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儿童和青少年 King-Devick 测试的表现时间。

Performance Times for the King-Devick Test in Children and Adolescents.

机构信息

Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

出版信息

Clin J Sport Med. 2019 Sep;29(5):374-378. doi: 10.1097/JSM.0000000000000670.

DOI:10.1097/JSM.0000000000000670
PMID:31460950
Abstract

OBJECTIVE

To establish the King-Devick test (KD) performance values for children and adolescents.

DESIGN

Prospective cohort.

SETTING

Pediatric sports medicine clinics.

PARTICIPANTS

Five hundred seven athletes presenting to a pediatric sports medicine clinic for non-concussion-related evaluations.

INDEPENDENT VARIABLES

Age, sex, and risk factors for abnormal concussion recovery.

MAIN OUTCOME MEASURES

The King-Devick test time.

RESULTS

Four hundred eighty-three participants were included in the final analysis, which included 60.5% girls (n = 292) and 39.5% boys (n = 191). The KD test performance varied by age with a steady decrease in test time yearly from 8 years through 14 years of age, where some plateauing occurred. Baseline scores changed approximately 31 seconds over ages 8 to 18. Analysis of variance results revealed a strong effect of age on overall mean KD time (P < 0.001). The KD test performance was not associated with sex or other studied concussion risk factors or comorbid conditions.

CONCLUSIONS

The KD test performance was reported in a cohort of youth aged 8 to 18 years, allowing for comparison of performance in individuals who may not have a baseline assessment. If baseline testing is desired, at least yearly intervals seems to be appropriate through childhood and early adolescence.

摘要

目的

建立儿童和青少年 King-Devick 测试(KD)的表现值。

设计

前瞻性队列研究。

地点

儿科运动医学诊所。

参与者

507 名运动员因非脑震荡相关评估而就诊于儿科运动医学诊所。

自变量

年龄、性别和异常脑震荡恢复的危险因素。

主要观察指标

King-Devick 测试时间。

结果

483 名参与者被纳入最终分析,其中包括 60.5%的女孩(n=292)和 39.5%的男孩(n=191)。KD 测试表现因年龄而异,从 8 岁到 14 岁,每年的测试时间逐渐减少,之后出现一些平台期。基线分数在 8 至 18 岁之间变化约 31 秒。方差分析结果表明,年龄对总体平均 KD 时间有很强的影响(P<0.001)。KD 测试表现与性别或其他研究的脑震荡危险因素或合并症无关。

结论

KD 测试表现报告了一个 8 至 18 岁的青少年队列,允许对可能没有基线评估的个体的表现进行比较。如果需要基线测试,至少每年一次似乎是儿童和青春期早期的合适间隔。

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