Rosenthal Scott L, Simpson Tess S, Kirkwood Michael, Peterson Robin L
Department of Neurology, Children's Hospital Colorado, Aurora.
Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora.
J Athl Train. 2024 Feb 1;59(2):130-136. doi: 10.4085/1062-6050-0011.23.
Pediatric mild traumatic brain injuries (mTBIs) represent an evolving field of interest in youth athletics. Although most players recover within 4 weeks, some have symptoms that last longer. Little is known about youth health-related quality of life (HRQoL) after mTBI.
To characterize youth HRQoL after soccer-related mTBI and to identify predictors of individual differences in HRQoL recovery.
Prospective cohort study.
Youth soccer.
Soccer players, aged 8 to 17 years, who sustained an mTBI (n = 23) or orthopaedic injury (OI, n = 24) or remained uninjured (n = 23) during a single season.
MAIN OUTCOME MEASURE(S): We assessed HRQoL via the Pediatric Quality of Life Inventory, version 4.0, and postconcussive symptoms via the Health and Behavior Index. Serial assessments occurred at 24 to 48 hours, 7 days, 30 days, and 90 days postinjury via telephone interview.
At 7 days postinjury, the mTBI and OI groups had poorer total HRQoL (F2,67 = 11.35, P < .001) than the uninjured control group. At 7 days, the mTBI group had the poorest psychosocial HRQoL, whereas the OI group had the poorest physical HRQoL. Differences between the mTBI and uninjured control groups resolved by 30 days. Within the mTBI group, players with significant postconcussive symptoms at 7 days had poorer total (F1,21 = 23.071, P ≤ .001; F1,21 = 5.798, P = .028), psychosocial (F1,21 = 16.488, P = < .001; F1,21 = 5.050, P = .039), and physical (F1,21 = 21.671, P = < .001; F1,21 = 5.119, P = .038) HRQoL at 7 and 30 days, respectively, than players with minimal symptoms; these differences resolved by 90 days.
As a group, youth soccer players who sustained mTBI had transient impairments in HRQoL that resolved by 30 days. A subset of players with significant postconcussive symptoms at 7 days postinjury had poorer HRQoL for at least 30 days postinjury than those whose postconcussive symptoms had resolved within a week of injury. This suggests ongoing recovery in this subset at 30 days and the potential utility of HRQoL as a measure of recovery.
小儿轻度创伤性脑损伤（mTBI）是青少年体育运动中一个不断发展的研究领域。尽管大多数运动员在4周内康复，但有些人的症状会持续更长时间。关于mTBI后青少年健康相关生活质量（HRQoL）的了解甚少。
描述与足球相关的mTBI后青少年的HRQoL，并确定HRQoL恢复中个体差异的预测因素。
前瞻性队列研究。
青少年足球运动。
年龄在8至17岁之间的足球运动员，他们在单个赛季中遭受了mTBI（n = 23）或骨科损伤（OI，n = 24）或未受伤（n = 23）。
我们通过儿童生活质量量表第4.0版评估HRQoL，并通过健康与行为指数评估脑震荡后症状。在受伤后24至48小时、7天、30天和90天通过电话访谈进行系列评估。
受伤后7天，mTBI组和OI组的总HRQoL（F2,67 = 11.35，P <.001）比未受伤的对照组差。在7天时，mTBI组的心理社会HRQoL最差，而OI组的身体HRQoL最差。mTBI组和未受伤对照组之间的差异在30天时消失。在mTBI组中，7天时脑震荡后症状明显的运动员在7天和30天时的总HRQoL（F1,21 = 23.071，P≤.001；F1,21 = 5.798，P =.028）、心理社会HRQoL（F1,21 = 16.488，P = <.001；F1,21 = 5.050，P =.039）和身体HRQoL（F1,21 = 21.671，P = <.001；F1,21 = 5.119，P =.038）分别比症状轻微的运动员差；这些差异在90天时消失。
总体而言，遭受mTBI的青少年足球运动员的HRQoL有短暂损害，在30天时恢复。受伤后7天脑震荡后症状明显的一部分运动员在受伤后至少30天内的HRQoL比受伤后一周内脑震荡后症状已缓解的运动员差。这表明该亚组在30天时仍在恢复，并且HRQoL作为恢复指标具有潜在效用。
