Symptom progression and relation to physical and cognitive activities based on ecologic momentary assessment of patients following concussion

ObjectiveTo use ecologic momentary assessment to measure and compare daily reports of physical/cognitive activity and symptoms among youth for 2 weeks after sustaining a concussion.DesignProspective cohort study, with patients reporting to random prompts on a handheld 3 times daily and wearing an ac...

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Bibliographic Details
Published in:British Journal of Sports Medicine 2017-06, Vol.51 (11), p.A21-A21
Main Authors: Wiebe, Douglas J, Grady, Matthew F, Nance, Michael, Houseknecht, Eileen, Master, Christina L
Format: Article
Language:English
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Summary:ObjectiveTo use ecologic momentary assessment to measure and compare daily reports of physical/cognitive activity and symptoms among youth for 2 weeks after sustaining a concussion.DesignProspective cohort study, with patients reporting to random prompts on a handheld 3 times daily and wearing an accelerometer.SettingSpecialty concussion program within a large regional paediatric healthcare network.Participants34 patients, ages 11–17 years with the diagnosis of concussion seen in the concussion program.Independent variablesMeasurements of daily physical activity (step count) and cognitive activity (composite score of texts sent, screen time minutes, reading minutes, school attendance).Outcome measuresDaily symptoms on the Post Concussion Symptom Scale (PCSS).Main resultsStudy subjects were enrolled a median of 6 days post-injury (range 5–13 days). Numerous profiles were observed, including being initially highly (PSCC≥20) or less symptomatic (PSCC ≤ 10), initially highly (steps>6000) or less physically active (steps
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsports-2016-097270.52