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  1. Article ; Online: A Novel Neuropsychological Tool for Immersive Assessment of Concussion and Correlation with Subclinical Head Impacts.

    Espinoza, Tamara R / Hendershot, Kristopher A / Liu, Brian / Knezevic, Andrea / Jacobs, Breanne B / Gore, Russell K / Guskiewicz, Kevin M / Bazarian, Jeffery J / Phelps, Shean E / Wright, David W / LaPlaca, Michelle C

    Neurotrauma reports

    2021  Volume 2, Issue 1, Page(s) 232–244

    Abstract: Mild traumatic brain injury (mTBI) remains a diagnostic challenge and therefore strategies for objective assessment of neurological function are key to limiting long-term sequelae. Current assessment methods are not optimal in austere environments such ... ...

    Abstract Mild traumatic brain injury (mTBI) remains a diagnostic challenge and therefore strategies for objective assessment of neurological function are key to limiting long-term sequelae. Current assessment methods are not optimal in austere environments such as athletic fields; therefore, we developed an immersive tool, the Display Enhanced Testing for Cognitive Impairment and mTBI (DETECT) platform, for rapid objective neuropsychological (NP) testing. The objectives of this study were to assess the ability of DETECT to accurately identify neurocognitive deficits associated with concussion and evaluate the relationship between neurocognitive measures and subconcussive head impacts. DETECT was used over a single season of two high school and two college football teams. Study participants were instrumented with Riddell Head Impact Telemetry (HIT) sensors and a subset tested with DETECT immediately after confirmed impacts for different combinations of linear and rotational acceleration. A total of 123 athletes were enrolled and completed baseline testing. Twenty-one players were pulled from play for suspected concussion and tested with DETECT. DETECT was 86.7% sensitive (95% confidence interval [CI]: 59.5%, 98.3%) and 66.7% specific (95% CI: 22.3%, 95.7%) in correctly identifying athletes with concussions (15 of 21). Weak but significant correlations were found between complex choice response time (processing speed and divided attention) and both linear (Spearman rank correlation coefficient 0.262,
    Language English
    Publishing date 2021-05-26
    Document type Journal Article
    ISSN 2689-288X
    ISSN (online) 2689-288X
    DOI 10.1089/neur.2020.0022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: CARE4Kids Study: Endophenotypes of Persistent Post-Concussive Symptoms in Adolescents: Study Rationale and Protocol.

    Giza, Christopher C / Gioia, Gerard / Cook, Lawrence J / Asarnow, Robert / Snyder, Aliyah / Babikian, Talin / Thompson, Paul / Bazarian, Jeffery J / Whitlow, Christopher T / Miles, Christopher M / Otallah, Scott / Kamins, Joshua / Didehbani, Nyaz / Rosenbaum, Philip E / Chrisman, Sara P D / Vaughan, Christopher G / Cullum, Munro / Popoli, David M / Choe, Meeryo /
    Gill, Jessica / Dennis, Emily L / Donald, Christine L Mac / Rivara, Frederick P

    Journal of neurotrauma

    2023  Volume 41, Issue 1-2, Page(s) 171–185

    Abstract: Treatment of youth concussion during the acute phase continues to evolve, and this has led to the emergence of guidelines to direct care. While symptoms after concussion typically resolve in 14-28 days, a portion (∼20%) of adolescents endorse persistent ... ...

