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PubMed Publications| Keyword search (4,163 papers available) |  |
"adolescents" Keyword-tagged Publications:
| Title: | 5P Risk Classification Predicts Performance on Self-Reported but Not Objective Clinical Outcomes at 4-Weeks Post-Concussion in Children | ||||
| Authors: | Teel E, Brossard-Racine M, Corbin-Berrigan LA, Gagnon I | ||||
| Link: | https://pubmed.ncbi.nlm.nih.gov/39988038/ | ||||
| DOI: | 10.1016/j.apmr.2025.02.008 | ||||
| Publication: | Archives of physical medicine and rehabilitation | ||||
| Keywords: | adolescents; brain injury (traumatic); children; fatigue; prognosis; | ||||
| PMID: | 39988038 | Category: | Date Added: | 2025-02-24 | |
| Dept Affiliation: |
HKAP
1 Department of Health, Kinesiology, & Applied Physiology, Concordia University, Montreal, QC, Canada. Electronic address: elizabeth.teel@concordia.ca. 2 School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada; Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada; Department of Neurology and Neurosurgery, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada. 3 Département des Sciences de l'Activité Physique, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada. 4 School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada; Division of Pediatric Emergency Medicine, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada. |
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Description: |
Objective: To determine if performance on symptom, cognitive, balance, fatigue, physical activity, and quality of life outcomes at 4-weeks post-injury in children with concussion differs based on acute 5P risk classification. Design: Prospective cohort. Setting: Laboratory. Patients: Sixty-two children (age: 13.27 ± 2.50 years; 29 (46.7%) females) with diagnosed concussion. Interventions: Not applicable. Main outcome measures: Patient demographics and post-injury assessments were completed within 72 hours of concussion and used to classify patients as "high", "moderate", or "low" PPCS risk. Children then completed a multi-modal assessment battery at 4-weeks post-concussion. Kruskal-Wallis assessments analyzed whether study outcomes differed between 5P risk groups. Results: Significant group differences were observed in symptom (?2(2)= 9.76, p=0.008), fatigue (?2(2)= 14.60, p<0.001), physical activity (?2(2)= 15.76, p<0.001), and quality of life (?2(2)= 7.82, p=0.02) outcomes. The low-risk group had fewer symptoms and less fatigue but increased physical activity levels and quality of life compared to the high-risk group. No significant differences in cognitive or balance outcomes were observed (p>0.05). Conclusion: The 5P rule provides clinicians with valuable prognostic information related to PPCS and self-reported outcomes 4-weeks post-concussion, but not objective cognitive or balance outcomes. This information may help clinicians prioritize treatment resources to children most at-risk of prolonged concussion recovery. |
