运用同步步态和认知评估来识别脑震荡后的损伤：一项叙述性综述。
Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review.
作者信息
Howell David R, Kirkwood Michael W, Provance Aaron, Iverson Grant L, Meehan William P
机构信息
The Micheli Center for Sports Injury Prevention, Waltham, MA 02453, USA.
Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, MA 02115, USA.
出版信息
Concussion. 2018 Jan 19;3(1):CNC54. doi: 10.2217/cnc-2017-0014. eCollection 2018 Mar.
Abstract
Understanding how a concussion affects an individual is oftentimes difficult for clinicians due to the varying symptom profiles reported by the patient and the multifaceted and heterogeneous nature of the injury. Accordingly, the interpretation of postconcussion performance can be challenging, because many different testing paradigms have been reported as potentially useful in the literature. Among the types of tests clinicians use to understand how concussion affects an individual, both gait and neurocognitive evaluations have demonstrated utility. Our purpose is to describe how combined gait and cognitive (i.e., dual task), as well as single-task gait and computerized neurocognitive examinations can assist clinical decision-making.
摘要
对于临床医生而言，由于患者报告的症状表现各异，且脑震荡损伤具有多方面和异质性的特点，因此了解脑震荡如何影响个体往往颇具难度。相应地，脑震荡后表现的解读可能具有挑战性，因为文献中已报道了许多不同的测试范式，它们都可能有用。在临床医生用于了解脑震荡如何影响个体的测试类型中，步态评估和神经认知评估均已证明具有实用价值。我们的目的是描述联合步态与认知（即双重任务）测试，以及单任务步态和计算机化神经认知检查如何辅助临床决策。
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本文引用的文献
1
Evidence of a conservative gait strategy in athletes with a history of concussions.
J Sport Health Sci. 2016 Dec;5(4):417-423. doi: 10.1016/j.jshs.2015.03.010. Epub 2015 Jun 12.
2
Consensus statement on concussion in sport-the 5 international conference on concussion in sport held in Berlin, October 2016.
Br J Sports Med. 2017 Jun;51(11):838-847. doi: 10.1136/bjsports-2017-097699. Epub 2017 Apr 26.
3
Using Acute Performance on a Comprehensive Neurocognitive, Vestibular, and Ocular Motor Assessment Battery to Predict Recovery Duration After Sport-Related Concussions.
Am J Sports Med. 2017 Apr;45(5):1187-1194. doi: 10.1177/0363546516685061. Epub 2017 Feb 13.
4
Single-task and dual-task tandem gait test performance after concussion.
J Sci Med Sport. 2017 Jul;20(7):622-626. doi: 10.1016/j.jsams.2016.11.020. Epub 2017 Jan 24.
5
White matter alterations in college football players: a longitudinal diffusion tensor imaging study.
Brain Imaging Behav. 2018 Feb;12(1):44-53. doi: 10.1007/s11682-017-9672-4.
6
Modified Balance Error Scoring System (M-BESS) test scores in athletes wearing protective equipment and cleats.
BMJ Open Sport Exerc Med. 2016 May 13;2(1):e000117. doi: 10.1136/bmjsem-2016-000117. eCollection 2016.
7
Normative Tandem Gait in Collegiate Student-Athletes: Implications for Clinical Concussion Assessment.
Sports Health. 2017 Jul/Aug;9(4):305-311. doi: 10.1177/1941738116680999. Epub 2016 Nov 1.
8
Comparison of baseline and post-concussion ImPACT test scores in young athletes with stimulant-treated and untreated ADHD.
Phys Sportsmed. 2017 Feb;45(1):1-10. doi: 10.1080/00913847.2017.1248221. Epub 2016 Oct 28.
9
Single-Task and Dual-Task Gait Among Collegiate Athletes of Different Sport Classifications: Implications for Concussion Management.
J Appl Biomech. 2017 Feb;33(1):24-31. doi: 10.1123/jab.2015-0323. Epub 2016 Oct 5.
10
Clinical predictors of vestibulo-ocular dysfunction in pediatric sports-related concussion.
J Neurosurg Pediatr. 2017 Jan;19(1):38-45. doi: 10.3171/2016.7.PEDS16310. Epub 2016 Sep 30.
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