ArticleThe Journal of head trauma rehabilitation
Neurosensory Screening and Symptom Provocation in Pediatric Mild Traumatic Brain Injury.
Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Sex-Related Differences in Neurosensory Alterations Following Blunt Head Injury.Frontiers in neurology · 2020Article
- Optimizing pediatric "Mild" traumatic brain injury assessments: A multi-domain random forest analysis of diagnosis and outcomes.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
21 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo evaluate diagnostic/prognostic implications of neurosensory testing during the subacute stage in patients with pediatric mild traumatic brain injury (pmTBI).
settingRecruitment from pediatric emergency department and urgent care clinics, assessment in a controlled environment.
participantsIn total, 146 pmTBI patients evaluated 7.4 ± 2.3 days and approximately 4 months postinjury; 104 age/sex-matched healthy controls (HCs) at equivalent time points.
designProspective cohort study. MAIN MEASURES: Neurosensory examination based on sequence of 10 established tests of vestibular-ocular, oculomotor, vestibulospinal, and visual functioning.
resultsThe amount of symptom provocation (positive change from pretest symptomatology) was significantly increased in pmTBI relative to HCs on every subtest 1 week postinjury, as were deficits in monocular accommodative amplitude and King-Devick Test errors. However, symptom provocation did not meaningfully alter diagnostic sensitivity/specificity relative to more easily obtained pretest symptom ratings. Evidence of clinically significant symptom provocation 1 week postinjury improved sensitivity (Δ = +12.9%) of identifying patients with persistent postconcussive symptoms 4 months postinjury on an independent symptom measure.
conclusionsThe diagnostic sensitivity/specificity of neurosensory testing in acutely concussed youth may be limited at 1 week postinjury as a function of natural recovery occurring in most emergency department cohorts. Neurosensory screening may have greater utility for identifying patients who experience delayed recovery.
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Registered trials
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