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What did I do?
I employed an iterative, patient-centred approach to develop a concussion-specific functional status measure.
Why did I do it?
While most adults fully recover from concussion, at least 15% exhibit ongoing symptoms including headache, fatigue and difficulty concentrating for years resulting in high degrees of disability.1 Since no objective biomarker exists for concussion, self-reported symptom burden is the most commonly reported recovery measure, along with cognitive function, balance and exercise tolerance in terms of frequency, duration, difficulty or agreement level. Clinical tests of cognition and balance often appear normal beyond the acute phase. Symptoms are non-specific and commonly present in other conditions such as depression, anxiety and post-traumatic stress disorder.1 Persons with concussion often manage their symptoms by limiting provocative activities and social participation. A low symptom score may thus reflect reduced life activities rather than functional recovery. Prior to my research, no concussion-specific measure of functional status existed. I conducted this research to address a gap in clinical tools …
Collaborators Heidi Sveistrup; Shawn Marshall; Ian Graham; Jennifer O’Neil.
Contributors JJvI was responsible for developing the study conceptualisation, study design and drafting of this manuscript.
Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.