0
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Objective Dual-Task Turning Measures for Return-to-Duty Assessment After Mild Traumatic Brain Injury: The ReTURN Study Protocol

      methods-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Determining readiness for duty after mild traumatic brain injury (mTBI) is essential for the safety of service members and their unit. Currently, these decisions are primarily based on self-reported symptoms, objective measures that assess a single system, or standardized physical or cognitive tests that may be insensitive or lack ecological validity for warrior tasks. While significant technological advancements have been made in a variety of assessments of these individual systems, assessments of isolated tasks are neither diagnostically accurate nor representative of the demands imposed by daily life and military activities. Emerging evidence suggests that complex tasks, such as dual-task paradigms or turning, have utility in probing functional deficits after mTBI. Objective measures from turning tasks in single- or dual-task conditions, therefore, may be highly valuable for clinical assessments and return-to-duty decisions after mTBI. The goals of this study are to assess the diagnostic accuracy, predictive capacity, and responsiveness to rehabilitation of objective, dual-task turning measures within an mTBI population. These goals will be accomplished over two phases. Phase 1 will enroll civilians at three sites and active-duty service members at one site to examine the diagnostic accuracy and predictive capacity of dual-task turning outcomes. Phase 1 participants will complete a series of turning tasks while wearing inertial sensors and a battery of clinical questionnaires, neurocognitive testing, and standard clinical assessments of function. Phase 2 will enroll active-duty service members referred for rehabilitation from two military medical treatment facilities to investigate the responsiveness to rehabilitation of objective dual-task turning measures. Phase 2 participants will complete two assessments of turning while wearing inertial sensors: a baseline assessment prior to the first rehabilitation session and a post-rehabilitation assessment after the physical therapist determines the participant has completed his/her rehabilitation course. A variable selection procedure will then be implemented to determine the best task and outcome measure for return-to-duty decisions based on diagnostic accuracy, predictive capacity, and responsiveness to rehabilitation. Overall, the results of this study will provide guidance and potential new tools for clinical decisions in individuals with mTBI.

          Clinical Trial Registration: clinicaltrials.gov, Identifier NCT03892291.

          Related collections

          Most cited references100

          • Record: found
          • Abstract: found
          • Article: not found

          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The Development of the Dizziness Handicap Inventory

              Conventional vestibulometric techniques are inadequate for quantifying the impact of dizziness on everyday life. The 25-item Dizziness Handicap Inventory (DHI) was developed to evaluate the self-perceived handicapping effects imposed by vestibular system disease. The development of the preliminary (37 items) and final versions (25 items) of the DHI are described. The items were subgrouped into three content domains representing functional, emotional, and physical aspects of dizziness and unsteadiness. Cronbach's alpha coefficient was employed to measure reliability based on consistency of the preliminary version. The final version of the DHI was administered to 106 consecutive patients and demonstrated good internal consistency reliability. With the exception of the physical subscale, the mean values for DHI scale scores increased significantly with increases in the frequency of dizziness episodes. Test-retest reliability was high.
                Bookmark

                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                15 January 2021
                2020
                : 11
                : 544812
                Affiliations
                [1] 1Department of Health and Kinesiology, University of Utah , Salt Lake City, UT, United States
                [2] 2Courage Kenny Research Center, Allina Health , Minneapolis, MN, United States
                [3] 3Department of Physical Therapy & Athletic Training, University of Utah , Salt Lake City, UT, United States
                [4] 4Army-Baylor University Doctoral Program in Physical Therapy , Fort Sam Houston, TX, United States
                [5] 5Department of Physical Therapy, Texas State University , Round Rock, TX, United States
                [6] 6Department of Neurology, Oregon Health & Science University , Portland, OR, United States
                [7] 7Traumatic Brain Injury Center of Excellence , Fort Carson, CO, United States
                [8] 8Evans Army Community Hospital , Fort Carson, CO, United States
                [9] 9Madigan Army Medical Center , Joint Base Lewis-McChord, WA, United States
                Author notes

                Edited by: Cameron Bass, Duke University, United States

                Reviewed by: Stuart J. McDonald, Monash University, Australia; Carey David Balaban, University of Pittsburgh, United States

                *Correspondence: Peter C. Fino peter.fino@ 123456utah.edu

                This article was submitted to Neurotrauma, a section of the journal Frontiers in Neurology

                Article
                10.3389/fneur.2020.544812
                7844093
                33519659
                49a0e8d4-5ca0-4b91-be0e-43f7d8e2c604
                Copyright © 2021 Fino, Weightman, Dibble, Lester, Hoppes, Parrington, Arango, Souvignier, Roberts and King.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 22 March 2020
                : 07 December 2020
                Page count
                Figures: 2, Tables: 2, Equations: 0, References: 100, Pages: 12, Words: 9921
                Funding
                Funded by: U.S. Department of Defense 10.13039/100000005
                Award ID: W81XWH1820049
                Categories
                Neurology
                Study Protocol

                Neurology
                concussion,gait,return to sport (rts),inertial sensors,wearable sensors
                Neurology
                concussion, gait, return to sport (rts), inertial sensors, wearable sensors

                Comments

                Comment on this article