AI Article Synopsis
- The Buffalo Concussion Treadmill Test (BCTT) evaluates exercise tolerance for youth athletes post mild traumatic brain injury (mTBI), but its effectiveness for adults is not well understood.
- This study compared BCTT performance between 37 adults with mTBI and 24 uninjured controls (UC) to assess exercise tolerance and how baseline factors correlated with test duration.
- Results showed that mTBI participants stopped the test earlier than UCs, with many experiencing symptoms like fatigue and increased discomfort, indicating the need for tailored rehabilitation strategies.*
Article Abstract
Background: The Buffalo Concussion Treadmill Test (BCTT) is used to establish exercise tolerance for rehabilitation and identify injury subtypes for youth athletes after mild traumatic brain injury (mTBI). Its utility in adult community members is unknown.
Objective: Primary: To describe how adults with and without mTBI tolerate the BCTT. Secondary: To explore relationships between baseline factors, mTBI-related symptoms, and BCTT duration.
Design: Prospective, observational, longitudinal.
Setting: Academic medical center.
Participants: Thirty-seven adults treated in a level 1 trauma center emergency department with mTBI; 24 uninjured controls (UC).
Interventions: N/A.
Main Measures: Participants completed two visits 3 weeks apart (1 week and 1 month after mTBI) including a 15-minute BCTT, the Rivermead Post Concussion Symptoms Questionnaire (RPQ), and preinjury International Physical Activity Questionnaire. Analyses characterized BCTT response and associations between baseline factors, RPQ scores, and BCTT duration.
Results: Persons with mTBI discontinued earlier than UC at 1-week postinjury using standard discontinuation criteria for exercise intolerance. The percentage of mTBI participants with signs of possible mTBI-related intolerance was 55.6% at 1 week (36.1% for mTBI-related symptom exacerbation, 19.4% for exertion/fatigue before reaching 85% of one's age-predicted maximum heart rate [HR]) and 48.0% at 1 month (40.0% mTBI-related symptom exacerbation, 8.0% exertion without reaching the target HR). Thirty percent of UCs completed the BCTT at both assessments. UCs met discontinuation criteria for increased nonspecific symptoms (eg, pain/general discomfort and increased Visual Analog Scale ratings; 39-61%) and physical exertion (9-26%). Shorter duration was associated with higher body mass index (r = -0.42 - -0.45), shorter height (r = 0.22-0.29), female gender (r = -0.26 - -0.27), and greater RPQ symptoms (r = -0.28 - -0.47).
Conclusion: The BCTT exacerbates mTBI-related symptoms in adult community members. Participant characteristics and noninjury factors influence performance. The findings imply the BCTT could be useful in clinical assessments of adults with mTBI. Interpretation should account for the unique characteristics of nonathletes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323219 | PMC |
| http://dx.doi.org/10.1002/pmrj.13132 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Multimodal Assessment Battery and Heart Rate Variability Enhance Clinical Utility of Buffalo Concussion Treadmill Test.
J Sport Rehabil
December 2024
Department of Physical Therapy, Chapman University, Orange, CA, USA.
Context: The Buffalo Concussion Treadmill Test (BCTT) for exercise intolerance following concussion may highlight underlying autonomic dysfunction. Autonomic function at rest and with exertion may be predictive of neurocognitive performance for individuals with sports-related concussion. The purpose of this study is to explore the feasibility and utility of combining multimodal assessments with heart rate variability (HRV) measures during the BCTT for individuals with a remote history of concussion.
View Article and Find Full Text PDFThe Clinical Utility of Assessing Orthostatic Intolerance in Adolescents with Sport-Related Concussion, a Retrospective Study.
Diagnostics (Basel)
December 2024
UBMD Orthopaedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY 14221, USA.
Background/objective: Assessing Orthostatic Intolerance (OI, symptoms upon standing from supine) is recommended in athletes with sport-related concussions (SRCs), as this is caused by impairments in the cardiovascular autonomic nervous system (cANS). Early Exercise Intolerance (Early EI, symptoms on light physical exertion) is also due to impairments in the cANS but is difficult to incorporate into outpatient clinical practice (cost of personnel, time, equipment). The purpose of this study was to determine if we could use OI to screen for Early EI, as well as understand differences between adolescents who do and do not report OI.
View Article and Find Full Text PDFDraft genome of hydrocarbon-degrader BCTT, isolated from soil chronically polluted with crude oil in Trinidad.
Microbiol Resour Announc
December 2024
Biochemistry Research Lab (Rm216), Department of Life Sciences, Faculty of Science and Technology, The University of the West Indies, St. Augustine, Trinidad and Tobago.
BCTT isolated from chronically polluted soil in Trinidad, shows a capacity to survive in crude oil as a sole carbon source. Here, we report its high-quality draft genome sequence and highlight those pathways and genes involved in xenobiotic degradation. These data give a clearer insight into this organism's biotechnological potential.
View Article and Find Full Text PDFDeveloping a Text Messaging Intervention to Prevent Binge and Heavy Drinking in a Military Population: Mixed Methods Development Study.
JMIR Form Res
March 2024
Department of Public Health Sciences, University of Virginia, Charlottesville, VA, United States.
Background: Alcohol misuse is the fourth leading cause of death in the United States and a significant problem in the US military. Brief alcohol interventions can reduce negative alcohol outcomes in civilian and military populations, but additional scalable interventions are needed to reduce binge and heavy drinking. SMS text messaging interventions could address this need, but to date, no programs exist for military populations.
View Article and Find Full Text PDFUse of the Buffalo Concussion Treadmill Test in community adult patients with mild traumatic brain injury.
PM R
August 2024
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Article Synopsis
- The Buffalo Concussion Treadmill Test (BCTT) evaluates exercise tolerance for youth athletes post mild traumatic brain injury (mTBI), but its effectiveness for adults is not well understood.
- This study compared BCTT performance between 37 adults with mTBI and 24 uninjured controls (UC) to assess exercise tolerance and how baseline factors correlated with test duration.
- Results showed that mTBI participants stopped the test earlier than UCs, with many experiencing symptoms like fatigue and increased discomfort, indicating the need for tailored rehabilitation strategies.*
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!