脑震荡儿童步态定向障碍测试的验证
Validation of the Gait Disorientation Test in children with concussion.
作者信息
Alkathiry Abdulaziz A, Alsubaie Saud F, Alsalaheen Bara A, Whitney Susan L
机构信息
Department of Physical Therapy and Health Rehabilitation, Majmaah University, Majmaah, Saudi Arabia.
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences in Al-Kharj, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
出版信息
Front Pediatr. 2022 Aug 22;10:927708. doi: 10.3389/fped.2022.927708. eCollection 2022.
BACKGROUND
Mild traumatic brain injury (mTBI) or concussion is a complex injury that is difficult to diagnose and assess. There are negative impacts on cognition, balance, and mobility after a concussion. The Gait Disorientation Test (GDT) is an objective measure that assesses a person's balance ability by comparing the walking time with eyes open and the walking time with eyes closed in a standardized walking task. The purpose of this study was to assess the validity and the diagnostic properties of the GDT in children with concussions.
METHODS
Thirty-six children with concussions, and 91 controls aged between 9 and 18 years old participated in the study. Participants completed demographics, the GDT, the Functional Gait Assessment (FGA), the Pediatric Vestibular Symptom Questionnaire (PVSQ), and the Pediatric Visually Induced Dizziness Questionnaire (PVID).
RESULTS
Children with concussions showed higher (worse) GDT scores ( = 2.18 ± 1.93 s) than healthy controls ( = 1.13 ± 0.95 s), which was statistically significant ( = 0.014).
CONCLUSION
The GDT was able to distinguish between children with concussions and healthy controls. Given the simplicity of the GDT, it can be used to assist in discriminating between children with and without concussion.
背景
轻度创伤性脑损伤（mTBI）或脑震荡是一种复杂的损伤，难以诊断和评估。脑震荡后对认知、平衡和行动能力会产生负面影响。步态失定向测试（GDT）是一种客观测量方法，通过在标准化步行任务中比较睁眼行走时间和闭眼行走时间来评估一个人的平衡能力。本研究的目的是评估GDT在脑震荡儿童中的有效性和诊断特性。
方法
36名脑震荡儿童和91名年龄在9至18岁之间的对照组儿童参与了该研究。参与者完成了人口统计学信息、GDT、功能性步态评估（FGA）、儿童前庭症状问卷（PVSQ）和儿童视觉诱发头晕问卷（PVID）。
结果
脑震荡儿童的GDT得分（=2.18±1.93秒）高于健康对照组（=1.13±0.95秒），差异具有统计学意义（=0.014）。
结论
GDT能够区分脑震荡儿童和健康对照组。鉴于GDT的简便性，它可用于辅助鉴别有或无脑震荡的儿童。
Zotero 插件