Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.
Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
Brain Inj. 2020 Feb 23;34(3):350-356. doi: 10.1080/02699052.2020.1716996. Epub 2020 Feb 4.
: To investigate somatic and cognitive postconcussive symptoms (PCS) using the symptom evaluation subtest (cSCAT3-SE) of the Child Sports Concussion Assessment Tool 3 (Child SCAT) in tracking PCS up to 2 weeks postinjury.: A total of 96 participants aged 5 to 12 years ( = 9.55, = 2.20) completed three assessment time points: 48 h postinjury (T0), 2 to 4 days postinjury (T1), and 2 weeks postinjury (T2). The Wilcoxon signed-rank test was used to analyze differences between cognitive and somatic symptoms over time, while the Friedman test was used to analyze differences within symptom type over time.: Cognitive PCS were found to be significantly higher than somatic PCS at all assessment time points and were also found to significantly decline from 4 days onwards postinjury; in contrast, somatic PCS significantly declined as early as 48 hpostinjury.: Differences between cognitive and somatic PCS emerge as early as a few days postinjury, with cognitive PCS being more persistent than somatic PCS across 2 weeks. Research in symptom-specific interventions may be of benefit in helping young children manage severe PCS as early as 2 weeks postinjury.
：使用儿童运动性脑震荡评估工具 3 （Child SCAT）的症状评估子测试（cSCAT3-SE），在受伤后 2 周内追踪躯体和认知性脑震荡后症状（PCS）。：共有 96 名 5 至 12 岁的参与者（=9.55，=2.20）完成了三个评估时间点：受伤后 48 小时（T0）、受伤后 2 至 4 天（T1）和受伤后 2 周（T2）。Wilcoxon 符号秩检验用于分析随时间变化的认知和躯体症状之间的差异，而 Friedman 检验用于分析随时间变化的症状类型内的差异。：在所有评估时间点，认知性 PCS 均显著高于躯体性 PCS，且从第 4 天开始显著下降；相比之下，躯体性 PCS 在受伤后 48 小时就显著下降。：认知性和躯体性 PCS 之间的差异早在受伤后几天就出现，认知性 PCS 在 2 周内比躯体性 PCS 更持久。对症状特异性干预的研究可能有助于儿童在受伤后 2 周内尽早管理严重的 PCS。
