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Titre : | Frequency of Primary Neck Pain in Mild Traumatic Brain Injury/Concussion Patients (2020) |
Auteurs : | Jeffrey A. King ; Michael A. McCrea ; Lindsay D. Nelson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 1, 2020) |
Article en page(s) : | p. 89-94 |
Note générale : | https://doi.org/10.1016/j.apmr.2019.08.471 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cervicalgie ; Commotion de l'encéphale ; Réadaptation ; Service hospitalier d'urgences |
Résumé : |
Objectives
To determine (1) the frequency of neck pain overall and relative to other symptoms in patients presenting to a level I trauma center emergency department (ED) with mild traumatic brain injury (mTBI) and (2) the predictors of primary neck pain in this population. Design Cohort study. Setting Level I trauma center ED. Participants Patients presenting to the ED with symptoms of mTBI having been exposed to an event that could have caused mTBI (N=95). Interventions Not applicable. Main Outcome Measures Frequency of self-reported neck pain as measured by Sport Concussion Assessment Tool 3 (SCAT3) symptom questionnaire at Results The frequency of any reported neck pain was 68.4%, 50.6%, 49%, and 41.9% within 72 hours and at 8, 15, and 45 days, respectively. Frequency of primary neck pain (equal or worse/worse definitions) was 35.8%/17.9%, 34.9%/14.5%, 37%/14.8%, and 39.2%/10.8% across the 4 follow-up assessments. Participants who sustained their injuries in motor vehicle collisions had a higher rate of primary neck pain than those with other mechanisms of injury. Conclusions A sizable percentage of patients who present to level I trauma center EDs with mTBI report neck pain, which is commonly rated as similar to or worse than other mTBI-related symptoms. Primary neck pain is more common after motor vehicle collisions than with other mechanisms of injury. These findings support consensus statements identifying cervical injury as an important potential concurrent diagnosis in patients with mTBI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319310500 |