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Verfasst von:Kontos, Anthony P.
 Elbin, R.J.
 Lau, Brian
 Simensky, Steven
 Freund, Brin
 French, Jonathan
 Collins, Michael W.
Titel:Posttraumatic Migraine as a Predictor of Recovery and Cognitive Impairment After Sport-Related Concussion
Verlagsort:Los Angeles, CA
Verlag:SAGE Publications
 Sage Publications Ltd
Jahr:2013
Fussnoten:ObjectType-Article-1 ; ObjectType-Feature-2 ; SourceType-Scholarly Journals-1 ; content type line 23
Inhalt:Background: Although previous research has demonstrated that patients with posttraumatic migraine (PTM) after concussion report more symptoms and cognitive deficits after injury than do those without PTM, it is not known whether these effects persist beyond the first week of injury or whether PTM predicts recovery time. Purpose: To determine whether PTM during the first week after injury predicts (1) cognitive impairment and symptoms in the second week after injury and (2) overall recovery time. Study Design: Cohort study; Level of evidence, 2. Methods: Participants were 138 male high school football players with a mean age of 15.96 years (SD, 1.18 years; range, 13-19 years). They were classified into 3 groups: PTM (headache, nausea, and photosensitivity or phonosensitivity), headache (headache without the other PTM symptoms), or no headache (no headache or PTM symptoms). The Immediate Post-concussion Assessment and Cognitive Test (ImPACT) was used to assess cognitive performance and symptoms at baseline, postinjury days 1-7, and postinjury days 8-14. Recovery time data were collected from medical records. Results: The PTM group performed worse on verbal memory than did the headache group at 8-14 days after injury. The PTM group performed worse on visual memory, reaction time, and symptoms than did the other groups at 1-7 days and 8-14 days after injury. The PTM group was 7.3 times (95% confidence interval, 1.80-29.91) more likely to have protracted recovery (>20 days) than the no headache group and 2.6 times (95% confidence interval, 1.10-6.54) more likely than the headache group. Conclusion: Results suggest that PTM is associated with cognitive impairments and protracted recovery and that headache alone is not a good predictor of recovery.
ISSN:0363-5465
Titel Quelle:The American journal of sports medicine
Jahr Quelle:2013
Band/Heft Quelle:41, 7, S. 1497-1504
DOI:doi:10.1177/0363546513488751
URL:http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F03635465134 ...
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F23698389
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fwww.proquest.com%2Fdocview%2F1933400130%2Fabstract%2F
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fsearch.proquest.com%2Fdocview%2F1381103162
 DOI: https://doi.org/10.1177/0363546513488751
Sprache:English
Sach-SW:Adolescent
 Cognition Disorders - etiology
 Cognition Disorders - physiopathology
 Cognitive ability
 Concussion
 Confidence intervals
 Forecasting
 Headaches
 Health risk assessment
 Humans
 Male
 Migraine
 Migraine Disorders - etiology
 Migraine Disorders - psychology
 Post-Concussion Syndrome - complications
 Post-Concussion Syndrome - psychology
 Prospective Studies
 Recovery (Medical)
 Recovery of Function
 Risk Factors
 Sports medicine
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