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Titre : | Beliefs About the Influence of Rest During Concussion Recovery May Predict Activity and Symptom Progression Within an Active Duty Military Population (2020) |
Auteurs : | Rosemay A. Remigio-Baker ; Emma Gregory ; Wesley R. Cole |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 7, 2020) |
Article en page(s) : | p. 1204-1211 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.02.015 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Commotion de l'encéphale ; Culture (sociologie) ; Education ; Personnel militaire ; Rééducation neurologique ; Résultat thérapeutique ; Savoir |
Résumé : |
Objectives
To evaluate relationships between beliefs about the impact of rest and the level of activities and symptoms over time among active duty Service members sustaining concussion, and whether these relationships vary by provision of concussion education. Design Longitudinal study using multilevel modeling to assess the relationship between beliefs about rest within 72 hours of concussion and change in activity and symptom level over time, as well as interaction by concussion education at the initial clinic visit. Setting Three military treatment facilities. Participants Study participants included active duty Service members diagnosed with a concussion (N=111; median age, 24 y). Individuals with previous history of concussion within 12 months of study enrollment were excluded. Intervention Not applicable. Main Outcome Measures Activity questionnaire and the Neurobehavioral Symptom Inventory assessed within 72 hours of concussion; at 1 week; and at 1, 3, and 6 month(s) postinjury. Results Receipt of concussion education from providers was significantly associated with greater belief that rest influences concussion recovery. Greater belief that rest influences symptom recovery at the acute stage of concussion was associated with a greater increase in activities over time, but only among those who received education from their provider. Additionally, greater belief about the influence of rest was related to a more rapid decrease in symptoms over time. Conclusions Concussed Service members who underestimate the influence of rest during acute recovery may be at risk for poorer recovery. Treatment of Service members with postconcussive symptoms should consider patient knowledge and/or beliefs about rest and recovery, which may influence prognosis. Our results support the providers use of concussion education to correct potential misconceptions that may negatively impact symptom recovery. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320301702 |