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Concussion

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The Clinical Value Of Oculomotor Assessments Across The Continuum Of Concussion, Dillon Richards Nov 2022

The Clinical Value Of Oculomotor Assessments Across The Continuum Of Concussion, Dillon Richards

Electronic Thesis and Dissertation Repository

Concussions are complex conditions that are difficult to manage medically. Variations in symptom presentation, intricate neurophysiological processes, and the availability of a variety of possible assessment tools may contribute to this complexity. Clinicians must use a broad approach, employing both subjective symptom assessment and objective assessments to confirm a diagnosis and/or monitor progression and recovery. Oculomotor function after concussion may be an important indicator of injury, given the interconnectedness of oculomotor function, vestibulo-ocular and visual systems, and even cognition. Oculomotor function may be assessed objectively or indirectly using patient-reported symptom checklists as part of subjective assessments. One way of objectively …


Implications Of Race On Post-Concussion Neurocognitive Performance And Symptom Presentation, Taia B.B. Maceachern Jun 2022

Implications Of Race On Post-Concussion Neurocognitive Performance And Symptom Presentation, Taia B.B. Maceachern

Electronic Thesis and Dissertation Repository

The objective of this thesis was to examine the impact of race on post-concussion symptoms and neurocognitive performance. This was achieved through a systematic review and meta-analysis (Chapter 2), and a retrospective study (Chapter 3). From 15 published studies, it was found that Whites (70.11%) reported a higher prevalence of concussion then Black/African American (13.65%). A small effect (g = 0.3) of race was found on neurocognitive measures, indicating that Whites performed better. Using a database of concussion outcomes, it was found that Black/African American reported significantly higher symptom severities (p <0.05), but this was dependent on the …


The Experiences Of Female Adolescents Who Have Sustained A Concussion Through Sport Participation: A Consideration Of An Occupational Perspective During Recovery, Annalise Michelle Tichenoff Jul 2020

The Experiences Of Female Adolescents Who Have Sustained A Concussion Through Sport Participation: A Consideration Of An Occupational Perspective During Recovery, Annalise Michelle Tichenoff

Electronic Thesis and Dissertation Repository

Adolescence is a time of rapid and tumultuous development in the physical, cognitive and psychosocial domains. Sustaining a concussion during this time period may complicate this development, particularly when symptoms are prolonged. Of particular importance is the study of adolescent females, as this population has been under-evaluated within the literature. This is especially troubling due to the number of concussions that occur among adolescent females, as concussions within this population reportedly occur at twice the frequency of adolescent males. This dissertation presents a qualitative case study investigation that explores the recovery experiences of adolescent female athletes who have sustained a …


The Effectiveness Of Neurofeedback And Heart Rate Variability Biofeedback For Individuals With Long-Term Post-Concussive Symptoms, Marquise Bonn Aug 2018

The Effectiveness Of Neurofeedback And Heart Rate Variability Biofeedback For Individuals With Long-Term Post-Concussive Symptoms, Marquise Bonn

Electronic Thesis and Dissertation Repository

Case studies have shown that low resolution electromagnetic tomography (LoRETA) neurofeedback is effective for many psychological disorders, but it’s effectiveness for individuals experiencing persistent post-concussive symptoms (PPCS) is uncertain. Individuals with PPCS (n = 7) received an eight-week LoRETA neurofeedback and heart rate variability biofeedback intervention. Change in symptoms, driving simulation performance, electroencephalographic z-score deviations, and heart rate variability were compared to PPCS (n = 9) and healthy (n = 8) control groups. Statistical analyses revealed that the intervention significantly reduced electroencephalographic z-score deviations (p < 0.005) compared to PPCS controls. Additionally, headache, nausea, and dizziness symptoms were reduced in the intervention group (p = 0.003) and the PPCS controls (p = 0.001) compared to healthy …


An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai Aug 2016

An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai

Electronic Thesis and Dissertation Repository

Although recent clinical and scientific effort has focused on the development of guidelines for post-concussion return to play/work/learn, there is still relatively little literature that addresses specific treatment methods by which this can be accomplished. Accordingly, this study investigated the effect of a 7-week simulated classroom-based intervention on the self-reporting of symptom scores among 71 individuals with persistent concussion symptoms (26 men and 45 women). All participants were provided with novel strategies for reading, writing, study skills, social communication and technology use. Self-assessment of symptoms were obtained weekly, both before and after each session of the treatment program, in an …


Development And Initial Validation Of Novel Multi-Planar Neck Strength Assessment And Neuromuscular Training Protocols, Theo H. Versteegh Feb 2016

Development And Initial Validation Of Novel Multi-Planar Neck Strength Assessment And Neuromuscular Training Protocols, Theo H. Versteegh

Electronic Thesis and Dissertation Repository

Concussions are a serious health concern in today’s active society. There are many contributing factors to concussions but one that is starting to draw significant attention is the potential role the neck muscles play in mitigating concussive forces. There is evidence that stronger neck muscles may decrease an individual’s concussion risk. In order to fully define this role, an appropriate outcome measure for assessing neck strength is required. Once this is established, methods of training to improve neck strength can be evaluated for their effect on neck strength and subsequently effect on concussion risk. This thesis included three studies. Chapter …