Philipson Erik B, Avery Aspen, Takagi-Stewart Julian, Qiu Qian, Jinguji Thomas, Coppel David B, Vavilala Monica S
Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.
Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
PM R. 2025 Mar;17(3):262-269. doi: 10.1002/pmrj.13282. Epub 2024 Nov 25.
Youth concussion is common but there is a paucity of information on symptoms students report to school personnel and a gap in understanding what accommodations schools can provide.
To examine symptoms and provision of temporary accommodations in schools for students reporting concussion symptoms.
Secondary data analysis of a trial implementing an evidence-based student-centered return to learn (RTL) program.
Thirteen public high schools during the 2021-2022 academic year.
Sixty-two students diagnosed with concussion who reported symptoms to school personnel.
The school-based RTL program, which consists of up to four weekly check-ins with an RTL champion who evaluates symptoms and recommends symptom-tailored accommodations.
Symptom profile, accommodation type, and accommodation duration.
A total of 46 (74.2%) students received accommodation for ≤2 weeks and 16 (25.8%) students received accommodation for 3 (21.0%) or 4 (4.8%) weeks. Sixty-two students experienced an average of 11.2 unique symptoms during week 1. Compared to students whose symptoms resolved within the first 2 weeks, students who received accommodation for 3 or 4 weeks reported higher initial total symptom severity score (p = .02), and higher initial average severity per symptom (p = .01) at week 1. Physical symptoms were most common and received corresponding accommodations most often (75/90 reports: 83.3% of occurrences). In total, 674 (nearly 11 accommodations per student) weekly accommodations were offered.
Students with concussion report a large number and type of symptoms that necessitate symptom-tailored academic accommodations. High school implementation of an evidence-based RTL program may aid in identifying and addressing many RTL needs after concussion, including potential identification of students with concussion who will require longer-term support.
青少年脑震荡很常见，但学生向学校工作人员报告的症状信息匮乏，且对于学校能提供何种便利措施的了解存在差距。
研究报告有脑震荡症状的学生在学校的症状及临时便利措施的提供情况。
对一项实施以学生为中心的循证重返学习（RTL）计划的试验进行二次数据分析。
2021 - 2022学年的13所公立高中。
62名被诊断为脑震荡且向学校工作人员报告了症状的学生。
基于学校的RTL计划，包括每周最多与一名RTL负责人进行四次检查，该负责人评估症状并推荐针对症状的便利措施。
症状概况、便利措施类型和便利措施持续时间。
共有46名（74.2%）学生接受了≤2周的便利措施，16名（25.8%）学生接受了3周（21.0%）或4周（4.8%）的便利措施。62名学生在第1周平均经历了11.2种独特症状。与症状在前2周内缓解的学生相比，接受3或4周便利措施的学生在第1周报告的初始总症状严重程度得分更高（p = 0.02），且初始每种症状的平均严重程度更高（p = 0.01）。身体症状最为常见，且最常得到相应的便利措施（75/90份报告：占出现次数的83.3%）。总共提供了674次每周的便利措施（每名学生近11次）。
脑震荡学生报告了大量且多样的症状，需要针对症状的学业便利措施。高中实施循证RTL计划可能有助于识别和满足脑震荡后的许多重返学习需求，包括潜在识别出需要长期支持的脑震荡学生。
