Reevaluating clinical assessment outcomes after unrestricted return to play following sport-related concussion.

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Title: Reevaluating clinical assessment outcomes after unrestricted return to play following sport-related concussion.
Authors: Thompson, Xavier D., Erdman, Nicholas K., Walton, Samuel R., Broshek, Donna K., Resch, Jacob E.
Source: Brain Injury. 2021, Vol. 35 Issue 12/13, p1577-1584. 8p.
Subjects: Sports participation, Postural balance, Convalescence, Cognition, Retrospective studies, Treatment effectiveness, Posture, Brain concussion, Evaluation
Abstract: The objective of this study was to examine neurocognition, postural control, and symptomology at multiple timepoints following concussion. We hypothesized that collegiate athletes would perform similar to or better than their baseline in terms of each outcome at both timepoints. This was a retrospective study of 71 collegiate athletes (18.3 ± 0.89 years old; 182.2 ± 10.05 cm; 84.2 ± 20.07 kg) to observe changes in outcomes from a previously established clinical protocol. Participants were administered ImPACT™, the Sensory Organization Test (SOT), and the revised head injury scale (HIS-r) prior to their seasons (baseline); upon reporting symptom-free following concussion (post-injury); and approximately 8-months after return-to-play to establish a new baseline. There were no changes in ImPACT scores or HIS-r reporting over time. ImPACT total symptom score (TSS) decreased over time (p =.002, ηp2 = 0.08). Significant main effects occurred for the SOT equilibrium score (p <.01, ηp2 = 0.34) and Vestibular sensory ratio (p <.001, ηp2 = 0.22). Our data suggest no decline in neurocognition, balance, or symptom burden approximately eight months post-injury. As clinicians continue to explore "best practices" for concussion management and potential long-term implications of these injuries it is important to monitor outcome measures longitudinally. [ABSTRACT FROM AUTHOR]
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  Data: Reevaluating clinical assessment outcomes after unrestricted return to play following sport-related concussion.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Thompson%2C+Xavier+D%2E%22&quot;&gt;Thompson, Xavier D.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Erdman%2C+Nicholas+K%2E%22&quot;&gt;Erdman, Nicholas K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Walton%2C+Samuel+R%2E%22&quot;&gt;Walton, Samuel R.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Broshek%2C+Donna+K%2E%22&quot;&gt;Broshek, Donna K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Resch%2C+Jacob+E%2E%22&quot;&gt;Resch, Jacob E.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Brain+Injury%22&quot;&gt;Brain Injury&lt;/searchLink&gt;. 2021, Vol. 35 Issue 12/13, p1577-1584. 8p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sports+participation%22&quot;&gt;Sports participation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Postural+balance%22&quot;&gt;Postural balance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Convalescence%22&quot;&gt;Convalescence&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognition%22&quot;&gt;Cognition&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Retrospective+studies%22&quot;&gt;Retrospective studies&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Posture%22&quot;&gt;Posture&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Brain+concussion%22&quot;&gt;Brain concussion&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Evaluation%22&quot;&gt;Evaluation&lt;/searchLink&gt;
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  Data: The objective of this study was to examine neurocognition, postural control, and symptomology at multiple timepoints following concussion. We hypothesized that collegiate athletes would perform similar to or better than their baseline in terms of each outcome at both timepoints. This was a retrospective study of 71 collegiate athletes (18.3 &#177; 0.89 years old; 182.2 &#177; 10.05 cm; 84.2 &#177; 20.07 kg) to observe changes in outcomes from a previously established clinical protocol. Participants were administered ImPACT™, the Sensory Organization Test (SOT), and the revised head injury scale (HIS-r) prior to their seasons (baseline); upon reporting symptom-free following concussion (post-injury); and approximately 8-months after return-to-play to establish a new baseline. There were no changes in ImPACT scores or HIS-r reporting over time. ImPACT total symptom score (TSS) decreased over time (p =.002, ηp2 = 0.08). Significant main effects occurred for the SOT equilibrium score (p &lt;.01, ηp2 = 0.34) and Vestibular sensory ratio (p &lt;.001, ηp2 = 0.22). Our data suggest no decline in neurocognition, balance, or symptom burden approximately eight months post-injury. As clinicians continue to explore &quot;best practices&quot; for concussion management and potential long-term implications of these injuries it is important to monitor outcome measures longitudinally. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Brain Injury is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02699052.2021.1975818
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1577
    Subjects:
      – SubjectFull: Sports participation
        Type: general
      – SubjectFull: Postural balance
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Posture
        Type: general
      – SubjectFull: Brain concussion
        Type: general
      – SubjectFull: Evaluation
        Type: general
    Titles:
      – TitleFull: Reevaluating clinical assessment outcomes after unrestricted return to play following sport-related concussion.
        Type: main
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            NameFull: Thompson, Xavier D.
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            NameFull: Erdman, Nicholas K.
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            NameFull: Walton, Samuel R.
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            NameFull: Broshek, Donna K.
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            NameFull: Resch, Jacob E.
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              M: 11
              Text: 2021
              Type: published
              Y: 2021
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              Value: 02699052
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              Value: 35
            – Type: issue
              Value: 12/13
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            – TitleFull: Brain Injury
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