儿童脑震荡后4周早期恢复体力活动和认知结果
Veronik Sicard1, Roger Zemek, Vid Bijelic
1Author Affiliations: Children's Hospital of Eastern Ontario Research Institute (Drs Sicard, Dr Zemek, Mr Bijelic, Dr Barrowman, and Dr Ledoux), Ottawa, ON, Canada; Department of Pediatrics (Dr Zemek), Department of Emergency Medicine (Dr Zemek), University of Ottawa, Ottawa, Ontario, Canada; Department of Psychology (Drs Yeates and Brooks), Hotchkiss Brain Institute (Dr Yeates), Department of Pediatrics (Dr Brooks), University of Calgary, Calgary, Alberta, Canada; Alberta Children's Hospital Research Institute (Dr Yeates), Calgary, Alberta, Canada; Ste-Justine Hospital Research Center (Dr Beauchamp), Montreal, Quebec, Canada; Department of Psychology (Dr Beauchamp), University of Montreal, Montreal, Quebec, Canada; Neurosciences Program, Alberta Children's Hospital (Dr Brooks), Calgary, Alberta; Behavioral Neurosciences and Consultation-Liaison Program, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital (Drs Anderson and Keightley), Toronto, Ontario, Canada; Departments of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute (Dr Keightley), University of Toronto, Toronto, Ontario, Canada; Department of Psychology (Dr Desire), The Hospital for Sick Children, Toronto, Ontario, Canada; and Department of Cellular and Molecular Medicine (Dr Ledoux), University of Medicine, Ottawa, Ontario, Canada.
脑震荡后的早期体力活动 (PA) 没有显示出与儿童认知问题的整体联系. 然而,PA的影响因性别和年龄而异,影响语言灵活性和注意力不同.
科学领域:
- 儿科神经学 儿科神经学
- 运动医学运动医学
- 神经心理学 神经心理学
背景情况:
- 早期体力活动 (PA) 可能会改善脑震荡恢复,但其对认知效应的理解较少.
- 这项研究探讨了早期脑震荡和脑震荡后儿童认知结果之间的关系.
研究的目的:
- 为了检查早期PA (7天内) 和儿童脑震荡后4周的认知低效/损伤之间的关联.
- 调查早期PA与特定认知功能的联系,包括记忆,执行功能,处理速度,注意力,视觉运动技能和词汇.
主要方法:
- 一项前性多中心队列研究的二次分析,涉及被诊断患有脑震荡的儿童 (8-18岁).
- 早期的PA在受伤后1周自我报告;认知功能在4周通过综合神经心理测试进行评估.
- 认知效率低下和损伤是主要结果,详细的神经心理任务得分被分析为次要结果.
主要成果:
- 在早期PA和整体认知低效或损伤 (P ≥ .38) 之间没有发现显著的关联.
- 早期PA和性别之间的相互作用显示,参与早期PA的女性具有更好的语言认知灵活性 (P = .02).
- 早期PA和年龄之间的相互作用表明,参与早期PA的年轻儿童在注意力任务中表现更差 (P = .03).
结论:
- 早期的PA似乎与儿科脑震荡后的一般认知低效或损伤无关.
- 早期PA对认知结果的影响可能因年龄和性别而受到缓解,这表明了量身定制的方法.
- 需要进一步的研究来了解这些差异效应,并优化恢复策略.


