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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >The effects of headache on clinical measures of neurocognitive function.
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The effects of headache on clinical measures of neurocognitive function.

机译：头痛对神经认知功能临床指标的影响。

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OBJECTIVE: To examine effects of preseason baseline headache and posttraumatic headache (PTH) on neurocognitive function. DESIGN: Retrospective repeated measures study with headache groups formed regarding baseline headache score (0 = negative headache; 1-6 = positive headache) and day 1 postinjury headache score (0 = no headache; 1-2 = mild headache; 3-6 = moderate-severe headache). SETTING: Clinical athletic training setting and sports medicine research laboratory. PARTICIPANTS: High-school and collegiate athletes with a concussion. INDEPENDENT VARIABLES: Preseason baseline headache, PTH, test-day. MAIN OUTCOME MEASURES: A Graded Symptom Checklist (GSC) was used to assess symptoms. The Automated Neuropsychological Assessment Metrics (ANAM) and the Standardized Assessment of Concussion (SAC) were used to assess neuropsychological function and mental status. The Balance Error Scoring System (BESS) was used to assess postural stability. RESULTS: Both baseline headache groups displayed a higher symptom endorsement and higher symptom severity at day 1 postinjury and improved by day 7 postinjury. The positive headache group reported an even greater increase in symptom severity and presence (P < 0.05). ANAM revealed deficits in both groups 1 day postinjury. All PTH headache groups displayed a difference in symptom number and severity with the increase being magnified by headache severity (P < 0.05). Individuals reporting moderate-severe PTH displayed increased deficits subacutely but improved by 5-7 days postinjury on overall neuropsychological performance, reaction time, and working memory (P < 0.05). Deficits were observed for all ANAM measures except simple reaction time 1 (SRT 1) and match to sample subacutely and improved over time (P < 0.05). The SAC yielded an interaction (P < 0.05) for baseline headache. The BESS yielded no significant findings. CONCLUSIONS: Clinicians should consider headache when assessing concussion and during preseason baseline assessments because headache may affect symptom presence and other clinical measures of concussion.
机译：目的：探讨季前基线头痛和创伤后头痛（PTH）对神经认知功能的影响。设计：回顾性重复措施研究针对基线头痛评分（0 =阴性头痛; 1-6 =阳性头痛）和损伤后第1天头痛评分（0 =无头痛; 1-2 =轻度头痛; 3-6 =中重度头痛）。场所：临床运动训练场所和运动医学研究实验室。参与者：高中和大学学生脑震荡。独立变量：季前基线头痛，PTH，测试日。主要观察指标：分级症状清单（GSC）用于评估症状。使用自动神经心理评估指标（ANAM）和脑震荡标准评估（SAC）评估神经心理功能和精神状态。平衡误差评分系统（BESS）用于评估姿势稳定性。结果：两个基线头痛组在受伤后第1天均显示出较高的症状认可和较高的症状严重性，并在受伤后第7天有所改善。阳性头痛组的症状严重程度和出现率甚至更高（P <0.05）。术后1天，ANA​​M发现两组均存在缺陷。所有PTH头痛组在症状数量和严重程度上均表现出差异，并且头痛严重程度将其加剧（P <0.05）。报告中度至重度PTH的个体在亚急性后表现出赤字增加，但在整体神经心理表现，反应时间和工作记忆方面，损伤后5-7天有所改善（P <0.05）。除简单反应时间1（SRT 1）以外，所有ANAM措施均存在缺陷，并与亚急性样品相匹配并随时间改善（P <0.05）。 SAC对基线头痛产生了交互作用（P <0.05）。 BESS没有发现明显的发现。结论：临床医生在评估脑震荡时和季前基线评估时应考虑头痛，因为头痛可能会影响症状的存在和脑震荡的其他临床指标。

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