Feasibility of Mild Traumatic Brain Injury Assessment Based on Cardiovascular Response to Postural Change.

J Head Trauma Rehabil

Defense and Veterans Brain Injury Center, Fort Bragg, North Carolina (Ms Russell and Mr Arrieux); Center for Data Science (Dr Preble), Engineered Systems (Drs Hegarty-Craver, Grego, and Gilchrist), and Military and Veteran Health Research (Ms Rae Olmsted), RTI International, Research Triangle Park, North Carolina; Departments of Brain Injury Medicine (Ms Russell, Mr Arrieux, and Dr Cole) and Medicine (Dr Choi), Womack Army Medical Center, Fort Bragg, North Carolina; and General Dynamics Information Technology, Fairfax, Virginia (Ms Russell and Mr Arrieux). Ms Russell is now with Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio. Dr Grego is now with Center for WaSH-AID, Duke University, Durham, North Carolina.

Published: September 2021

Objective: To determine the feasibility of short-term cardiovascular responses to postural change as a screening tool for mild traumatic brain injury (mTBI), using heart rate metrics that can be measured with a wearable electrocardiogram sensor.

Setting: Military TBI clinic.

Design: Data collected from active-duty service members who had sustained a medically diagnosed mTBI within the prior 72 hours and from age- and sex-matched controls. Cardiac data collected while participants performed a sequence of postural changes.

Main Measures: Model classification compared with clinical mTBI diagnosis.

Results: Cardiac biomarkers of mTBI were identified and logistic regression classifiers for mTBI were developed from different subsets of biomarkers. The best model achieved 90% sensitivity and 69% specificity using data from 2 different postural changes.

Conclusion: Noninvasive measurement of cardiovascular response to postural change is a promising approach for field-deployable post-mTBI screening.

Download full-text PDF

Source
http://dx.doi.org/10.1097/HTR.0000000000000582DOI Listing

Publication Analysis

Top Keywords

postural change
12
mild traumatic
8
traumatic brain
8
brain injury
8
cardiovascular response
8
response postural
8
data collected
8
postural
5
mtbi
5
feasibility mild
4

Similar Publications

In hospitals, timely interventions can prevent avoidable clinical deterioration. Early recognition of deterioration is vital to stopping further decline. Measuring the way patients position themselves in bed and change their positions may signal when further assessment is necessary.

View Article and Find Full Text PDF

Manual therapies like Osteopathic Manipulative Treatment (OMT) and Gentle Touch Intervention (GTI) are widely employed for improving posture and spinal alignment, but their effects as measured using advanced technologies remain underexplored. This study aims to evaluate the short-term postural effects of these interventions using a non-invasive three-dimensional rasterstereography-based approach, focusing on the cervical arrow, lumbar arrow, kyphotic angle, and lordotic angle parameters. A three-armed randomized controlled trial was conducted with 165 healthy participants.

View Article and Find Full Text PDF

: Oral breathing is a common condition, particularly in children, and it is associated with significant changes in craniofacial development, dentomaxillary anomalies, and overall health. Despite extensive research, the role of oral breathing in the development of malocclusion remains controversial, with debates on whether it is a causative factor or a secondary adaptation to existing craniofacial issues. : This narrative review synthesizes studies published in the last 15 years, focusing on the impact of oral breathing on dentofacial development and mandibular posture.

View Article and Find Full Text PDF

Background: Postural changes are considered a public health issue and have gathered significant interest in both research and clinical practice.

Aims: To evaluate the effectiveness of Global Postural Reeducation (GPR) in improving postural changes and postural stability in healthy young adults. Additionally, this study aims to identify the main postural changes in the sample population.

View Article and Find Full Text PDF

The use of foot orthoses to treat different pathologies in pronated feet in adults is widespread among podiatric professionals, although it has not been conclusively demonstrated to modify foot posture in the short or medium term. The aim of this study was to evaluate whether prefabricated foot supports reduce pronated foot posture in adults, as measured by the foot posture index (FPI). A randomised controlled clinical trial was conducted in 109 subjects with pronated feet.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!