School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Phys Ther Sport. 2021 Nov;52:287-296. doi: 10.1016/j.ptsp.2021.10.008. Epub 2021 Oct 20.
Time to recovery for symptom burden and neurocognition following a Sports-Related Concussion (SRC) has previously been determined by consolidating varying re-assessment time points into a singular point, and has not been established for Vestibular-Ocular-Motor (VOM) function or academic ability.
Establish when recovery of symptom burden, neurocognition, VOM function, and academic ability occurs in university-aged student-athletes.
Student-athletes completed an assessment battery (Post-Concussion Symptom Scale (PCSS), Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), Vestibular Ocular-Motor Screening (VOMS), Perceived Academic Impairment Tool (PAIT)) during pre-season (n = 140), within 48 hours, 4, 8 and 14 days post-SRC and prior to Return To Play (RTP) and were managed according to the Rugby Football Union' community pathway (n = 42). Student-athletes were deemed recovered or impaired according to Reliable Change Index' (RCI) or compared to their individual baseline.
Symptom burden recovers by four days post-SRC on RCI and to baseline by eight days. VOM function and academic ability recovers by 8 days. Some student-athletes demonstrated worse performance at RTP on all tests by RCI and to baseline, except for on VOMS score and near point convergence by RCI change.
Variation in individual university-aged student-athletes requires a multi-faceted approach to establish what dysfunctions post-SRC exist and when recovery occurs.
之前，恢复与运动相关的脑震荡（SRC）后症状负担和神经认知的时间是通过将不同的再评估时间点整合到一个单一的时间点来确定的，尚未确定前庭眼动（VOM）功能或学业能力的恢复时间。
确定大学生运动员的症状负担、神经认知、VOM 功能和学业能力何时恢复。
在赛季前（n=140），48 小时内、4 天、8 天和 14 天后，学生运动员完成了一项评估测试（Post-Concussion Symptom Scale（PCSS）、Immediate Post-Concussion Assessment and Cognitive Test（ImPACT）、Vestibular Ocular-Motor Screening（VOMS）、Perceived Academic Impairment Tool（PAIT）），并且根据橄榄球联盟的社区途径（n=42）进行管理。根据可靠变化指数（RCI）或与个人基线相比，学生运动员被认为是恢复或受损。
症状负担在 SRC 后四天通过 RCI 恢复，八天恢复到基线。VOM 功能和学业能力在 8 天内恢复。一些学生运动员在所有测试中，除了 VOMS 分数和近点收敛通过 RCI 变化外，根据 RCI 和基线，在 RTP 时表现更差。
个体大学生运动员的差异需要采取多方面的方法来确定 SRC 后存在哪些功能障碍以及何时恢复。
