Preliminary Evidence for the Clinical Utility of Tactile Somatosensory Assessments of Sport-Related mTBI

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aut.relation.issue1en_NZ
aut.relation.journalSports Medicine - Openen_NZ
aut.relation.volume7en_NZ
aut.researcherHume, Patria
dc.contributor.authorMcGeown, JPen_NZ
dc.contributor.authorHume, PAen_NZ
dc.contributor.authorKara, Sen_NZ
dc.contributor.authorKing, Den_NZ
dc.contributor.authorTheadom, Aen_NZ
dc.date.accessioned2021-11-30T02:53:13Z
dc.date.available2021-11-30T02:53:13Z
dc.date.copyright2021-12-01en_NZ
dc.date.issued2021-12-01en_NZ
dc.description.abstractObjectives: To evaluate the clinical utility of tactile somatosensory assessments to assist clinicians in diagnosing sport-related mild traumatic brain injury (SR-mTBI), classifying recovery trajectory based on performance at initial clinical assessment, and determining if neurophysiological recovery coincided with clinical recovery. Research Design: Prospective cohort study with normative controls. Methods: At admission (n = 79) and discharge (n = 45/79), SR-mTBI patients completed the SCAT-5 symptom scale, along with the following three components from the Cortical Metrics Brain Gauge somatosensory assessment (BG-SA): temporal order judgement (TOJ), TOJ with confounding condition (TOJc), and duration discrimination (DUR). To assist SR-mTBI diagnosis on admission, BG-SA performance was used in logistic regression to discriminate cases belonging to the SR-mTBI sample or a healthy reference sample (pooled BG-SA data for healthy participants in previous studies). Decision trees evaluated how accurately BG-SA performance classified SR-mTBI recovery trajectories. Results: BG-SA TOJ, TOJc, and DUR poorly discriminated between cases belonging to the SR-mTBI sample or a healthy reference sample (0.54–0.70 AUC, 47.46–64.71 PPV, 48.48–61.11 NPV). The BG-SA evaluated did not accurately classify SR-mTBI recovery trajectories (> 14-day resolution 48%, ≤14–day resolution 54%, lost to referral/follow-up 45%). Mann-Whitney U tests revealed differences in BG-SA TOJc performance between SR-mTBI participants and the healthy reference sample at initial clinical assessment and at clinical recovery (p < 0.05). Conclusions: BG-SA TOJ, TOJc, and DUR appear to have limited clinical utility to assist clinicians with diagnosing SR-mTBI or predicting recovery trajectories under ecologically valid conditions. Neurophysiological abnormalities persisted beyond clinical recovery given abnormal BG-SA TOJc performance observed when SR-mTBI patients achieved clinical recovery.en_NZ
dc.identifier.citationSports Medicine - Open 7, 56 (2021). https://doi.org/10.1186/s40798-021-00340-8
dc.identifier.doi10.1186/s40798-021-00340-8en_NZ
dc.identifier.issn2199-1170en_NZ
dc.identifier.issn2198-9761en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14757
dc.relation.urihttps://sportsmedicine-open.springeropen.com/articles/10.1186/s40798-021-00340-8
dc.rights© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectSomatosensory; mTBI; Modelling; Prediction; Diagnosis; Recovery; Brain Gauge
dc.titlePreliminary Evidence for the Clinical Utility of Tactile Somatosensory Assessments of Sport-Related mTBIen_NZ
dc.typeJournal Article
pubs.elements-id439306
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Sports Performance Research Institute New Zealand
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Sports Performance Research Institute New Zealand/Sports Kinesiology Injury Prevention & Performance Research Group
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF
pubs.organisational-data/AUT/PVC - Research & Innovation
pubs.organisational-data/AUT/zAcademic Progression
pubs.organisational-data/AUT/zAcademic Progression/Professor
pubs.organisational-data/AUT/zAcademic Progression/Professor/AP - Prof - Health and Environmental Sciences
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