Keyword search (4,163 papers available)

"Brain injury" Keyword-tagged Publications:

Title Authors PubMed ID
1 A Fully Virtual Graded Exertion Test Is Safe and Feasible in Symptomatic and Asymptomatic Children With Concussion Coupal J; Shabanova D; Gagnon I; Grilli L; Beaulieu C; Teel E; 41816309
SOH
2 Characteristics and associated weight-loss responses to the diabetes prevention program for adults with acquired brain injury: secondary analysis of two randomized control trials Quilico E; Alrawi S; Callender L; McShan E; Park S; Bennett M; Driver S; 41610975
CONCORDIA
3 Updated Status of Physical Activity Research for People With Traumatic Brain Injury Quilico EL; Driver SJ; 41606762
CONCORDIA
4 Preexisting Mental Health Disorders Are Associated With Acute Clinical Presentation and Longitudinal Recovery Trajectories in Adolescents With Concussion Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF; 41505351
SOH
5 Mechanism of Injury and Clinical Recovery Outcomes Following Pediatric Concussion Gudymenko A; Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF; 40244878
SOH
6 5P Risk Classification Predicts Performance on Self-Reported but Not Objective Clinical Outcomes at 4-Weeks Post-Concussion in Children Teel E; Brossard-Racine M; Corbin-Berrigan LA; Gagnon I; 39988038
HKAP
7 A Concussion Management Policy Change Promoted Earlier Initiation of Rehabilitation Services and Improved Clinical Recovery Outcomes in Concussion Teel EF; Dobney D; Friedman D; Grilli L; Beaulieu C; Gagnon IJ; 39798559
HKAP
8 Feasibility and acceptability of an adapted peer-based walking intervention for adults with moderate-to-severe traumatic brain injury Quilico EL; Wilkinson S; Duncan LR; Sweet SN; Alarie C; Bédard E; Gheta I; Brodeur CL; Colantonio A; Swaine BR; 39051571
CONCORDIA
9 Athlete Fear Avoidance, Depression, and Anxiety Are Associated with Acute Concussion Symptoms in Athletes Patlan I; Gamelin G; Khalaj K; Castonguay T; Dover G; 38673675
HKAP
10 Parent and Youth Athlete Perceptions of Concussion Injury: Establishing a Factor Structure Bretzin AC; Schmitt AJ; Teel E; Holmes JH; Wiebe DJ; Beidler E; 38244578
HKAP
11 An At-Home, Virtually Administered Graded Exertion Protocol for Use in Concussion Management: Preliminary Evaluation of Safety and Feasibility for Determining Clearance to Return to High-Intensity Exercise in Healthy Youth and Children With Subacute Concussion Teel E; Alarie C; Swaine B; Cook NE; Iverson GL; Gagnon I; 37212272
HKAP
12 COVID-19's impact on a community-based physical activity program for adults with moderate-to-severe TBI Quilico EL; Wilkinson S; Bédard E; Duncan LR; Sweet SN; Swaine BR; Colantonio A; 37184357
AHSC
13 Exploring a peer-based physical activity program in the community for adults with moderate-to-severe traumatic brain injury Quilico E; Sweet S; Duncan L; Wilkinson S; Bonnell K; Alarie C; Swaine B; Colantonio A; 37157834
AHSC
14 Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury Quilico E; Wilkinson S; Duncan L; Sweet S; Bédard E; Trudel E; Colantonio A; Swaine B; 36188895
AHSC

 

Title:A Concussion Management Policy Change Promoted Earlier Initiation of Rehabilitation Services and Improved Clinical Recovery Outcomes in Concussion
Authors:Teel EF,  Dobney D,  Friedman D,  Grilli L,  Beaulieu C,  Gagnon IJ
Link:https://pubmed.ncbi.nlm.nih.gov/39798559/
DOI:10.1123/jsr.2024-0097
Publication:Journal of sport rehabilitation
Keywords:cervicogenic;  exercise;  symptoms;  traumatic brain injury;  vestibular; 
PMID:39798559 Category: Date Added:2025-01-12
Dept Affiliation: HKAP
1 Department of Health, Kinesiology, & Applied Physiology, Concordia University, Montreal, QC, Canada.
2 Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, ON, Canada.
3 Montreal Children's Hospital, McGill University Health Centre (Trauma Centre), Montreal, QC, Canada.
4 Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.
5 Canadian Hospitals Injury Reporting & Prevention Program, Health Canada, Ottawa, ON, Canada.

Description:

Context: In line with emerging research, an interprofessional specialty concussion clinic instituted a policy change permitting earlier physiotherapy-based treatment entry. Our objective was to determine the effect of this policy change on concussion recovery outcomes.

Design: Secondary analysis of prospectively collected clinical data.

Methods: 600 youth with concussion were included. Active rehabilitation was initiated =4 weeks (prepolicy) or =2 weeks (postpolicy) postconcussion based on institutional policy. Cox proportional hazard models, linear mixed models, and chi-square analyses were conducted.

Results: The postpolicy group (median = 22 d [interquartile range: 17-27]) started treatment earlier than the prepolicy group (median = 26 d [interquartile range: 24-30], P < .001). Length of episode of care (?2(1) = 11.55, P < .001, odds ratios = 1.49; 95% confidence interval, 1.19-1.88); rehabilitation (?2(1) = 9.47, P = .002, odds ratios = 1.73, 95% confidence interval, 1.22-2.45]); and total recovery (?2(1) = 11.53, P < .001, odds ratios = 1.49; 95% confidence interval, 1.18-1.88) were reduced in patients postpolicy change. A significant interaction effect was found for total postinjury symptom (F2,320 = 3.59, P = .03) and symptom change scores (F2,315 = 5.17, P = .006), with the postpolicy group having faster symptom resolution over time. No group differences were observed for persisting symptoms.

Conclusions: Earlier rehabilitation initiation occurred as intended following an institutional policy change, which had small, but significant, effects on recovery outcomes in youth with concussion. Health care providers should adopt policies to encourage early active rehabilitation services after concussion.





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