A5021478700- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Heart Rate Variability and Autonomic Control
- Sports injuries and prevention
- Cardiovascular Syncope and Autonomic Disorders
- Psychosomatic Disorders and Their Treatments
- Resilience and Mental Health
- Emergency and Acute Care Studies
- Thermal Regulation in Medicine
- Trauma and Emergency Care Studies
- Cerebral Palsy and Movement Disorders
- Traumatic Ocular and Foreign Body Injuries
- Cardiovascular Effects of Exercise
- Vestibular and auditory disorders
- Automotive and Human Injury Biomechanics
University at Buffalo, State University of New York
2021-2025
Jacobs (United States)
2021
There is growing evidence that subsymptom threshold aerobic exercise speeds recovery from sport-related concussion (SRC). It not known whether there a direct relationship between adherence to personalized prescription and or if initial symptom burden affects the prescription.This study was planned secondary analysis of one arm randomized controlled trial. Male female adolescent athletes (age 13-18 yr) presenting within 10 d SRC were given prescriptions based on their heart rate at point...
Face cooling (FC) initiates the mammalian dive reflex, which elicits a parasympathetic autonomic response. In our pilot study, collegiate athletes had blunted response to FC within 10 days of sport-related concussion (SRC). The objective current study was assess in adolescent with acute SRC and after clinical recovery. Symptomatic adolescents (n = 23, 15.48 ± 1.2 years, 52% male) heart rate (HR) blood pressure (BP) measured during test (7.83 2.5 since injury) again recovery (46.44 36.4...
Clinical Scenario : Sport-related concussions (SRC) can have a substantial impact on quality of life, necessitating cost-effective interventions to accelerate recovery. Ice or cooling therapy after SRC may be such an intervention; however, this area research has not been well studied. This critically appraised topic focuses the ice and outcomes. Question Does reduce symptom burden recovery time compared with standard care in athletes SRC? Summary Key Findings Four studies met inclusion...
Graded exertion testing has diagnostic utility in the management of athletes with sport-related and recreation-related concussions, results which are used to prescribe individualized aerobic exercise treatment that facilitates recovery from concussion reduces incidence symptoms persisting beyond 1 month. Current protocols, such as Buffalo Concussion Treadmill Test, however, recommended for patients aged 13 years older not appropriate younger children concussion. This practical article...
Objective: To assess sex differences in behavior and motivation of adolescent athletes with sport-related concussion (SRC) versus controls during a 2-week individualized aerobic exercise intervention. Setting: Academic center research laboratory. Participants: Participants were enrolled within 10 days SRC (n = 32; 15.6 ± 1.4 years, 33% female, 6.18 2.21 from injury). Twenty-eight control participants (16.0 1.6 female) recruited. Design: Randomized trial 1:1 block randomization scheme...
Objective: To determine the number of prior concussions associated with increased incidence persistent postconcussive symptoms (PPCS) in a cohort acutely concussed pediatric patients. Design: Prospective observational study. Setting: Three university-affiliated concussion clinics. Participants: Two hundred seventy participants (14.9 ± 1.9 years, 62% male, 54% concussion) were assessed within 14 days and followed to clinical recovery. Participants second head injury before recovery excluded....
Abstract Sport‐related concussion (SRC) is associated with cardiovascular autonomic nervous system (ANS) dysfunction. This study examines resting ANS activity in adolescents SRC compared to controls early post‐injury and after clinical recovery, analyzing its correlation symptom severity recovery outcomes. Cardiovascular function was evaluated using heart rate variability (HRV), systolic blood pressure (SBPV) baroreflex sensitivity (BRS). Symptoms were assessed via the Post‐Concussion...
Blink reflex assessment has been suggested as a potential marker for sport-related concussions (SRCs) screening. However, exertion level is known to affect the blink reflex, which may clinical utility of sideline screening and post-concussion monitoring. This validation study 44 male college-aged athletes found significant differences in several parameters between baseline active play. In assessing mild moderate/higher intensity, function heart rate, number oscillations was only...
Abstract: Aerobic exercise is safe and beneficial for adolescent athletes recovering from sport-related concussion (SRC). The results of systematic graded testing are used to create individualized, subsymptom heart rate threshold (HRt) aerobic treatment programs adolescents after SRC. Many clinicians, however, do not have access tests. This article presents a safe, systematic, evidence-based program that clinicians can prescribe, progress, modify help manage acute pediatric SRC without the...
Sport-related concussion (SRC) affects cognitive and oculomotor function. We evaluated recovery from SRC in athletes with symptoms and/or impairments who were prescribed early aerobic exercise treatment.
Objective: There is greater risk of musculoskeletal (MSK) injury after clinical recovery from sport-related concussion (SRC). We determined whether aerobic exercise treatment within 10 days SRC reduced the proportion MSK in recovered adolescent athletes at 4 months since injury. Design: Planned secondary analysis a randomized trial versus stretching adolescents SRC. Setting: Outpatient and hospital-based sports medicine centers. Participants: Aerobic (n = 38, 58% male, 15.6 years) 25, 64%...
Assessing Orthostatic Intolerance (OI, symptoms upon standing from supine) is recommended in athletes with sport-related concussions (SRCs), as this caused by impairments the cardiovascular autonomic nervous system (cANS). Early Exercise (Early EI, on light physical exertion) also due to cANS but difficult incorporate into outpatient clinical practice (cost of personnel, time, equipment). The purpose study was determine if we could use OI screen for well understand differences between...
To compare clinical characteristics in patients with concussions sustained by prevalent, but understudied, mechanisms (work-related concussion [WRC] and motor vehicle collision [MVC]-related concussion) to sport-related (SRC).
Context Sport-related concussions (SRC) are common in student athletes. However, current literature suggests that many athletes do not accurately report their symptoms. The under-reporting of concussion symptoms can result an increased risk further injury and underestimation prevalence. Objective This study aims to identify perspectives on reporting behaviors across levels contact by sex. Design Cross-sectional study. Setting Elementary high school, college. Patients or other participants:...
PURPOSE: Exercise intolerance is a hallmark of sport-related concussion (SRC) and there growing evidence for using aerobic exercise to treat concussed adolescents. It not known if the limitation performance after central (i.e., altered cerebral blood flow regulation) or peripheral cardiovascular oxygen delivery muscles). We examined aspects pulmonary, cardiac vascular function during cycle in adolescents within days injury again upon clinical recovery. METHODS: 26 (age 15.42 ± 1.1.4 y, 46.5%...