Pilot Study of Neurological Soft Signs and Depressive and Postconcussive Symptoms During Recovery From Mild Traumatic Brain Injury (mTBI)

被引:4
作者
Greenberg, Mark S. [1 ,2 ,4 ]
Wood, Nellie E. [1 ]
Spring, Justin D. [1 ]
Gurvits, Tamara V.
Nagurney, John T. [2 ,5 ]
Zafonte, Ross D. [2 ,3 ,4 ]
Pitman, Roger K. [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Massachusetts Gen Hosp, Dept Phys Med & Rehabil, Boston, MA 02114 USA
[4] Spaulding Rehabil Hosp, Dept Phys Med & Rehabil, Boston, MA USA
[5] Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
关键词
POSTTRAUMATIC-STRESS-DISORDER; POST-CONCUSSION SYMPTOMS; SPORT-RELATED CONCUSSION; MOTOR SPEED; HEAD-INJURY; RELIABILITY; INVENTORY; VALIDITY; PERFORMANCE; IMPAIRMENT;
D O I
10.1176/appi.neuropsych.14050111
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Neurological soft signs (NSSs) tap into a variety of perceptual, motor, and cognitive functions. The authors administered a battery of NSSs serially to a group of 14 pilot patients recruited from an emergency room after they experienced a mild traumatic brain injury. Patients were seen within 96 hours after injury, and again 30 and 90 days later. Measures of balance, mood, and postconcussive symptoms and impairment were also obtained. NSSs and balance improved across visits. Across visits, NSSs and balance were not significantly associated with any postconcussive outcome measures, although depressive symptoms were. Initial neurological impairment appeared to predict subsequent residual postconcussive symptoms and impairment, but this result requires replication.
引用
收藏
页码:199 / 205
页数:7
相关论文
共 50 条
  • [1] A review of the evidence for overlap among unexplained clinical conditions
    Aaron, LA
    Buchwald, D
    [J]. ANNALS OF INTERNAL MEDICINE, 2001, 134 (09) : 868 - 881
  • [2] MILD TRAUMATIC BRAIN INJURY - PATHOPHYSIOLOGY, NATURAL-HISTORY, AND CLINICAL MANAGEMENT
    ALEXANDER, MP
    [J]. NEUROLOGY, 1995, 45 (07) : 1253 - 1260
  • [3] [Anonymous], 1985, Principles of behavioral neurology
  • [4] Bazarian J, 2008, DEFENSE VET BRAIN IN
  • [5] Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients
    Beck, AT
    Steer, RA
    Ball, R
    Ranieri, WF
    [J]. JOURNAL OF PERSONALITY ASSESSMENT, 1996, 67 (03) : 588 - 597
  • [6] Factor analysis of the Mayo-Portland Adaptability Inventory: Structure and validity
    Bohac, DL
    Malec, JF
    Moessner, AM
    [J]. BRAIN INJURY, 1997, 11 (07) : 469 - 482
  • [7] Effect of Cognitive Activity Level on Duration of Post-Concussion Symptoms
    Brown, Naomi J.
    Mannix, Rebekah C.
    O'Brien, Michael J.
    Gostine, David
    Collins, Michael W.
    Meehan, William P., III
    [J]. PEDIATRICS, 2014, 133 (02) : E299 - E304
  • [8] Contributions of neuroimaging, balance testing, electrophysiology and blood markers to the assessment of sport-related concussion
    Davis, G. A.
    Iverson, G. L.
    Guskiewicz, K. M.
    Ptito, A.
    Johnston, K. M.
    [J]. BRITISH JOURNAL OF SPORTS MEDICINE, 2009, 43 : I36 - I45
  • [9] Brain function decline in healthy retired athletes who sustained their last sports concussion in early adulthood
    De Beaumont, Louis
    Theoret, Hugo
    Mongeon, David
    Messier, Julie
    Leclerc, Suzanne
    Tremblay, Sebastien
    Ellemberg, Dave
    Lassonde, Maryse
    [J]. BRAIN, 2009, 132 : 695 - 708
  • [10] Education-stratified base-rate information on discrepancy scores within and between the Wechsler Adult Intelligence Scale-Third Edition and the Wechsler Memory Scale-third Edition
    Dori, GA
    Chelune, GJ
    [J]. PSYCHOLOGICAL ASSESSMENT, 2004, 16 (02) : 146 - 154