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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
Recovery of cognitive and dynamic motor function following concussion
Tonya M Parker1, Louis R Osternig, Paul van Donkelaar
1Department of Human Physiology, University of Oregon, Eugene, Oregon 97403, USA.
British Journal of Sports Medicine
|May 23, 2007
Summary
Concussion recovery requires assessing both cognitive function and dynamic motor skills. Motor performance may need longer recovery than cognitive measures, indicating independent recovery paths.
Area of Science:
- Sports Medicine
- Neurology
- Rehabilitation Science
Background:
- Neuropsychological testing is crucial for concussion management and return-to-activity decisions.
- Current assessments often overlook motor performance deficits following concussion.
- Understanding the interplay between cognitive and motor recovery is vital for comprehensive concussion care.
Purpose of the Study:
- To investigate the relationship between dynamic motor performance and neuropsychological function post-concussion.
- To analyze recovery trajectories of cognitive and motor domains over 28 days.
Main Methods:
- Participants underwent gait stability assessments (center of mass motion under divided/undivided attention) and computerized neuropsychological testing.
- Evaluated memory, reaction time, processing speed, and concussion symptoms.
- Correlations between neuropsychological and gait variables were calculated; recovery curves were compared.
Main Results:
- Dynamic motor tasks, like gait under attention demands, showed longer recovery times than cognitive measures.
- Limited statistical correlation was found between neuropsychological and gait variables.
- Cognitive and motor recovery curves post-concussion were observed to be independent.
Conclusions:
- A multi-factorial approach incorporating both cognitive and motor assessments is necessary for comprehensive concussion evaluation.
- This approach aids in determining optimal timing for safe return to physical activity.
- Independent recovery patterns highlight the need for distinct monitoring of cognitive and motor functions.
