Prim Julianna H, Davila Maria I, McCulloch Karen L
Department of Allied Health Sciences, Curriculum in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Concussion. 2021 Apr 9;6(1):CNC88. doi: 10.2217/cnc-2020-0018.
Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV).
METHODOLOGY & RESULTS: We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram.
Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use.
针对治疗军事性脑震荡的临床医生的指南建议在恢复执勤前进行运动测试，但目前尚无标准化任务，也未纳入诸如心率变异性（HRV）等客观生理指标。
我们对两项包含HRV测量的临床可行运动任务进行了预测试，并检验了一款商用心率监测仪的可靠性。对健康参与者进行测试证实，6分钟台阶测试和2分钟俯卧撑测试能引发目标生理反应，且博能H10心率监测仪与金标准心电图仪相比具有可靠性。
这两项任务都是简短的评估方法，可应用于初级保健机构，包括使用博能H10心率监测仪作为获取HRV的经济实惠的方式。利用这些任务评估脑震荡恢复情况的更多研究可验证临床使用的标准化运动任务。
