कार्यात्मक चुंबकीय अनुनाद इमेजिंग और प्रमुख प्रभाव टेलीमेटरी प्रणाली का प्रयोग युवा में खेल से संबंधित संघट्टन के प्रभाव की एक जांच
Summary
यह आलेख हल्का घाव मस्तिष्क की चोट के निदान और युवाओं में वसूली के लिए एक बहु modal दृष्टिकोण का एक सिंहावलोकन प्रदान करता है. इस दृष्टिकोण कार्यात्मक चुंबकीय अनुनाद इमेजिंग और प्रमुख प्रभाव टेलीमेटरी संज्ञानात्मक परीक्षण के दौरान सिर प्रभावों और मस्तिष्क गतिविधि के बीच संबंधों की निगरानी सिस्टम के साथ neuropsychological परीक्षण को जोड़ती है.
Abstract
One of the most commonly reported injuries in children who participate in sports is concussion or mild traumatic brain injury (mTBI)1. Children and youth involved in organized sports such as competitive hockey are nearly six times more likely to suffer a severe concussion compared to children involved in other leisure physical activities2. While the most common cognitive sequelae of mTBI appear similar for children and adults, the recovery profile and breadth of consequences in children remains largely unknown2, as does the influence of pre-injury characteristics (e.g. gender) and injury details (e.g. magnitude and direction of impact) on long-term outcomes. Competitive sports, such as hockey, allow the rare opportunity to utilize a pre-post design to obtain pre-injury data before concussion occurs on youth characteristics and functioning and to relate this to outcome following injury. Our primary goals are to refine pediatric concussion diagnosis and management based on research evidence that is specific to children and youth. To do this we use new, multi-modal and integrative approaches that will:
1.Evaluate the immediate effects of head trauma in youth
2.Monitor the resolution of post-concussion symptoms (PCS) and cognitive performance during recovery
3.Utilize new methods to verify brain injury and recovery
To achieve our goals, we have implemented the Head Impact Telemetry (HIT) System. (Simbex; Lebanon, NH, USA). This system equips commercially available Easton S9 hockey helmets (Easton-Bell Sports; Van Nuys, CA, USA) with single-axis accelerometers designed to measure real-time head accelerations during contact sport participation 3 – 5. By using telemetric technology, the magnitude of acceleration and location of all head impacts during sport participation can be objectively detected and recorded. We also use functional magnetic resonance imaging (fMRI) to localize and assess changes in neural activity specifically in the medial temporal and frontal lobes during the performance of cognitive tasks, since those are the cerebral regions most sensitive to concussive head injury 6. Finally, we are acquiring structural imaging data sensitive to damage in brain white matter.
Protocol
Discussion
हम अनुमान है कि उन युवाओं को जो मस्तिष्क सफेद बात पर सबसे बड़ा प्रभाव दिखाने के मस्तिष्क गतिविधि की सबसे बड़ी पुनर्गठन, और सबसे लंबे समय तक व्यवहार और तंत्रिका वसूली अवधि दिखाएगा. इस शोध में बाल चिकित्?…
Disclosures
The authors have nothing to disclose.
Acknowledgements
हम स्वास्थ्य (CIHR) अनुसंधान और ओंटारियो Neurotrauma (ONF) फाउंडेशन, जो इस शोध के लिए धन प्रदान किया है की कनाडा के संस्थानों को धन्यवाद देना चाहूंगा.
Materials
| Name | Company | Comments |
| AccuGait Portable Gait and Balance Platform (Balance Assessment) |
AMTI | www.amti.biz |
| NetForce Balance Data Acquisition Software | AMTI | www.amti.biz |
| Visual Conflict Dome | Fabricated by researchers; modeled after: Lovell MR, Collins MW. Neuropsychological assessment of the college football player. J Head Trauma Rehabil. 1998;13(2):9-26. | |
| Airex Balance Pad | Airex | www.bebalanced.net |
| Smedlay’s Dynamometer, 100 kg(Grip Strength) | TTM, Tokyo | |
| Grooved Pegboard Test | Lafayette Instrument Company | www.lafayetteinstrument.com |
| Axon Jump Mat | Vacumed | www.vacumed.com |
| Strength Bar | Fabricated by researchers:
|
|
| Head Impact Telemetry (HIT) System | Simbex | www.simbex.com |
| Post-Concussion Symptoms Scale Revised (PCS-R) | Adapted from: Lovell MR, Collins MW. Neuropsychological assessment of the college football player. J Head Trauma Rehabil. 1998;13(2):9-26. |
|
| GE Discovery™ MR750 3.0T MRI Scanner | GE | www.gehealthcare.com |
| GE 8 channel head coil | GE | www.gehealthcare.com |
| Lumitouch Reply System | Lightwave Medical Industries | Vancouver, BC 1-(604)-875-4529 |
| Back projection screen (for presenting fMRI stimuli) | Unknown | |
| Disposable foam ear plugs | PAR Inc. | www.parinc.com |
| Neuropsychological Tests | Pearson Assessments | www.pearsonassessments.com |
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