6. doi: 10.5014/ajot.2018.025361.
Athletes with mild traumatic brain injury (mTBI) should refrain from high-risk activities until recovered (symptom free and cognitive and physical exam findings normalize). Studies have suggested that this examination may not be sufficiently sensitive because dual-task paradigms, which typically assess motor performance while a person simultaneously completes a distractor task, can detect residual deficits in athletes who otherwise appear recovered from mTBI. Paradigms used to date are time-intensive procedures conducted in laboratory settings. Here, we report findings from a pilot study of the Dual Task Screen (DTS), which is a brief evaluation with two dual-task paradigms. In 32 healthy female adolescents, the DTS was administered in a mean of 5.63 min in the community, and every participant had poorer dual-condition performance on at least one of the motor tasks. The DTS is a clinically feasible measure and merits additional study regarding utility in adolescents with mTBIs.
轻度创伤性脑损伤(mTBI)的运动员在康复之前(症状消失且认知和体格检查结果正常)应避免高风险活动。研究表明,这种检查可能不够敏感,因为双任务范式(通常在一个人同时完成一项干扰任务时评估运动表现)可以检测出那些在其他方面似乎已从mTBI中康复的运动员的残留缺陷。迄今为止使用的范式是在实验室环境中进行的耗时程序。在此,我们报告一项关于双任务筛查(DTS)的初步研究结果,DTS是一种采用两种双任务范式的简短评估。在32名健康的女性青少年中,DTS在社区环境中平均用时5.63分钟进行,并且每个参与者在至少一项运动任务的双条件表现上较差。DTS是一种临床可行的测量方法,在mTBI青少年中的效用值得进一步研究。