Castillo Fernando, Freund Brittani, Hulla Ryan, Henricksen Janis, Kumar Neeraj, Schmeeckle Chad, Estes Shannon, Karakkattil Priya
Physical Therapy University of St. Augustine for Health Sciences.
Center for Research Design and Analysis Texas Woman's University.
Int J Sports Phys Ther. 2025 Aug 2;20(8):1243-1255. doi: 10.26603/001c.142435. eCollection 2025.
Graduate healthcare students may have athletic backgrounds with history of concussion. Since these students spend much time multi-tasking while guarding, transferring, and treating patients in clinical settings, understanding the potential impact of external factors on dual-task abilities may help better equip them for success. # Purpose The purpose of this study was to explore the relationship between concussion history, concussion education, and athletic history on academic performance and different single- and dual-task assessments among graduate healthcare students. # Study Design A cross-sectional, repeated measures study. # Methods A convenience sample of 33 graduate healthcare students, between the ages of 21-31 years old, were recruited from a health sciences institution. Inclusion criteria included enrollment at the institution and being between the ages of 18 and 35 years old. Exclusion criteria included a concussion within the past 30 days, current post-concussion symptoms, an upper and/or lower extremity injury, and/or pregnancy. Investigators collected subjective sport, concussion, and academic history before data collection. Then, participants were randomly assigned to perform single- and dual-task cognitive and walking activities. Parameters of gait and cognitive activity scores were measured to calculate dual-task cost (DTC). Next, principle component analyses were conducted to incorporate all measured variables into a single model for linear regression. Linear regressions were used to model the relationships between sport and concussion history and each component. # Results Data were collected for 32 participants (aged 25 ± 2.46 years). A lack of concussion history was a significant predictor for experiencing greater DTC for performing a memory/recall task while walking backward. Additionally, lacking formal concussion education was a significant predictor for a higher DTC associated with the visuospatial task while walking backward. Finally, a longer history of athletic play predicted a lower undergraduate GPA. # Conclusions Lacking concussion history and education as well as having a longer athletic history significantly predicted aspects of DTC and academic achievement in graduate healthcare students. These data may influence future decision-making criteria and processes when supporting and guiding students with athletic backgrounds through healthcare education programs involving psychomotor activities. Further studies with a larger sample and control for plausible confounding variables may provide additional insight. # Level of Evidence 2b.
研究生医疗保健专业学生可能有运动背景且有脑震荡史。由于这些学生在临床环境中看护、转运和治疗患者时需要同时处理多项任务,了解外部因素对双重任务能力的潜在影响可能有助于更好地使他们取得成功。# 目的本研究的目的是探讨脑震荡史、脑震荡教育和运动史与研究生医疗保健专业学生的学业成绩以及不同的单任务和双任务评估之间的关系。# 研究设计一项横断面重复测量研究。# 方法从一所健康科学机构招募了33名年龄在21至31岁之间的研究生医疗保健专业学生作为便利样本。纳入标准包括在该机构注册且年龄在18至35岁之间。排除标准包括过去30天内有脑震荡、目前有脑震荡后症状、上肢和/或下肢受伤以及/或怀孕。在数据收集前,研究人员收集了主观运动、脑震荡和学业史。然后,参与者被随机分配执行单任务和双任务认知及行走活动。测量步态参数和认知活动分数以计算双重任务成本(DTC)。接下来,进行主成分分析以将所有测量变量纳入一个单一模型进行线性回归。线性回归用于模拟运动和脑震荡史与每个成分之间的关系。# 结果收集了32名参与者(年龄25±2.46岁)的数据。没有脑震荡史是在向后行走时执行记忆/回忆任务时经历更高DTC的一个显著预测因素。此外,缺乏正式的脑震荡教育是与向后行走时视觉空间任务相关的更高DTC的一个显著预测因素。最后,较长的运动比赛史预测本科平均绩点较低。# 结论缺乏脑震荡史和教育以及有较长的运动史显著预测了研究生医疗保健专业学生的DTC方面和学业成绩。这些数据可能会影响未来在通过涉及心理运动活动的医疗保健教育项目支持和指导有运动背景的学生时的决策标准和过程。对合理的混杂变量进行更大样本和控制的进一步研究可能会提供更多见解。# 证据水平2b。