Initial Mild Traumatic Brain Injury Characteristics and Recovery Patterns Among Females Across the United States Military Service Academies: A Report from the NCAA-DoD CARE Consortium.

التفاصيل البيبلوغرافية
العنوان:	Initial Mild Traumatic Brain Injury Characteristics and Recovery Patterns Among Females Across the United States Military Service Academies: A Report from the NCAA-DoD CARE Consortium.
المؤلفون:	Lempke LB; Michigan Concussion Center, University of Michigan, Ann Arbor, MI, USA. llempke@umich.edu.; Exercise and Sport Science Initiative, University of Michigan, Ann Arbor, MI, USA. llempke@umich.edu.; 830 North University Avenue, Suite 4000, Ann Arbor, MI, 48109, USA. llempke@umich.edu., Ermer E; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.; Uniformed Services University of the Health Sciences, Bethesda, MD, USA., Boltz AJ; Michigan Concussion Center, University of Michigan, Ann Arbor, MI, USA., Caccese J; School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA., Buckley TA; Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA., Cameron KL; Keller Army Hospital and United States Military Academy, West Point, NY, USA., Chrisman SPD; Division of Adolescent Medicine, University of Washington, Seattle, WA, USA., D'Lauro C; Department of Behavioral Science and Leadership, United States Air Force Academy, USAF Academy, El Paso County, CO, USA., Eckner JT; Department of Physical Medicine & Rehabilitation, University of Michigan, Ann Arbor, MI, USA., Esopenko C; Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Hunt TN; Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA., Jain D; Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Kelly LA; Department of Exercise Science, California Lutheran University, Thousand Oaks, CA, USA., Memmini AK; Department of Health, Exercise & Sports Sciences, University of New Mexico, Albuquerque, NM, USA., Mozel AE; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Putukian M; Major League Soccer, Princeton, NJ, USA., Susmarski A; Department of Orthopedics and Sports Medicine, United States Naval Academy, Annapolis, MD, USA., Pasquina PF; Uniformed Services University of the Health Sciences, Bethesda, MD, USA., McCrea MA; Center for Neurotrauma Research, Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA., McAllister TW; Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA., Broglio SP; Michigan Concussion Center, University of Michigan, Ann Arbor, MI, USA., Master CL; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Orthopaedics and Sports Medicine, Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
المصدر:	Annals of biomedical engineering [Ann Biomed Eng] 2023 Sep 24. Date of Electronic Publication: 2023 Sep 24.
Publication Model:	Ahead of Print
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 0361512 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-9686 (Electronic) Linking ISSN: 00906964 NLM ISO Abbreviation: Ann Biomed Eng Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2005- : New York : Springer Science + Business Media Original Publication: New York, Academic Press.
مستخلص:	Mild traumatic brain injury (mTBI) has been described in the United States (US) military service academy cadet population, but female-specific characteristics and recovery outcomes are poorly characterized despite sex being a confounder. Our objective was to describe female cadets' initial characteristics, assessment performance, and return-to-activity outcomes post-mTBI. Female cadets (n = 472) from the four US military service academies who experienced a mTBI completed standardized mTBI assessments from pre-injury to acute initial injury and unrestricted return-to-duty (uRTD). Initial injury presentation characteristics (e.g., delayed symptoms, retrograde amnesia) and return-to-activity outcomes [i.e., return-to-learn, initiate return-to-duty protocol (iRTD), uRTD] were documented. Descriptive statistics summarized female cadets' injury characteristics, return-to-activity outcomes, and post-mTBI assessment performance change categorization (worsened, unchanged, improved) relative to pre-injury baseline using established change score confidence rank criteria for each assessment score. The median (interquartile range) days to return-to-learn (n = 157) was 7.0 (3.0-14.0), to iRTD (n = 412) was 14.7 (8.6-25.8), and to uRTD (n = 431) was 26.0 (17.7-41.8). The majority experienced worse SCAT total symptom severity (77.8%) and ImPACT reaction time (97.0%) acutely < 24-h versus baseline, but unchanged BESS total errors (75.2%), SAC total score (72%), BSI-18 total score (69.6%), and ImPACT verbal memory (62.3%), visual memory (58.4%), and visual motor speed (52.5%). We observed similar return-to-activity times in the present female cadet cohort relative to the existing female-specific literature. Confidence ranks categorizing post-mTBI performance were heterogenous and indicate multimodal assessments are necessary. Our findings provide clinically relevant insights to female cadets experiencing mTBI across the US service academies for stakeholders providing healthcare. (© 2023. The Author(s) under exclusive licence to Biomedical Engineering Society.)
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معلومات مُعتمدة:	W81XWH-14-2-0151 Office of the Secretary of Defense
فهرسة مساهمة:	Keywords: Active duty; Concussion; Psychological; Recovery; Veteran
تواريخ الأحداث:	Date Created: 20230924 Latest Revision: 20230924
رمز التحديث:	20240628
DOI:	10.1007/s10439-023-03374-z
PMID:	37743459
قاعدة البيانات:	MEDLINE

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