TY  - JOUR
PY  - 2019//
TI  - Persistent impairment based symptoms post mild traumatic brain injury: does a standard symptom scale detect them?
JO  - Musculoskeletal science and practice
A1  - Galea, Olivia A.
A1  - O'Leary, Shaun P.
A1  - Treleaven, Julia M.
SP  - 15
EP  - 22
VL  - 41
IS  - 
N2  - AIM: To further explore symptoms in patients beyond the expected recovery period post mild Traumatic Brain Injury (mTBI) that are potentially indicative of impairment. <br><br>METHODS: Ninety-four individuals (62 diagnosed with mTBI within the previous 4-24 weeks and 32 healthy controls) participated in the study. Participants in the mTBI group were further grouped as symptomatic (n = 33) or asymptomatic (n = 29) based on their spontaneous report of symptoms at the time of screening. Measures included a demographic questionnaire, 8 impairment specific self-report clinical tools, and a standard post-mTBI self-report symptom scale (Head Injury Scale (HIS)). <br><br>RESULTS: Compared to the control group, scores for all instruments (including the HIS) were higher in the symptomatic mTBI group (P < 0.05), and higher for the neck disability and hyperarousal measures in the asymptomatic mTBI group (p < 0.035), but not the HIS (p > 0.093). Overall 94% of the symptomatic and 62% of the asymptomatic participants post-mTBI, recorded scores considered to be clinically relevant on at least one impairment screening tool. In contrast, only 28% of the asymptomatic mTBI group recorded a clinically relevant score for the HIS. <br><br>CONCLUSION: Symptoms indicative of persisting impairments beyond the expected recovery period were apparent in a substantial proportion of individuals post mTBI. Furthermore, a high percentage of individuals initially reporting as symptom free demonstrated clinically relevant scores on at least one impairment screening tool. <br><br>FINDINGS also suggest that a standard post-mTBI self-report symptom scale may often not detect the presence of persisting symptoms.<br><br>Copyright © 2019. Published by Elsevier Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 2468-8630
UR  - http://dx.doi.org/10.1016/j.msksp.2019.02.002
ID  - ref1
ER  -