    Abstract Treatment of youth concussion during the acute phase continues to evolve, and this has led to the emergence of guidelines to direct care. While symptoms after concussion typically resolve in 14-28 days, a portion (∼20%) of adolescents endorse persistent post-concussive symptoms (PPCS) beyond normal resolution. This report outlines a study implemented in response to the National Institute of Neurological Diseases and Stroke call for the development and initial clinical validation of objective biological measures to predict risk of PPCS in adolescents. We describe our plans for recruitment of a Development cohort of 11- to 17-year-old youth with concussion, and collection of autonomic, neurocognitive, biofluid, and imaging biomarkers. The most promising of these measures will then be validated in a separate Validation cohort of youth with concussion, and a final, clinically useful algorithm will be developed and disseminated. Upon completion of this study, we will have generated a battery of measures predictive of high risk for PPCS, which will allow for identification and testing of interventions to prevent PPCS in the most high-risk youth.
    MeSH term(s) Humans ; Adolescent ; Child ; Post-Concussion Syndrome/diagnosis ; Endophenotypes ; Brain Concussion/psychology
    Language English
    Publishing date 2023-08-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 645092-1
    ISSN 1557-9042 ; 0897-7151
    ISSN (online) 1557-9042
    ISSN 0897-7151
    DOI 10.1089/neu.2023.0073
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  3. Article ; Online: The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury.

    Silverberg, Noah D / Iverson, Grant L / Cogan, Alison / Dams-O-Connor, Kristen / Delmonico, Richard / Graf, Min Jeong P / Iaccarino, Mary Alexis / Kajankova, Maria / Kamins, Joshua / McCulloch, Karen L / McKinney, Gary / Nagele, Drew / Panenka, William J / Rabinowitz, Amanda R / Reed, Nick / Wethe, Jennifer V / Whitehair, Victoria / Anderson, Vicki / Arciniegas, David B /
    Bayley, Mark T / Bazarian, Jeffery J / Bell, Kathleen R / Broglio, Steven P / Cifu, David / Davis, Gavin A / Dvorak, Jiri / Echemendia, Ruben J / Gioia, Gerard A / Giza, Christopher C / Hinds, Sidney R / Katz, Douglas I / Kurowski, Brad G / Leddy, John J / Sage, Natalie Le / Lumba-Brown, Angela / Maas, Andrew Ir / Manley, Geoffrey T / McCrea, Michael / Menon, David K / Ponsford, Jennie / Putukian, Margot / Suskauer, Stacy J / van der Naalt, Joukje / Walker, William C / Yeates, Keith Owen / Zafonte, Ross / Zasler, Nathan D / Zemek, Roger

    Archives of physical medicine and rehabilitation

    2023  Volume 104, Issue 8, Page(s) 1343–1355

    Abstract: Objective: To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings.: Design: Rapid evidence reviews on 12 clinical questions and ... ...

    Abstract Objective: To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings.
    Design: Rapid evidence reviews on 12 clinical questions and Delphi method for expert consensus.
    Participants: The Mild Traumatic Brain Injury Task Force of the American Congress of Rehabilitation Medicine Brain Injury Special Interest Group convened a Working Group of 17 members and an external interdisciplinary expert panel of 32 clinician-scientists. Public stakeholder feedback was analyzed from 68 individuals and 23 organizations.
    Results: The first 2 Delphi votes asked the expert panel to rate their agreement with both the diagnostic criteria for mild TBI and the supporting evidence statements. In the first round, 10 of 12 evidence statements reached consensus agreement. Revised evidence statements underwent a second round of expert panel voting, where consensus was achieved for all. For the diagnostic criteria, the final agreement rate, after the third vote, was 90.7%. Public stakeholder feedback was incorporated into the diagnostic criteria revision prior to the third expert panel vote. A terminology question was added to the third round of Delphi voting, where 30 of 32 (93.8%) expert panel members agreed that 'the diagnostic label 'concussion' may be used interchangeably with 'mild TBI' when neuroimaging is normal or not clinically indicated.'
    Conclusions: New diagnostic criteria for mild TBI were developed through an evidence review and expert consensus process. Having unified diagnostic criteria for mild TBI can improve the quality and consistency of mild TBI research and clinical care.
    MeSH term(s) Humans ; United States ; Brain Concussion/diagnosis ; Brain Injuries/rehabilitation ; Military Personnel ; Consensus ; Delphi Technique
    Language English
    Publishing date 2023-05-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2023.03.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.71: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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