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5) Treatment/Rehabilitation
5.11 Patient specific functional scale scores in youth with dizziness, neck pain and/or headaches following sport-related concussion
  1. Kathryn Schneider1,2,3,4,5,
  2. Geoff Schneider5,6,
  3. Carolyn Emery1,3,
  4. Keith Yeates2,3,7,
  5. Isabelle Gagnon8
  1. 1Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
  2. 2Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, Canada
  3. 3Hotchkiss Brain Institute, University of Calgary, Calgary, Canada
  4. 4Sport Medicine Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
  5. 5Evidence Sport and Spine, Calgary, Canada
  6. 6Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, Canada
  7. 7Faculty of Arts, University of Calgary, Calgary, Canada
  8. 8Montreal Children’s Hospital, MGill University, Montreal, Canada

Abstract

Objective To evaluate Patient Specific Functional Scale (PSFS) scores in youth diagnosed with sport-related concussion (SRC).

Design Cross-sectional.

Setting Community sport medicine and rehabilitation clinic.

Participants Twenty-four youth participating in a randomized controlled trial (RCT) age 10–18 years [15 (62.5%) females; median age 14 (range 11–16), median time since injury 25.5 days (range 10–107)] diagnosed with a SRC as per the 4thor 5th International Consensus Conference and with persisting symptoms >10 days of dizziness, neck pain and/or headaches.

Interventions (or Assessment of Risk Factors) N/A

Outcome Measures The PSFS is a self-reported measure designed to assess functional change. Patients are asked to report their specific functional challenges (up to 5) and rate them on a scale of 0–10 (0=unable to perform to 10=no functional limitation). Self-reported functional challenges (written text) and scores (0–10) were recorded on the PSFS at time of enrollment into an RCT.

Main Results Three activity limitations were listed by 21 participants and two by 3 participants. The most frequently reported activity limitations were related to sport/physical activity in 18 (75.0%) participants, reading/school in 5 (20.8%), and concentration in 1 (4.2%), with a median rating of 3/10 (range: 0–9). A total of 66 activities (39 by females:27 by males) were listed by participants and related to functioning in sport (57.6%)(female:male 22:16); school (27.3%)(11:7); daily activities around the house (7.6%)(5:0), social environments (1.5%)(0:1), sleep (3.0%)(1:1), playing a musical instrument (1.5%)(0:1), and video games (1.5%)(0:1).

Conclusions Sport/physical activity and reading/school functional limitations are commonly reported by adolescents following concussion and should be considered when planning rehabilitation programs.

https://doi.org/10.1136/bjsports-2023-concussion.276

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