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Titre : | Female adolescents demonstrate greater oculomotor and vestibular dysfunction than male adolescents following concussion (2020) |
Auteurs : | Margot Gray ; Julie C. Wilson ; Morgan Potter ; et al. |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 42, March 2020) |
Article en page(s) : | p. 68-74 |
Note générale : | https://doi.org/10.1016/j.ptsp.2020.01.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adolescent ; Équilibre postural ; Femmes ; Lésions du nerf oculomoteur ; Pédiatrie ; Sexisme ; Traumatismes cranioencéphaliques |
Résumé : |
Objective
To examine differences between male and female adolescents on measures of balance, vestibular and oculomotor function within 3 weeks of concussion among a group of pediatric patients presenting to a sports medicine clinic. Design Medical record review. Setting Sports medicine clinic. Participants 197 female (median age = 15.2 years) and 381 male (median age = 14.6 years) pediatric patients seen for a concussion, evaluated 9.3 ± 5.2 (mean ± SD) days post-concussion. Main outcome measures Patients completed Balance Error Scoring System (BESS), tandem gait, gaze stability, and near point of convergence (NPC) tests. Results A higher proportion of female patients exhibited abnormal NPC (22% vs. 14%; p = 0.017), gaze stability (53% vs. 43%; p = 0.028), and tandem gait tests (20% vs. 13%; p = 0.026) compared to male patients. Multivariable analysis indicated an independent association between female sex and increased odds of abnormal NPC (adjusted odds ratio [aOR] = 1.79, 95% CI = 1.073.00), and tandem gait tests (aOR = 1.96, 95% CI = 1.123.41) following concussion. Conclusions Our results indicate that within the first three weeks of a concussion, female pediatric patients demonstrated increased odds of exhibiting abnormal near point of convergence, and tandem gait test performance compared to male patients. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X19305140 |