Stephens Jaclyn A, Davies Patricia L, Gavin William J, Mostofsky Stewart H, Slomine Beth S, Suskauer Stacy J
Department of Occupational Therapy, Colorado State University, Fort Collins, Colorado, USA.
Molecular Cellular and Integrative Neuroscience Program, Colorado State University, Fort Collins, Colorado, USA.
J Mot Behav. 2020;52(1):13-21. doi: 10.1080/00222895.2019.1570908. Epub 2019 Feb 7.
Disrupted motor performance is increasingly recognized as a critical sequela of concussion which may have relevance for diagnosis and treatment. In 17 adolescents with recent concussion and 20 never-concussed controls, we evaluated the discriminant ability of a commonly used neurocognitive measure compared to a motor subtle sign exam, which evaluates gait, balance, and fine and gross motor control. We found that the motor subtle sign exam had better discriminant ability than the neurocognitive measure, but combining both measures was superior to analyses with individual measures (Wilks' ƛ = .297, < .001). This supports that there is an added benefit of evaluating motor control along with neurocognitive capacities after suspected concussion to enhance diagnosis and treatment of injury.
运动功能受损日益被认为是脑震荡的一个关键后遗症，这可能与诊断和治疗相关。在17名近期发生脑震荡的青少年和20名从未发生过脑震荡的对照者中，我们将一种常用的神经认知测量方法与一种运动细微体征检查进行了比较，后者评估步态、平衡以及精细和粗大运动控制。我们发现，运动细微体征检查比神经认知测量方法具有更好的判别能力，但将两种测量方法结合起来优于单独使用个体测量方法进行分析（威尔克斯λ=0.297，P<0.001）。这支持了在疑似脑震荡后，同时评估运动控制和神经认知能力有助于加强损伤的诊断和治疗。
