Browsing by Subject "sports-related concussion"
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Item Does a Prior History Predict Prolonged Recovery Times from Sports-Related Concussion in Adolescents Seen In A Specialty Clinic?(2023-05) Elliott, William C.; Mathis, Keisa W.; Gwirtz, Patricia A.Purpose: The goal of our study was to examine the effect a prior history of concussion has on clinical recovery times for adolescent patients seen in a specialty clinic for sports related concussion (SRC). Additionally, concussion clinical profiles were compared in patients with a prior history of concussion and prolonged recovery to expand empirical evidence for the therapeutic use of these profiles in specialty clinics. Hypothesis: Patients with a prior history of concussion will have similar recovery times compared to patients with no prior history of concussion. Methods: A retrospective chart review was used to identify eligible patients for analysis (n=302). A non-inferiority analysis was used to assess if patients with a history of concussion had significantly non-inferior recovery times compared to patients with no history. Chi-square analysis was used to compare clinical profiles. Exploratory analysis conducted for a small cohort (n=12) of patients who were treated for two separate concussions using within-subjects design. Results: Recovery time in patients with a history was significantly noninferior to the recovery time of patients without a history (p = 0.01). There was no association of clinical profiles across groups. The exploratory analysis revealed a non-significant decrease in recovery time across injuries, but this analysis had low power due to small sample size. Conclusion: Recovery times do not significantly increase for patients with prior history of concussion seen at a specialty clinic.Item Examining the association between sleep modifiers and recovery time following sports-related concussion(2022-05) Kim, Chol Ho J.; Stankowska, Dorota L.Although previous researchers support the association of sleep disturbances negatively impacting recovery time from sports-related concussion (SRC), the degree of impact sleep disturbances have on recovery time from SRC is not well-defined. This study uses the presence and absence of sleep modifiers in the Concussion Clinical Profiles Screening tool to compare and quantify recovery time from SRC in a preadolescent, adolescent, and young adult sample. We examined patient records data obtained between August 2019 and December 2021 with inclusion criteria (1) injury date <30 days from initial evaluation, (2) SRC diagnosis, and (3) completion of treatment. Patients (sample median age 15.4 (14.3, 17.1)) were grouped based on the presence or absence of sleep modifier. Adjusting for other risk factors of prolonged recovery time (i.e., vestibular primary clinical profile, personal/family history of migraines, and personal history of anxiety/depression), the presence of sleep modifiers substantially increased recovery time by 1.45-fold (p<0.001).